Novel factor V C2-domain mutation (R2074H) in two families with factor V deficiency and bleeding.

Abstract:

:The molecular basis of Factor V deficiency has been defined in few patients only. We report a homozygous nucleotide change (G6395A) in two Tunisian probands with Factor V deficiency and bleeding episodes. This substitution results in the replacement of an arginine (R) by a histidine (H) in amino acid position 2074, located in the Factor V C2-domain. Mutations in this protein domain have not previously been described. Several lines of evidence support that this sequence variant is indeed disease causing: 1) Crystal structures of Factor V and molecular C2-domain modeling studies of H2074 suggest that the conserved R2074 is required for correct folding; 2) Structure-function studies of selective Factor V mutants (R2074A) demonstrate the importance of R2074 for structural stability of the Factor V C2-domain and for cofactor activity (1); 3) In Factor VIII, point mutations in codon 2209, which corresponds to position 2074 in Factor V, cause hemophilia A.

journal_name

Thromb Haemost

authors

Schrijver I,Houissa-Kastally R,Jones CD,Garcia KC,Zehnder JL

keywords:

subject

Has Abstract

pub_date

2002-02-01 00:00:00

pages

294-9

issue

2

eissn

0340-6245

issn

2567-689X

journal_volume

87

pub_type

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