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Blood, 1 December 2004, Vol. 104, No. 12, pp. 3618-3623. Prepublished online as a Blood First Edition Paper on July 29, 2004; DOI 10.1182/blood-2004-06-2312.
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY Expression and analysis of a split premature termination codon in FGG responsible for congenital afibrinogenemia: escape from RNA surveillance mechanisms in transfected cellsFrom the Department of Genetic Medicine and Development, University Medical School, Geneva, Switzerland; the Division of Angiology and Hemostasis, and the Division of Medical Genetics, University Hospital, Geneva, Switzerland; and the Hematology and Immunology Laboratory, Hôtel-Dieu Hospital, Beirut, Lebanon.
Congenital afibrinogenemia, the most severe form of fibrinogen deficiency, is characterized by the complete absence of fibrinogen. The disease is caused by mutations in 1 of the 3 fibrinogen genes FGG, FGA, and FGB, clustered on the long arm of human chromosome 4. The majority of cases are due to null mutations in the FGA gene although one would expect the 3 genes to be equally implicated. However, most patients studied so far are white, and therefore the identification of causative mutations in non-European families is necessary to establish if this finding holds true in all ethnic groups. In this study, we report the identification of a novel nonsense mutation (Arg134Xaa) in the FGG gene responsible for congenital afibrinogenemia in 10 patients from Lebanon. Expression studies in COS-7 cells demonstrated that the Arg134Xaa codon, which is encoded by adjacent exons (TG-intron 4-A) affected neither mRNA splicing nor stability, but led to the production of an unstable, severely truncated fibrinogen
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