Tracing the causal mechanisms behind human disease
1,298 disorders (2,051 subtypes), grounded in 21,000+ cited publications. 1,796 research reports.
Biallelic mutations in FA/BRCA DNA repair pathway genes disable interstrand crosslink repair.
22 genes documented →Without functional FA pathway, replication forks stall at crosslinks, chromosomes break.
Hematopoietic stem cells accumulate damage and are progressively depleted.
Progressive bone marrow failure manifests as cytopenias, with cancer predisposition.
HSCT is curative for hematologic disease; modulators and surveillance manage other manifestations.
"Nearly 95% of the patients tested had confirmed mutations in the Fanconi genes FANCA (67%), FANCC (13%), FANCG (14%), FANCJ (3%) and FANCD1 (2%), including twenty novel mutations."
All pathophysiology claims cite peer-reviewed literature with exact quotes verified against abstracts.