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Factor IX New London: substitution of proline for glutamine at position 50
causes severe hemophilia B
JN Lozier, DM Monroe, S Stanfield-Oakley, SW Lin, KJ Smith, HR Roberts and KA High
Department of Medicine, University of North Carolina, Chapel Hill 27599-
7035.
We describe a novel point mutation in the fourth exon of human factor IX
(encoding the first EGF-like domain) in which cytosine is substituted for
adenosine at position 10,401, resulting in the substitution of proline for
glutamine at position 50 in the polypeptide chain. Sequence analysis of all
eight exons, all exon-intron junctions, 160 base pairs (bp) of DNA 5' to
the proposed translation start site, and 60 bp 3' to the translation
termination site shows no other difference from the normal factor IX gene,
with the exception of a previously described benign polymorphism at
position 148 in the protein (Ala----Thr). The affected subject has severe
hemophilia B with no detectable factor IX activity despite normal factor IX
antigen levels. We purified the abnormal factor IX by immunoaffinity
chromatography and demonstrated that its activation by factor Xla is
markedly delayed compared with normal factor lX. Once activated, the
abnormal factor lX binds antithrombin III in a 1:1 molar ratio, and the
activated protein demonstrates catalytic activity, suggesting an intact
active site. The mutation creates a new Bst Yl restriction endonuclease
cleavage site. Restriction with Bst Yl shows the mutation in maternal DNA
and offers the possibility of direct carrier status analysis and prenatal
diagnosis in kindreds with this mutation. We designate this new mutation
factor lXNew London. This is the only reported mutation in the first
EGF-like domain that causes severe hemophilia B.
Volume 75,
Issue 5,
pp. 1097-1104,
03/01/1990
Copyright © 1990 by The American Society of Hematology

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