Hypofibrinogenaemia with compound heterozygosity for two gamma chain mutations - gamma 82 Ala--Gly and an intron two GT--AT splice site mutation

Autor: J, Wyatt, S O, Brennan, S, May, P M, George
Rok vydání: 2000
Předmět:
Zdroj: Thrombosis and haemostasis. 84(3)
ISSN: 0340-6245
Popis: We investigated the molecular basis of hypofibrinogenaemia in a woman with a history of recurrent, pregnancy-associated bleeding, and miscarriage. She had a Clauss fibrinogen of 0.9 mg/ml and SDS PAGE of purified fibrinogen showed a normal pattern of chains. However careful inspection of reverse phase chain separation profiles showed apparent homozygosity for a more hydrophilic form of the gamma chain. DNA Sequencing showed only heterozygosity for a CGT--GGT (Ala--Gly) mutation at codon gamma82, but further sequencing showed an additional GT splice sequence mutation at the 5' end of intron 2 of the gamma gene. Translation of mRNA containing this intron would result in premature truncation explaining the phenotypic homozygosity of the gamma82 Ala--Gly substitution. The patient's sister had a mild bleeding disorder with hypofibrinogenaemia and she too was a compound heterozygote for the y mutations. Her nephew had only the novel splice site mutation, while her mother and daughter inherited only the gamma82 Ala--Gly substitution.
Databáze: OpenAIRE