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Factor V Cambridge: A New Mutation (Arg306 Thr)
Associated With Resistance to Activated Protein C
David Williamson,
Karen Brown,
Roger Luddington,
Caroline Baglin, and
Trevor Baglin
From the Department of Haematology, Addenbrooke's NHS Trust,
Cambridge, UK.
A new factor V mutation associated with resistance to activated
protein C and thrombosis (factor V Cambridge, Arg306 Thr)
was found in one patient from a carefully selected group of 17 patients
with venous thrombosis and confirmed APC resistance in the absence of
the common Gln506 mutation. The Arg306 mutation
was also present in a first degree relative who also had APC
resistance. Other potential causes of APC resistance, such as a
mutation at the Arg679 site and the factor V HR2 haplotype,
were excluded. Subsequent screening of 585 patients with venous
thromboembolism and 226 blood donors did not show any other individual
with this mutation. Factor VThr306 is the first description
of a mutation affecting the Arg306 APC cleavage site and is
the only mutation, other than factor V Leiden
(Arg506 Gln), that has been found in association with APC
resistance. This finding confirms the physiologic importance of the
Arg306 APC-cleavage site in the regulation of the
prothrombinase complex. It also supports the concept that APC
resistance and venous thrombosis can result from a variety of genetic
mutations affecting critical sites in the factor V cofactor.
Blood, Vol. 91 No. 4 (February 15), 1998:
pp. 1140-1144
© 1998 by The American Society of Hematology.

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