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TABLE 7.1 Human Cancer Predisposition Syndromes with Known or Likely HRR Alterations
Syndrome
Mutated gene(s)
Phenotype
Fanconi anemia (FA)
FANCA-C, D1, D2, E-G, I, J, L-N, P
(bi-allelic mutations, or X-linked
(FANCB))
Cancer:
AML, myelodysplasia, squamous cell carcinoma
Progeria:
Bone marrow failure
Neurological defects:
Microcephaly
Immunodeficiency:
Pancytopenia
Other:
Abnormal skin pigmentation,
infertility, limb deformities, renal dysfunction
Fanconi anemia-like
disorder
RAD51C
(bi-allelic mutations)
Cancer:
Not observed
Progeria:
Growth defects
Other:
Hypogonadism, limb deformities, renal dysfunction
Familial breast cancer
ATM, BRCA1, BRCA2/FANCD1, BRIP1/
FANCJ, Chk2, NBS1, p53, PALB2/
FANCN, PTEN, RAD50, RAD51C
(heterozygous mutations)
Cancer:
Breast cancer, ovarian cancer
Bloom syndrome (BS)
BLM
(bi-allelic mutations)
Cancer:
Carcinomas, leukemias, lymphomas
Neurological defects:
Microcephaly, mild mental retardation
Infertility
Other:
Abnormal skin pigmentation, facial dysmorphism,
immunodeficiency, growth defects
Rothmund Thomson
Syndrome (RTS)
RECQL4
(bi-allelic mutations)
Cancer:
Osteosarcoma, skin cancers
Progeria:
Cataracts, gray hair
Other:
Skin and skeletal abnormalities, growth defects
Werner syndrome
(WS)
WRN
(bi-allelic mutations)
Cancer:
Sarcomas
Progeria:
Atherosclerosis, cataracts, gray hair, osteoporosis
Other:
Type II diabetes, growth defects
Ataxia telangiectasia
(AT)
ATM
(bi-allelic mutations)
Cancer:
Lymphomas, leukemias
Neurological defects:
Ataxia, cerebellar degeneration, oculomotor apraxia
Immunodeficiency
Other:
Dilated blood vessel, infertility, metabolic defects, growth defects
Li e Fraumeni
syndrome (LFS)
p53
(heterozygous mutations)
Cancer:
Brain and breast cancer, sarcomas
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