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Primary familial polycythemia due to EPO receptor mutation(PFCP; ECYT1)

MedGen UID:
1641215
Concept ID:
C4551637
Disease or Syndrome
Synonyms: Erythrocytosis autosomal dominant benign; ERYTHROCYTOSIS, SOMATIC; Polycythemia, primary familial and congenital; Primary Familial Congenital Polycythemia
Modes of inheritance:
Autosomal dominant inheritance
MedGen UID:
141047
Concept ID:
C0443147
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in heterozygotes. In the context of medical genetics, an autosomal dominant disorder is caused when a single copy of the mutant allele is present. Males and females are affected equally, and can both transmit the disorder with a risk of 50% for each child of inheriting the mutant allele.
 
Genes (locations): EPOR (19p13.2); JAK2 (9p24.1); SH2B3 (12q24.12)
 
Monarch Initiative: MONDO:0007572
OMIM®: 133100
Orphanet: ORPHA90042

Disease characteristics

Excerpted from the GeneReview: Primary Familial and Congenital Polycythemia
Primary familial and congenital polycythemia (PFCP) is characterized by isolated erythrocytosis in an individual with a normal-sized spleen and absence of disorders causing secondary erythrocytosis. Clinical manifestations relate to the erythrocytosis and can include plethora, the hyperviscosity syndrome (headache, dizziness, fatigue, lassitude, visual and auditory disturbances, paresthesia, myalgia), altered mental status caused by hypoperfusion and local hypoxia, and arterial and/or venous thromboembolic events. Although the majority of individuals with PFCP have only mild manifestations of hyperviscosity such as dizziness or headache, some affected individuals have had severe and even fatal complications including arterial hypertension, intracerebral hemorrhage, deep vein thrombosis, coronary disease, and myocardial infarction. To date 116 affected individuals from 24 families have been reported. [from GeneReviews]
Authors:
Celeste Bento  |  Mary Frances McMullin  |  Melanie Percy, et. al.   view full author information

Additional description

From OMIM
Familial erythrocytosis-1 (ECYT1) is an autosomal dominant disorder characterized by increased serum red blood cell mass and hemoglobin concentration, hypersensitivity of erythroid progenitors to EPO (133170), and low serum levels of EPO. There is no increase in platelets or leukocytes and the disorder does not progress to leukemia (Kralovics et al., 1998). Genetic Heterogeneity of Familial Erythrocytosis See also ECYT2 (263400), caused by mutation in the VHL gene (608537) on chromosome 3p25; ECYT3 (609820), caused by mutation in the EGLN1 gene (606425) on chromosome 1q42; ECYT4 (611783), caused by mutation in the EPAS1 gene (603349) on chromosome 2p21; ECYT5 (617907), caused by mutation in the EPO gene (133170) on chromosome 7q22; ECYT6 (617980), caused by mutation in the HBB gene (141900) on chromosome 11q15; ECYT7 (617981), caused by mutation in the HBA genes (141800; 141850) on chromosome 16p13; and ECYT8 (222800), caused by mutation in the BPGM gene (613896) on chromosome 7q33. Stamatoyannopoulos (1972) reviewed causes of familial erythrocytosis and noted that the disorder may result from defects in the regulation of 2,3-diphosphoglycerate (see 613896 and 222800). Erythrocytosis may also be caused by somatic mutation in the JAK2 (147796) or the SH2B3 (605093) gene on chromosome 9p24 and 12q24, respectively. For a review of the genetics of congenital erythrocytosis, see Bento et al. (2014).  http://www.omim.org/entry/133100

Clinical features

From HPO
Fatigue
MedGen UID:
41971
Concept ID:
C0015672
Sign or Symptom
A subjective feeling of tiredness characterized by a lack of energy and motivation.
Hypertensive disorder
MedGen UID:
6969
Concept ID:
C0020538
Disease or Syndrome
The presence of chronic increased pressure in the systemic arterial system.
Myocardial infarction
MedGen UID:
10150
Concept ID:
C0027051
Disease or Syndrome
Necrosis of the myocardium caused by an obstruction of the blood supply to the heart and often associated with chest pain, shortness of breath, palpitations, and anxiety as well as characteristic EKG findings and elevation of serum markers including creatine kinase-MB fraction and troponin.
Cerebral hemorrhage
MedGen UID:
423648
Concept ID:
C2937358
Pathologic Function
Hemorrhage into the parenchyma of the brain.
Vertigo
MedGen UID:
53006
Concept ID:
C0042571
Sign or Symptom
An abnormal sensation of spinning while the body is actually stationary.
Headache
MedGen UID:
9149
Concept ID:
C0018681
Sign or Symptom
Cephalgia, or pain sensed in various parts of the head, not confined to the area of distribution of any nerve.
Increased hematocrit
MedGen UID:
68692
Concept ID:
C0239935
Finding
An elevation above the normal ratio of the volume of red blood cells to the total volume of blood.
Increased circulating hemoglobin concentration
MedGen UID:
108199
Concept ID:
C0549448
Finding
Concentration of hemoglobin in the blood circulation above the upper limit of normal.
Peripheral thrombosis
MedGen UID:
337901
Concept ID:
C1849749
Pathologic Function
Increased red blood cell mass
MedGen UID:
377869
Concept ID:
C1853288
Finding
The presence of an increased mass of red blood cells in the circulation.
Exertional dyspnea
MedGen UID:
68549
Concept ID:
C0231807
Sign or Symptom
Perceived difficulty to breathe that occurs with exercise or exertion and improves with rest.
Splenomegaly
MedGen UID:
52469
Concept ID:
C0038002
Finding
Abnormal increased size of the spleen.
Plethora
MedGen UID:
115911
Concept ID:
C0232370
Finding

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  

Professional guidelines

PubMed

Gangat N, Szuber N, Tefferi A
Am J Hematol 2023 Jun;98(6):965-981. Epub 2023 Apr 3 doi: 10.1002/ajh.26920. PMID: 36966432

Curated

Hussein K, Percy M, McMullin MF
Eur J Hum Genet 2012 May;20(5) Epub 2012 Jan 25 doi: 10.1038/ejhg.2011.252. PMID: 22274579Free PMC Article

Recent clinical studies

Etiology

Gangat N, Szuber N, Tefferi A
Am J Hematol 2023 Jun;98(6):965-981. Epub 2023 Apr 3 doi: 10.1002/ajh.26920. PMID: 36966432
Echambadi Loganathan S, Kattaru S, Chandrasekhar C, Vengamma B, Sarma PVGK
Eur J Med Genet 2022 Jun;65(6):104493. Epub 2022 Apr 5 doi: 10.1016/j.ejmg.2022.104493. PMID: 35395428

Diagnosis

Gangat N, Szuber N, Tefferi A
Am J Hematol 2023 Jun;98(6):965-981. Epub 2023 Apr 3 doi: 10.1002/ajh.26920. PMID: 36966432
Mallik N, Das R, Malhotra P, Sharma P
Eur J Haematol 2021 Jul;107(1):29-37. Epub 2021 Apr 23 doi: 10.1111/ejh.13632. PMID: 33840141
Hong WJ, Gotlib J
Best Pract Res Clin Haematol 2014 Jun;27(2):95-106. Epub 2014 Jul 18 doi: 10.1016/j.beha.2014.07.002. PMID: 25189721
Gross M, Ben-Califa N, McMullin MF, Percy MJ, Bento C, Cario H, Minkov M, Neumann D
Br J Haematol 2014 May;165(4):519-28. Epub 2014 Feb 18 doi: 10.1111/bjh.12782. PMID: 24533580
Sokol L, Luhovy M, Guan Y, Prchal JF, Semenza GL, Prchal JT
Blood 1995 Jul 1;86(1):15-22. PMID: 7795221

Therapy

Gangat N, Szuber N, Tefferi A
Am J Hematol 2023 Jun;98(6):965-981. Epub 2023 Apr 3 doi: 10.1002/ajh.26920. PMID: 36966432

Prognosis

Sokol L, Luhovy M, Guan Y, Prchal JF, Semenza GL, Prchal JT
Blood 1995 Jul 1;86(1):15-22. PMID: 7795221

Clinical prediction guides

Echambadi Loganathan S, Kattaru S, Chandrasekhar C, Vengamma B, Sarma PVGK
Eur J Med Genet 2022 Jun;65(6):104493. Epub 2022 Apr 5 doi: 10.1016/j.ejmg.2022.104493. PMID: 35395428
Divoky V, Song J, Horvathova M, Kralova B, Votavova H, Prchal JT, Yoon D
J Mol Med (Berl) 2016 May;94(5):597-608. Epub 2015 Dec 26 doi: 10.1007/s00109-015-1375-y. PMID: 26706855Free PMC Article
Sokol L, Luhovy M, Guan Y, Prchal JF, Semenza GL, Prchal JT
Blood 1995 Jul 1;86(1):15-22. PMID: 7795221

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