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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 G A 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.

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