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Type I factor XIII deficiency is caused by a genetic defect of its b
subunit: insertion of triplet AAC in exon III leads to premature
termination in the second Sushi domain
T Izumi, T Hashiguchi, G Castaman, A Tosetto, F Rodeghiero, A Girolami and A Ichinose
Department of Molecular Patho-Biochemistry, Yamagata University School of
Medicine, Japan.
Factor XIII deficiency has been classified into two categories: type I
deficiency, characterized by the lack of both the a and b subunits; and
type II deficiency, characterized by the lack of the a subunit alone. To
clarify the genetic bases of these diseases, previously reported cases of
the type I deficiency were examined at the DNA level. DNA sequence analysis
showed that a nucleotide triplet (AAC) was inserted within the codon for
Tyr-80 in exon III of the gene for a female proband's b subunit, resulting
in the creation of a stop codon. Restriction digestion of amplified DNAs
confirmed that the proband and her sister were homozygotes, and their
family members were heterozygotes of this mutant allele. A truncated
protein composed of 79 amino acids could be synthesized by these
homozygotes; however, such a protein would not be secreted or it would
degrade quickly, because there were normal amounts of the mutant mRNA, but
no b subunit was detected in these patients. The a subunit deficiency of
these patients must be a secondary to the b subunit deficiency, as their
gene for the a subunit was intact, and the a subunit in their platelets was
present within normal levels.
Volume 87,
Issue 7,
pp. 2769-2774,
04/01/1996
Copyright © 1996 by The American Society of Hematology

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