HLA - matched related donor hematopoietic stem cell transplantation in a patient with polynucleotide kinase 3-phosphatase mutation developed acute myeloid leukemia

Pediatr Transplant. 2022 Jun;26(4):e14255. doi: 10.1111/petr.14255. Epub 2022 Feb 21.

Abstract

Background: PNPK gene mutations result in DNA repair disorders and have a spectrum of neurodevelopmental manifestations. To date, cancer predisposition has not been described in patients with PNKP mutations.

Observation: Here, we report a patient with PNKP mutation, who developed AML at age of five and underwent reduced-intensity HSCT.

Conclusion: Although many DNA repair disorders are known to have increased risk of malignancy, association between PNKP mutations and malignancy is not well-described. This report is the first description of a PNPK mutation patient developing a malignancy and undergoing curative HSCT.

Keywords: AML; DNA repair disorders; HSCT; PNKP mutation.

Publication types

  • Case Reports

MeSH terms

  • DNA Repair Enzymes / genetics
  • Hematopoietic Stem Cell Transplantation* / adverse effects
  • Humans
  • Leukemia, Myeloid, Acute* / genetics
  • Leukemia, Myeloid, Acute* / therapy
  • Mutation
  • Phosphoric Monoester Hydrolases / genetics
  • Phosphotransferases (Alcohol Group Acceptor) / genetics
  • Polynucleotide 5'-Hydroxyl-Kinase / genetics
  • Retrospective Studies

Substances

  • PNKP protein, human
  • Phosphotransferases (Alcohol Group Acceptor)
  • Polynucleotide 5'-Hydroxyl-Kinase
  • Phosphoric Monoester Hydrolases
  • DNA Repair Enzymes