| |
|
|
|
|
|
|
|||
|
A Inbal, T Englender, N Kornbrot, AM Randi, G Castaman, PM Mannucci and JE Sadler
Hematology Unit, Beilinson Medical Center, Sackler School of Medicine, Tel
Aviv University, Israel.
Type IIA von Willebrand disease (vWD), the most common type II vWD variant,
is characterized by decreased binding of von Willebrand factor (vWF) to
platelet glycoprotein Ib (Gplb) and by a decrease in large and intermediate
vWF multimers. Mutations reported to cause vWD type IIA are clustered
within the A2 domain of vWF, which is encoded by exon 28. Genomic DNA from
affected members of 12 unrelated families with type IIA vWD were screened
for these mutations by a rapid, nonradioactive, allele-specific
oligonucleotide (ASO) hybridization method. Oligonucleotides containing
each of eight mutations were cross-linked onto a nylon membrane by UV
irradiation. A fragment of vWF exon 28 was amplified from peripheral blood
leukocyte DNA using biotinylated primers and hybridized to the immobilized
oligonucleotides. Positive signals were detected with an avidin-alkaline
phosphatase conjugate and chemiluminescent substrate. Thus, in a single
hybridization reaction, a patient sample could be analyzed for a large
number of mutations simultaneously. Polymerase chain reaction (PCR)
products from four patients did not contain any of the tested mutations and
therefore were sequenced. Three additional candidate missense mutations,
two of them novel, were identified: Arg(834)-->Gln in one patient,
Gly(846)-->Arg in one patient, and Val(902)-->Glu in three ostensibly
unrelated patients. By ASO hybridization, the mutations were confirmed in
the affected patients and excluded in unaffected relatives and 50 normal
controls. In one family, the Val(902)-->Glu mutation was shown to be a
de novo mutation. This rapid screening method is applicable to other
subtypes of vWD for which mutations have been identified.
This article has been cited by other articles:
| |||||||||||
| Copyright © 1993 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||