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Prepublished online as a Blood First Edition Paper on April 17, 2002; DOI 10.1182/blood-2002-02-0412.

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Blood, 1 July 2002, Vol. 100, No. 1, pp. 359-362

BRIEF REPORT

The G20210A mutation does not affect the stability of prothrombin mRNA in vivo

Eleanor S. Pollak, Ho-Sun Lam, and J. Eric Russell

From the Departments of Pathology and Laboratory Medicine, Medicine (Hematology/Oncology), and Pediatrics (Hematology), University of Pennsylvania School of Medicine; and The Children's Hospital of Philadelphia; both of Philadelphia, PA.

The activated form of prothrombin plays pivotal roles in the regulation of crucial coagulation, fibrinolytic, and cellular processes. Among several congenital genetic defects affecting the prothrombin gene, a Gright-arrowA mutation at position 20210---the accepted polyadenylation site---has been linked to hyperprothrombinemia and a corresponding increase in venous and arterial thrombotic risk. The current study substantiates the hypothesis that the 20210A mutation effects posttranscriptional dysregulation of the prothrombin messenger RNA (mRNA). Moreover, data from experiments carried out in fresh liver tissue indicate that the 20210A mutation does not affect prothrombin mRNA stability but, rather, effects a change in the location of the 3'-cleavage/polyadenylation reaction. Based upon this evidence, we propose an alternate model for the dysregulated expression of the prothrombin 20210A gene that does not require a change in the stability of its mRNA.

© 2002 by The American Society of Hematology.
 

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