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Fanconi anemia complementation group F
Description
Fanconi Anemia Complementation Group F (FANCF)
Fanconi anemia complementation group F (FANCF) is a disorder characterized by genomic instability, bone marrow failure, and a high cancer risk [1]. It is one of the 23 FA or FA-like genes known to cause autosomal recessive Fanconi anemia (FA), which affects many parts of the body [12].
Individuals with FANCF have been reported to exhibit multiple congenital anomalies, early-onset bone marrow failure or myelodysplastic syndrome (MDS), and a severe phenotype of FA [2]. The disorder is caused by mutations in the FANCF gene, which encodes a polypeptide with homology to the prokaryotic RNA-binding protein ROM [5].
The FANCF protein is an essential component of a nuclear core complex that protects the genome against chromosomal instability [8]. Individuals with FANCF have been found to be hypersensitive to DNA cross-linking agents such as mitomycin C, which can cause cellular damage and increase the risk of cancer [11].
Key Features:
- Genomic instability
- Bone marrow failure
- High cancer risk
- Multiple congenital anomalies
- Early-onset bone marrow failure or MDS
- Hypersensitivity to DNA cross-linking agents
References:
[1] Context 7 [2] Context 2 [5] Context 6 [8] Context 8 [11] Context 11
Additional Characteristics
- bone marrow failure
- genomic instability
- high cancer risk
- multiple congenital anomalies
- early-onset bone marrow failure or MDS
- hypersensitivity to DNA cross-linking agents
Signs and Symptoms
Fanconi anemia (FA) complementation group F, also known as FANCF, is a rare genetic disorder that affects many parts of the body. The clinical features of FANCF include:
- Microcephaly: A condition where the head circumference is smaller than average.
- Small or absent thumbs: A congenital defect where one or both thumbs are either small or completely missing.
- Short stature: Individuals with FANCF often have a lower-than-average height.
- Microphthalmia: A condition where one or both eyes are abnormally small.
- Microtia: A congenital defect where the ears are abnormally small.
- Hearing loss: Some individuals with FANCF may experience hearing difficulties.
- Pigmentary anomalies (cafe-au-lait spots): These are flat, oval-shaped birthmarks that can appear on the skin.
It's worth noting that not all individuals with FANCF will exhibit these symptoms, and some may have additional physical abnormalities. The severity and presence of symptoms can vary greatly from person to person.
According to [1], physical abnormalities are present in approximately 75% of affected individuals, including one or more of the following: short stature, abnormal skin pigmentation, skeletal malformations of the upper and/or lower limbs, microcephaly, and ophthalmic and genitourinary tract anomalies.
Additional Symptoms
- Microcephaly
- Microtia
- Hearing loss
- Microphthalmia
- or lower limbs
- Genitourinary tract anomalies
- Small or absent thumbs
- Pigmentary anomalies (cafe-au-lait spots)
- Ophthalmic anomalies
- short stature
Diagnostic Tests
Fanconi anemia (FA) is a rare genetic disorder that affects many parts of the body, including the bone marrow, skin, and other organs. The diagnostic tests for Fanconi anemia complementation group F are crucial in identifying the condition.
Diagnostic Tests:
- Chromosome Breakage Test (CBT): This is considered the gold-standard test for diagnosing FA [3]. The CBT uses DNA cross-linking agents like mitomycin C (MMC) to induce chromosomal breaks, which can be detected using cytogenetic techniques.
- Complementation Typing: This test is available at a CLIA-certified laboratory and helps identify the specific complementation group responsible for the FA [2].
- Next-Generation Sequencing (NGS): NGS has been widely used for FA diagnosis, but it may have limitations that can lead to unconfirmed genetic subtypes [8].
Other Diagnostic Features:
- Physical Abnormalities: Physical abnormalities are present in approximately 75% of affected individuals and include short stature, abnormal skin pigmentation, skeletal malformations, microcephaly, and ophthalmic and genitourinary tract anomalies [1][14].
- Bone Marrow Failure: FA is characterized by bone marrow failure, which can lead to pancytopenia or other hematologic abnormalities [7].
Genetic Mutations:
- Fanconi anemia genes cause an accruement of chromosomal instability due to genetic mutations, including point mutations, duplications, splicing defects, and deletions [12].
- The specific genetic mutation responsible for FA complementation group F is not explicitly mentioned in the provided context.
It's essential to consult a medical professional or a certified laboratory for accurate diagnosis and testing.
Treatment
Current Treatments for Fanconi Anemia Complementation Group F
Fanconi anemia complementation group F (FANCF) is a genetic disorder that affects the body's ability to repair DNA damage. While there are no specific treatments mentioned in the search results, current treatments for Fanconi anemia in general include:
- Androgen administration: This involves taking androgens, such as testosterone or dihydrotestosterone, to stimulate the production of blood cells.
- Hematopoietic growth factors administration: This involves taking medications that stimulate the production of blood cells.
- Hematopoietic stem cell transplantation (HSCT): This is a procedure where healthy stem cells are transplanted into the body to replace damaged or faulty ones.
It's worth noting that these treatments may not be specific to FANCF, but rather general treatments for Fanconi anemia. The search results do not provide information on targeted therapies or gene-specific treatments for FANCF.
References:
- [3] Current treatments of FA include androgen administration, hematopoietic growth factors administration and hematopoietic stem cell transplantation (HSCT).
- [8] For now, the treatment of choice for FA patients remains BMT with a HLA-identical sibling donor. Improved preconditioning regimen and immunosuppresive therapy are also used.
- [9] This study shows for the first time the possibility of performing targeted gene therapy in a DNA-repair deficiency syndrome, known as Fanconi anemia.
Recommended Medications
- Hematopoietic stem cell transplantation (HSCT)
- Hematopoietic growth factors administration
- androgen
💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
Fanconi anemia (FA) is a rare genetic disorder characterized by physical abnormalities, bone marrow failure, and increased risk for malignancy. The differential diagnosis of FA involves identifying other conditions that may present with similar symptoms.
Conditions to Consider:
- Dyskeratosis congenita: This is a rare genetic disorder that affects the skin, nails, and mucous membranes. It can also involve bone marrow failure and an increased risk for malignancy.
- Shwachman-Diamond syndrome: This is a rare genetic disorder that affects the pancreas, bones, and blood cells. It can present with similar symptoms to FA, including bone marrow failure and an increased risk for malignancy.
Key Features to Distinguish FA from Other Conditions:
- Physical abnormalities: FA is characterized by physical abnormalities in approximately 75% of affected individuals, including short stature, abnormal skin pigmentation, skeletal malformations, microcephaly, and ophthalmic and genitourinary tract anomalies.
- Bone marrow failure: FA is associated with bone marrow failure, which can lead to anemia, bleeding disorders, and infections.
- Increased risk for malignancy: FA is characterized by an increased risk for malignancy, particularly acute myeloid leukemia.
Genetic Considerations:
- Fanconi anemia complementation group F (FANCF): This is one of the 13 known genes associated with FA. Mutations in FANCF can lead to FA.
- Other genetic disorders: Dyskeratosis congenita and Shwachman-Diamond syndrome are also caused by mutations in specific genes.
Diagnostic Criteria:
- Clinical presentation: A diagnosis of FA is based on a combination of clinical features, including physical abnormalities, bone marrow failure, and an increased risk for malignancy.
- Genetic testing: Genetic testing can confirm the presence of mutations in FANCF or other FA-associated genes.
- Bone marrow
Additional Information
- oboInOwl#hasOBONamespace
- disease_ontology
- oboInOwl#id
- DOID:0111088
- core#notation
- DOID:0111088
- oboInOwl#hasDbXref
- MIM:603467
- IAO_0000115
- A Fanconi anemia that has_material_basis_in homozygous or compound heterozygous mutation in the FANCF gene on chromosome 11p15.
- oboInOwl#hasExactSynonym
- FANCF
- rdf-schema#label
- Fanconi anemia complementation group F
- rdf-schema#subClassOf
- t374716
- RO_0004019
- http://purl.obolibrary.org/obo/SO_0000704
- 22-rdf-syntax-ns#type
- http://www.w3.org/2002/07/owl#Class
- rdf-schema#domain
- https://w3id.org/def/predibionto#has_symptom_5423
- owl#annotatedSource
- t375258
- 22-rdf-syntax-ns#first
- t4027614
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It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with questions about your medical condition.