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Blood, 1 February 2008, Vol. 111, No. 3, pp. 1299-1301.
Prepublished online as a Blood First Edition Paper on October 30, 2007; DOI 10.1182/blood-2007-09-112854.


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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

Brief Report

Deletion of 3 residues from the C-terminus of MCFD2 affects binding to ERGIC-53 and causes combined factor V and factor VIII deficiency

Beat Nyfeler1, Yukiko Kamiya2, Françoise Boehlen3, Kazuo Yamamoto4, Koichi Kato2,5, Philippe de Moerloose3, Hans-Peter Hauri1, and Marguerite Neerman-Arbez3,6

1 Biozentrum, University of Basel, Basel, Switzerland; 2 Graduate School of Pharmaceutical Sciences, Nagoya City University, Nagoya, Japan; 3 Division of Angiology and Hemostasis, University Hospitals, Geneva, Switzerland; 4 Graduate School of Frontier Sciences, University of Tokyo, Chiba, Japan; 5 Institute for Molecular Science, National Institutes of Natural Sciences, Okazaki, Japan; and 6 Department of Genetic Medicine and Development, University Medical School, Geneva, Switzerland

Combined factor V and factor VIII deficiency (F5F8D) is a rare, autosomal recessive coagulation disorder. F5F8D is genetically linked to mutations in the transmembrane lectin ERGIC-53 and its soluble interaction partner MCFD2. The ERGIC-53/MCFD2 protein complex functions as transport receptor of coagulation factors V and VIII by mediating their export from the endoplasmic reticulum (ER). Here, we studied a F5F8D patient who was found to be a compound heterozygote for 2 novel mutations in MCFD2: a large deletion of 8.4 kb eliminating the 5'UTR of the gene and a nonsense mutation resulting in the deletion of only 3 amino acids ({Delta}SLQ) from the C-terminus of MCFD2. Biochemical and structural analysis of the {Delta}SLQ mutant demonstrated impaired binding to ERGIC-53 due to modification of the 3-dimensional structure of MCFD2. Our results highlight the importance of the ERGIC-53/MCFD2 protein interaction for the efficient secretion of coagulation factors V and VIII.


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B. Zhang, M. Spreafico, C. Zheng, A. Yang, P. Platzer, M. U. Callaghan, Z. Avci, N. Ozbek, J. Mahlangu, T. Haw, et al.
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B. Nyfeler, V. Reiterer, M. W. Wendeler, E. Stefan, B. Zhang, S. W. Michnick, and H.-P. Hauri
Identification of ERGIC-53 as an intracellular transport receptor of {alpha}1-antitrypsin
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