KEGG   DISEASE: Gray platelet syndrome
Entry
H02097                      Disease                                
Name
Gray platelet syndrome;
Bleeding disorder platelet-type 4
Description
Gray platelet syndrome (GPS) is a mild to moderate bleeding disorder characterized by the presence of macrothrombocytopenia and gray-appearing platelets in a peripheral blood smear. The diagnosis of GPS is based on the absence of platelet alpha-granules as observed by an electron microscope. Analysis of platelet contents in GPS demonstrates significantly decreased levels of several alpha-granule proteins, including (among others) fibrinogen, von Willebrand factor (VWF), thrombospondin, and factor V. While NBEAL2 is the major source of mutations in GPS, other gene variants may give rise to significant alpha-granule deficiencies in platelets.
Category
Hematologic disease
Brite
Human diseases in ICD-11 classification [BR:br08403]
 03 Diseases of the blood or blood-forming organs
  Coagulation defects, purpura or other haemorrhagic or related conditions
   3B62  Qualitative platelet defects
    H02097  Gray platelet syndrome
Gene
NBEAL2 [HSA:23218] [KO:K23286]
Other DBs
ICD-11: 3B62.00
ICD-10: D69.1
MeSH: D055652
OMIM: 139090
Reference
PMID:5129551
  Authors
Raccuglia G
  Title
Gray platelet syndrome. A variety of qualitative platelet disorder.
  Journal
Am J Med 51:818-28 (1971)
DOI:10.1016/0002-9343(71)90311-1
Reference
  Authors
Nurden AT, Nurden P
  Title
Should any genetic defect affecting alpha-granules in platelets be classified as gray platelet syndrome?
  Journal
Am J Hematol 91:714-8 (2016)
DOI:10.1002/ajh.24359
Reference
  Authors
Di Paola J, Johnson J
  Title
Thrombocytopenias due to gray platelet syndrome or THC2 mutations.
  Journal
Semin Thromb Hemost 37:690-7 (2011)
DOI:10.1055/s-0031-1291379
Reference
  Authors
Gunay-Aygun M, Falik-Zaccai TC, Vilboux T, Zivony-Elboum Y, Gumruk F, Cetin M, Khayat M, Boerkoel CF, Kfir N, Huang Y, Maynard D, Dorward H, Berger K, Kleta R, Anikster Y, Arat M, Freiberg AS, Kehrel BE, Jurk K, Cruz P, Mullikin JC, White JG, Huizing M, Gahl WA
  Title
NBEAL2 is mutated in gray platelet syndrome and is required for biogenesis of platelet alpha-granules.
  Journal
Nat Genet 43:732-4 (2011)
DOI:10.1038/ng.883
Reference
  Authors
Albers CA, Cvejic A, Favier R, Bouwmans EE, Alessi MC, Bertone P, Jordan G, Kettleborough RN, Kiddle G, Kostadima M, Read RJ, Sipos B, Sivapalaratnam S, Smethurst PA, Stephens J, Voss K, Nurden A, Rendon A, Nurden P, Ouwehand WH
  Title
Exome sequencing identifies NBEAL2 as the causative gene for gray platelet syndrome.
  Journal
Nat Genet 43:735-7 (2011)
DOI:10.1038/ng.885
Reference
  Authors
Kahr WH, Hinckley J, Li L, Schwertz H, Christensen H, Rowley JW, Pluthero FG, Urban D, Fabbro S, Nixon B, Gadzinski R, Storck M, Wang K, Ryu GY, Jobe SM, Schutte BC, Moseley J, Loughran NB, Parkinson J, Weyrich AS, Di Paola J
  Title
Mutations in NBEAL2, encoding a BEACH protein, cause gray platelet syndrome.
  Journal
Nat Genet 43:738-40 (2011)
DOI:10.1038/ng.884

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