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Cited by 291

The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.

Bone marrow failure and the telomeropathies

Open access
Townsley, Danielle M., Dumitriu, Bogdan, Young, Neal S.·2014·Blood

Abstract

Our understanding of the pathophysiology of aplastic anemia is undergoing significant revision, with implications for diagnosis and treatment. Constitutional and acquired disease is poorly delineated, as lesions in some genetic pathways cause stereotypical childhood syndromes and also act as risk factors for clinical manifestations in adult life. Telomere diseases are a prominent example of this relationship. Accelerated telomere attrition is the result of mutations in telomere repair genes and genes encoding components of the shelterin complex and related proteins. Genotype-phenotype correlations show genes responsible for X-linked (DKC1) and severe recessive childhood dyskeratosis congenita, typically with associated mucocutaneous features, and others (TERC and TERT) for more subtle presentation as telomeropathy in adults, in which multiorgan failure may be prominent. Telomerase mutations also are etiologic in familial pulmonary fibrosis and cryptic liver disease. Detection of a telomere disease requires awareness in the clinic, appropriate laboratory testing of telomere content, and genetic sequencing. In treatment decisions, genetic screening of related donors for hematopoietic stem cell transplantation is critical, and androgen therapy may be helpful. Telomeres shorten normally with aging, as well as under environmental circumstances, with regenerative stress and oxidative damage. Telomere biology is complexly related to oncogenesis: telomere attrition is protective by enforcing senescence or apoptosis in cells with a long mitotic history, but telomere loss also can destabilize the genome by chromosome rearrangement and aneuploidy.

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Metadata

Authors
Townsley, D. M., Dumitriu, B., & Young, N. S.
Venue
Blood
Published
2014-10-30
Volume
124
Issue
18
Pages
2775-2783
ISSN
  • 0006-4971 (ISSN-L)
  • 1528-0020
OpenAlex
W2100031402
Cited by
291
References
33
FWCI
16.52
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Bone marrow failure and the telomeropathies. https://app.cochat.ai/papers/10.1182/blood-2014-05-526285
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Townsley, D. M., Dumitriu, B., & Young, N. S. (2014). Bone marrow failure and the telomeropathies. Blood. https://doi.org/10.1182/blood-2014-05-526285

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