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Blood, 15 June 2007, Vol. 109, No. 12, pp. 5270-5275.
Prepublished online as a Blood First Edition Paper on February 27, 2007; DOI 10.1182/blood-2006-12-064188.


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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

Fatal hemorrhage in mice lacking {gamma}-glutamyl carboxylase

Aihua Zhu1, Hongmin Sun2, Richard M. Raymond, Jr3, Barbara C. Furie4, Bruce Furie4, Mila Bronstein4, Randal J. Kaufman1,3,5, Randal Westrick6, and David Ginsburg1,2,3,6

1 Howard Hughes Medical Institute, University of Michigan, Ann Arbor, MI; 2 Life Sciences Institute, University of Michigan, Ann Arbor, MI; 3 Department of Internal Medicine, University of Michigan, Ann Arbor, MI; 4 Division of Hemostasis and Thrombosis, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA; 5 Department of Biological Chemistry, University of Michigan Medical Center, Ann Arbor, MI; 6 Department of Human Genetics, University of Michigan, Ann Arbor, MI

The carboxylation of glutamic acid residues to {gamma}-carboxyglutamic acid (Gla) by the vitamin K–dependent {gamma}-glutamyl carboxylase ({gamma}-carboxylase) is an essential posttranslational modification required for the biological activity of a number of proteins, including proteins involved in blood coagulation and its regulation. Heterozygous mice carrying a null mutation at the {gamma}-carboxylase (Ggcx) gene exhibit normal development and survival with no evidence of hemorrhage and normal functional activity of the vitamin K–dependent clotting factors IX, X, and prothrombin. Analysis of a Ggcx+/– intercross revealed a partial developmental block with only 50% of expected Ggcx–/– offspring surviving to term, with the latter animals dying uniformly at birth of massive intra-abdominal hemorrhage. This phenotype closely resembles the partial midembryonic loss and postnatal hemorrhage previously reported for both prothrombin- and factor V (F5)–deficient mice. These data exclude the existence of a redundant carboxylase pathway and suggest that functionally critical substrates for {gamma}-carboxylation, at least in the developing embryo and neonate, are primarily restricted to components of the blood coagulation cascade.


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