RT Journal Article SR Electronic T1 Somatic uniparental disomy with a rare EFL1 variant causes Shwachman-Diamond syndrome through dysregulating ribosomal protein synthesis JF bioRxiv FD Cold Spring Harbor Laboratory SP 483362 DO 10.1101/483362 A1 Sangmoon Lee A1 Chang Hoon Shin A1 Che Ry Hong A1 Jun-Dae Kim A1 Ah-Ra Kim A1 Jawon Lee A1 Oleksandr Kokhan A1 Taekyeong Yoo A1 Young Bae Sohn A1 Ok-Hwa Kim A1 Jung Min Ko A1 Tae-Joon Cho A1 Nathan T. Wright A1 Suk-Won Jin A1 Hyoung Jin Kang A1 Hyeon Ho Kim A1 Murim Choi YR 2018 UL http://biorxiv.org/content/early/2018/12/06/483362.abstract AB We present three unrelated Korean Shwachman-Diamond syndrome (SDS) patients that carry an incomplete but identical homozygous EFL1 p.Thr1069Ala variant due to a bone marrow-specific mosaic uniparental disomy (UPD) in chromosome 15. This rare variant is found in 0.017% of East Asians and is asymptomatic in a heterozygous status, but harbors a hypomorphic effect, leading to reduced 80S ribosome assembly of ribosomal protein (RP) transcripts. We propose a novel somatically-induced pathogenesis mechanism and EFL1 dysfunction that eventually leads to aberrant translational control and ribosomopathy.