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Bone Marrow Failure v0.165 RPL9 Zornitza Stark edited their review of gene: RPL9: Added comment: New publication, second individual reported with same c.-2+1G>C variant in the 5′UTR of RPL9, deleterious effect demonstrated, functional data, upgrade to Amber:

PMID: 31799629 (2020) - Female infant diagnosed with Diamond-Blackfan anaemia carrying a de novo variant (c.-2+1G>C) in the 5′UTR of RPL9, predicted to affect the donor splice site of exon 1. Phenotypic overlap can be seen with the previously reported case with the same variant, including colitis, thumb anomaly, and microcephaly. Functional studies showed the variant impairs processing of pre-rRNA during ribosome biogenesis, stabilises TP53 and impairs the proliferation and differentiation of erythroid cells. Zebrafish models of RPL9 LoF recapitulate the anaemia phenotype.; Changed rating: AMBER; Changed publications: 29114930, 20116044, 31799629
Bone Marrow Failure v0.56 TP53 Zornitza Stark Marked gene: TP53 as ready
Bone Marrow Failure v0.56 TP53 Zornitza Stark Gene: tp53 has been classified as Amber List (Moderate Evidence).
Bone Marrow Failure v0.56 TP53 Zornitza Stark Classified gene: TP53 as Amber List (moderate evidence)
Bone Marrow Failure v0.56 TP53 Zornitza Stark Gene: tp53 has been classified as Amber List (Moderate Evidence).
Bone Marrow Failure v0.55 TP53 Zornitza Stark gene: TP53 was added
gene: TP53 was added to Bone Marrow Failure. Sources: Expert list
Mode of inheritance for gene: TP53 was set to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Publications for gene: TP53 were set to 30146126; 24013501; 23770245
Phenotypes for gene: TP53 were set to Bone marrow failure syndrome 5, MIM# 618165
Mode of pathogenicity for gene: TP53 was set to Other
Review for gene: TP53 was set to AMBER
Added comment: Two unrelated individuals with de novo variants in this gene, both resulted in the same truncation of the protein with a loss of 32 residues from the C-terminal end (Ser362AlafsTer8). The deletion is postulated to compromise binding of negative transcriptional regulators, resulting in augmented p53 function, not loss of function. Mouse models with animals lacking the C-terminal end of Tp53 show similar abnormalities.
Sources: Expert list