MCID: PLM139
MIFTS: 28

Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related, 1

Categories: Genetic diseases, Bone diseases, Immune diseases

Aliases & Classifications for Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related,...

MalaCards integrated aliases for Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related, 1:

Name: Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related, 1 54 29 69
Pulmonary Fibrosis, and/or Bone Marrow Failure, Telomere-Related, 1 71
Pfbmft1 71

Characteristics:

OMIM:

54
Inheritance:
autosomal dominant

Miscellaneous:
incomplete penetrance
adult onset
variable manifestations


HPO:

32
pulmonary fibrosis and/or bone marrow failure, telomere-related, 1:
Onset and clinical course incomplete penetrance adult onset
Inheritance autosomal dominant inheritance


Classifications:



Summaries for Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related,...

OMIM : 54
Shortened telomeres can cause a wide variety of clinical features that constitute a phenotypic spectrum. The most severe form is dyskeratosis congenita (see, e.g., 127750), characterized by early childhood onset of skin abnormalities, bone marrow failure, predisposition to malignancy, and risk of pulmonary and hepatic fibrosis. Adult-onset pulmonary fibrosis is the most common manifestation of mutant telomerase genes. Other manifestations include aplastic anemia due to bone marrow failure, hepatic fibrosis, and increased cancer risk, particularly myelodysplastic syndrome (MDS) and acute myeloid leukemia (AML). Phenotype, age at onset, and severity are determined by telomere length, not just telomerase mutation (summary by Armanios, 2009). The genetic diagnosis of telomere-related bone marrow failure and pulmonary fibrosis has implications for treatment because affected individuals generally do not respond to immunosuppression and may be at increased risk for fatal complications after bone marrow or lung transplantation (Parry et al., 2011). (614742)

MalaCards based summary : Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related, 1, also known as pulmonary fibrosis, and/or bone marrow failure, telomere-related, 1, is related to pulmonary fibrosis, idiopathic, and has symptoms including cirrhosis, leukemia and premature graying of hair. An important gene associated with Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related, 1 is TERT (Telomerase Reverse Transcriptase). The drugs Danazol and Miconazole have been mentioned in the context of this disorder. Affiliated tissues include bone, bone marrow and myeloid.

UniProtKB/Swiss-Prot : 71 Pulmonary fibrosis, and/or bone marrow failure, telomere-related, 1: A disease associated with shortened telomeres. Pulmonary fibrosis is the most common manifestation. Other manifestations include aplastic anemia due to bone marrow failure, hepatic fibrosis, and increased cancer risk, particularly myelodysplastic syndrome and acute myeloid leukemia. Phenotype, age at onset, and severity are determined by telomere length.

Related Diseases for Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related,...

Diseases related to Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related, 1 via text searches within MalaCards or GeneCards Suite gene sharing:

id Related Disease Score Top Affiliating Genes
1 pulmonary fibrosis, idiopathic 10.9

Symptoms & Phenotypes for Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related,...

Symptoms via clinical synopsis from OMIM:

54

Hematology:
pancytopenia
bone marrow failure
aplastic anemia

Respiratory- Lung:
pulmonary fibrosis

Laboratory- Abnormalities:
decreased telomere length in lymphocytes

Skin Nails & Hair- Hair:
premature graying of the hair

Neoplasia:
increased risk for cancer
increased risk for myelodysplastic syndrome
increased risk for hematologic cancer, particularly acute myeloid leukemia

Abdomen- Liver:
cirrhosis (in some patients)


Clinical features from OMIM:

614742

Human phenotypes related to Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related, 1:

32 (show all 6)
id Description HPO Frequency HPO Source Accession
1 cirrhosis 32 occasional (7.5%) HP:0001394
2 leukemia 32 HP:0001909
3 premature graying of hair 32 HP:0002216
4 pulmonary fibrosis 32 HP:0002206
5 aplastic anemia 32 HP:0001915
6 bone marrow hypocellularity 32 HP:0005528

Drugs & Therapeutics for Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related,...

Drugs for Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related, 1 (from DrugBank, HMDB, Dgidb, PharmGKB, IUPHAR, NovoSeek, BitterDB):

(show all 14)
id Name Status Phase Clinical Trials Cas Number PubChem Id
1
Danazol Approved Phase 1, Phase 2 17230-88-5 28417
2
Miconazole Approved, Investigational, Vet_approved Phase 1, Phase 2 22916-47-8 4189
3
Nandrolone Approved, Experimental, Illicit Phase 1, Phase 2 434-22-0, 62-90-8 9904 229455
4
Nandrolone decanoate Approved, Illicit Phase 1, Phase 2 360-70-3 9677
5 Androgens Phase 1, Phase 2
6 Estrogen Antagonists Phase 1, Phase 2
7 Estrogens Phase 1, Phase 2
8 Hormone Antagonists Phase 1, Phase 2
9 Hormones Phase 1, Phase 2
10 Hormones, Hormone Substitutes, and Hormone Antagonists Phase 1, Phase 2
11 Anabolic Agents Phase 1, Phase 2
12 Antifungal Agents Phase 1, Phase 2
13 Anti-Infective Agents Phase 1, Phase 2
14 decanoic acid Phase 1, Phase 2

Interventional clinical trials:


id Name Status NCT ID Phase Drugs
1 Danazol for Genetic Bone Marrow and Lung Disorders Completed NCT01441037 Phase 1, Phase 2 Danazol
2 Nandrolone Decanoate in the Treatment of Telomeropathies Recruiting NCT02055456 Phase 1, Phase 2 Nandrolone Decanoate

Search NIH Clinical Center for Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related, 1

Genetic Tests for Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related,...

Genetic tests related to Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related, 1:

id Genetic test Affiliating Genes
1 Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related, 1 29

Anatomical Context for Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related,...

MalaCards organs/tissues related to Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related, 1:

39
Bone, Bone Marrow, Myeloid, Lung, Skin

Publications for Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related,...

Variations for Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related,...

UniProtKB/Swiss-Prot genetic disease variations for Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related, 1:

71 (show all 14)
id Symbol AA change Variation ID SNP ID
1 TERT p.His412Tyr VAR_025149 rs34094720
2 TERT p.Ala202Thr VAR_036863 rs121918661
3 TERT p.Val694Met VAR_036866 rs121918662
4 TERT p.Tyr772Cys VAR_036867 rs121918663
5 TERT p.Arg865His VAR_036868 rs121918666
6 TERT p.Val1090Met VAR_036870 rs121918664
7 TERT p.Val170Met VAR_068792 rs387907248
8 TERT p.Ala716Thr VAR_068794 rs387907249
9 TERT p.Val791Ile VAR_068795 rs141425941
10 TERT p.Leu841Phe VAR_068796
11 TERT p.Val867Met VAR_068797 rs201159197
12 TERT p.Lys902Arg VAR_068798 rs387907250
13 TERT p.Pro923Leu VAR_068799 rs387907251
14 TERT p.Val1025Phe VAR_068800

ClinVar genetic disease variations for Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related, 1:

6 (show all 13)
id Gene Variation Type Significance SNP ID Assembly Location
1 TERT NM_198253.2(TERT): c.2080G> A (p.Val694Met) single nucleotide variant Pathogenic rs121918662 GRCh37 Chromosome 5, 1279456: 1279456
2 TERT NM_198253.2(TERT): c.2315A> G (p.Tyr772Cys) single nucleotide variant Pathogenic rs121918663 GRCh37 Chromosome 5, 1272367: 1272367
3 TERT NM_198253.2(TERT): c.3268G> A (p.Val1090Met) single nucleotide variant Pathogenic rs121918664 GRCh37 Chromosome 5, 1254510: 1254510
4 TERT NM_198253.2(TERT): c.2594G> A (p.Arg865His) single nucleotide variant Pathogenic rs121918666 GRCh37 Chromosome 5, 1266639: 1266639
5 TERT NM_198253.2(TERT): c.2240delT (p.Val747Alafs) deletion Pathogenic rs199422300 GRCh37 Chromosome 5, 1278802: 1278802
6 TERT NM_198253.2(TERT): c.219+1G> A single nucleotide variant Pathogenic rs199422309 GRCh37 Chromosome 5, 1294885: 1294885
7 TERT NM_198253.2(TERT): c.2583-2A> C single nucleotide variant Pathogenic rs111576740 GRCh37 Chromosome 5, 1266652: 1266652
8 TERT NM_198253.2(TERT): c.164T> A (p.Leu55Gln) single nucleotide variant Pathogenic rs387907247 GRCh37 Chromosome 5, 1294941: 1294941
9 TERT NM_198253.2(TERT): c.508G> A (p.Val170Met) single nucleotide variant Pathogenic rs387907248 GRCh37 Chromosome 5, 1294493: 1294493
10 TERT NM_198253.2(TERT): c.2146G> A (p.Ala716Thr) single nucleotide variant Pathogenic rs387907249 GRCh37 Chromosome 5, 1278896: 1278896
11 TERT NM_198253.2(TERT): c.2705A> G (p.Lys902Arg) single nucleotide variant Pathogenic rs387907250 GRCh37 Chromosome 5, 1264657: 1264657
12 TERT NM_198253.2(TERT): c.2768C> T (p.Pro923Leu) single nucleotide variant Pathogenic rs387907251 GRCh37 Chromosome 5, 1264594: 1264594
13 TERT NM_198253.2(TERT): c.579_580delCCinsTT (p.Arg194Ter) indel Pathogenic GRCh38 Chromosome 5, 1294306: 1294307

Expression for Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related,...

Search GEO for disease gene expression data for Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related, 1.

Pathways for Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related,...

GO Terms for Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related,...

Sources for Pulmonary Fibrosis and/or Bone Marrow Failure, Telomere-Related,...

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