Clinical and transcriptomic characteristics of a novel SMARCD2 mutation that disrupts neutrophil maturation and function

Author:

Dotta Laura1ORCID,Baresi Giulia2,Tamassia Nicola3,Calzetti Federica3,Bianchetto‐Aguilera Francisco3,Gasperini Sara3,Gardiman Elisa3,Chiarini Marco4,Moratto Daniele4ORCID,Martellosio Giovanni5,Serana Federico5,Micheletti Moira5,Tregambe Daniela5,Pintabona Vincenzo2,Soncini Elena2,Meini Antonella6,Girelli Maria Federica6,Beghin Alessandra7,Lanfranchi Arnalda7,Bugatti Mattia8,Brugnoni Duilio9,Soresina Annarosa6,Plebani Alessandro1,Cassatella Marco3,Vermi William8,Porta Fulvio2,Badolato Raffaele1

Affiliation:

1. Department of Pediatrics ASST Spedali Civili of Brescia Department of Clinical and Experimental Sciencies University of Brescia Brescia Italy

2. Pediatric Oncohaematology and BMT Unit ASST Spedali Civili of Brescia Brescia Italy

3. General Pathology Section Department of Medicine University of Verona Verona Italy

4. Flow Cytometry Unit Clinical Chemistry Laboratory ASST Spedali Civili of Brescia Brescia Italy

5. Hematology Unit Clinical Chemistry Laboratory Diagnostic Department ASST Spedali Civili di Brescia Brescia Italy

6. Department of Pediatrics ASST Spedali Civili of Brescia Brescia Italy

7. Stem Cell Laboratory Section of Hematology and Blood Coagulation Clinical Chemistry Laboratory Diagnostics Department ASST Spedali Civili of Brescia Brescia Italy

8. Department of Molecular and Translational Medicine University of Brescia Brescia Italy

9. Department of Laboratory Diagnostics ASST Spedali Civili of Brescia Brescia Italy

Abstract

AbstractWe report a novel case of SMARCD2 (SWI/SNF‐related, matrix‐associated, actin‐dependent regulator of chromatin, subfamily D, member 2) mutation successfully treated with hematopoietic stem cell transplantation. The female patient presented delayed cord separation, chronic diarrhea, skin abscesses, skeletal dysmorphisms, and neutropenia with specific granule deficiency. Analysis of the transcriptomic profile of peripheral blood sorted mature and immature SMARCD2 neutrophils showed defective maturation process that associated with altered expression of genes related to specific, azurophilic, and gelatinase granules, such as LTF, CRISP3, PTX3, and CHI3L1. These abnormalities account for the prevalence of immature neutrophils in the peripheral blood, impaired function, and deregulated inflammatory responses.

Publisher

Wiley

Subject

Oncology,Hematology,Pediatrics, Perinatology and Child Health

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