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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 -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 -carboxyglutamic acid (Gla) by the vitamin Kdependent -glutamyl carboxylase ( -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 -carboxylase (Ggcx) gene exhibit normal development and survival with no evidence of hemorrhage and normal functional activity of the vitamin Kdependent 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 -carboxylation, at least in the developing embryo and neonate, are primarily restricted to components of the blood coagulation cascade.

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