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Linking Gene Fusions to Bone Marrow Failure and Malignant Transformation in Dyskeratosis Congenita
Linking Gene Fusions to Bone Marrow Failure and Malignant Transformation in Dyskeratosis Congenita
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Linking Gene Fusions to Bone Marrow Failure and Malignant Transformation in Dyskeratosis Congenita
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Linking Gene Fusions to Bone Marrow Failure and Malignant Transformation in Dyskeratosis Congenita
Linking Gene Fusions to Bone Marrow Failure and Malignant Transformation in Dyskeratosis Congenita

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Linking Gene Fusions to Bone Marrow Failure and Malignant Transformation in Dyskeratosis Congenita
Linking Gene Fusions to Bone Marrow Failure and Malignant Transformation in Dyskeratosis Congenita
Journal Article

Linking Gene Fusions to Bone Marrow Failure and Malignant Transformation in Dyskeratosis Congenita

2024
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Overview
Dyskeratosis Congenita (DC) is a multisystem disorder intrinsically associated with telomere dysfunction, leading to bone marrow failure (BMF). Although the pathology of DC is largely driven by mutations in telomere-associated genes, the implications of gene fusions, which emerge due to telomere-induced genomic instability, remain unexplored. We meticulously analyzed gene fusions in RNA-Seq data from DC patients to provide deeper insights into DC’s progression. The most significant DC-specific gene fusions were subsequently put through in silico assessments to ascertain biophysical and structural attributes, including charge patterning, inherent disorder, and propensity for self-association. Selected candidates were then analyzed using deep learning-powered structural predictions and molecular dynamics simulations to gauge their potential for forming higher-order oligomers. Our exploration revealed that genes participating in fusion events play crucial roles in upholding genomic stability, facilitating hematopoiesis, and suppressing tumors. Notably, our analysis spotlighted a particularly disordered polyampholyte fusion protein that exhibits robust higher-order oligomerization dynamics. To conclude, this research underscores the potential significance of several high-confidence gene fusions in the progression of BMF in DC, particularly through the dysregulation of genomic stability, hematopoiesis, and tumor suppression. Additionally, we propose that these fusion proteins might hold a detrimental role, specifically in inducing proteotoxicity-driven hematopoietic disruptions.