Diagnosis of Fanconi Anemia: Chromosomal Breakage Analysis

Fanconi anemia (FA) is a rare inherited syndrome with diverse clinical symptoms including developmental defects, short stature, bone marrow failure, and a high risk of malignancies. Fifteen genetic subtypes have been distinguished so far. The mode of inheritance for all subtypes is autosomal recessi...

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Main Authors: Anneke B. Oostra, Aggie W. M. Nieuwint, Hans Joenje, Johan P. de Winter
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Anemia
Online Access:http://dx.doi.org/10.1155/2012/238731
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author Anneke B. Oostra
Aggie W. M. Nieuwint
Hans Joenje
Johan P. de Winter
author_facet Anneke B. Oostra
Aggie W. M. Nieuwint
Hans Joenje
Johan P. de Winter
author_sort Anneke B. Oostra
collection DOAJ
description Fanconi anemia (FA) is a rare inherited syndrome with diverse clinical symptoms including developmental defects, short stature, bone marrow failure, and a high risk of malignancies. Fifteen genetic subtypes have been distinguished so far. The mode of inheritance for all subtypes is autosomal recessive, except for FA-B, which is X-linked. Cells derived from FA patients are—by definition—hypersensitive to DNA cross-linking agents, such as mitomycin C, diepoxybutane, or cisplatinum, which becomes manifest as excessive growth inhibition, cell cycle arrest, and chromosomal breakage upon cellular exposure to these drugs. Here we provide a detailed laboratory protocol for the accurate assessment of the FA diagnosis as based on mitomycin C-induced chromosomal breakage analysis in whole-blood cultures. The method also enables a quantitative estimate of the degree of mosaicism in the lymphocyte compartment of the patient.
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institution Kabale University
issn 2090-1267
2090-1275
language English
publishDate 2012-01-01
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series Anemia
spelling doaj-art-f64d2709500c4622afcda90ac7b528742025-02-03T01:10:26ZengWileyAnemia2090-12672090-12752012-01-01201210.1155/2012/238731238731Diagnosis of Fanconi Anemia: Chromosomal Breakage AnalysisAnneke B. Oostra0Aggie W. M. Nieuwint1Hans Joenje2Johan P. de Winter3Department of Clinical Genetics, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The NetherlandsDepartment of Clinical Genetics, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The NetherlandsDepartment of Clinical Genetics, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The NetherlandsDepartment of Clinical Genetics, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The NetherlandsFanconi anemia (FA) is a rare inherited syndrome with diverse clinical symptoms including developmental defects, short stature, bone marrow failure, and a high risk of malignancies. Fifteen genetic subtypes have been distinguished so far. The mode of inheritance for all subtypes is autosomal recessive, except for FA-B, which is X-linked. Cells derived from FA patients are—by definition—hypersensitive to DNA cross-linking agents, such as mitomycin C, diepoxybutane, or cisplatinum, which becomes manifest as excessive growth inhibition, cell cycle arrest, and chromosomal breakage upon cellular exposure to these drugs. Here we provide a detailed laboratory protocol for the accurate assessment of the FA diagnosis as based on mitomycin C-induced chromosomal breakage analysis in whole-blood cultures. The method also enables a quantitative estimate of the degree of mosaicism in the lymphocyte compartment of the patient.http://dx.doi.org/10.1155/2012/238731
spellingShingle Anneke B. Oostra
Aggie W. M. Nieuwint
Hans Joenje
Johan P. de Winter
Diagnosis of Fanconi Anemia: Chromosomal Breakage Analysis
Anemia
title Diagnosis of Fanconi Anemia: Chromosomal Breakage Analysis
title_full Diagnosis of Fanconi Anemia: Chromosomal Breakage Analysis
title_fullStr Diagnosis of Fanconi Anemia: Chromosomal Breakage Analysis
title_full_unstemmed Diagnosis of Fanconi Anemia: Chromosomal Breakage Analysis
title_short Diagnosis of Fanconi Anemia: Chromosomal Breakage Analysis
title_sort diagnosis of fanconi anemia chromosomal breakage analysis
url http://dx.doi.org/10.1155/2012/238731
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AT aggiewmnieuwint diagnosisoffanconianemiachromosomalbreakageanalysis
AT hansjoenje diagnosisoffanconianemiachromosomalbreakageanalysis
AT johanpdewinter diagnosisoffanconianemiachromosomalbreakageanalysis