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In a cohort of six unrelated probands with combined mandibulofacial dysostosis and macrocytic anemia diagnostic of Diamond-Blackfan anemia, exome sequencing identified a hemizygous missense variant c.191A>G (p.Glu64Gly) in TSR2 in one male proband, implicating TSR2 as a novel X-linked contributor to DBA (PMID:24942156). No additional affected relatives were reported to segregate this allele.
Functional assays specific to TSR2 have not yet been reported, and evidence for a direct mechanistic link to ribosome biogenesis in erythroid progenitors remains inferential. Given the singular case report and absence of segregation or functional validation, current evidence supports a limited association of TSR2 with Diamond-Blackfan anemia.
Gene–Disease AssociationLimitedSingle hemizygous missense variant in one proband impairs ribosome biogenesis ([PMID:24942156]) Genetic EvidenceLimitedOne proband with hemizygous c.191A>G (p.Glu64Gly) variant in TSR2 ([PMID:24942156]) Functional EvidenceNo evidenceNo direct functional studies of TSR2 in DBA |