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Blood, 1 October 2000, Vol. 96, No. 7, pp. 2496-2500

HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

Afibrinogenemia: first identification of a splicing mutation in the fibrinogen gamma chain gene leading to a major gamma chain truncation

Rosanna Asselta, Stefano Duga, Tatjana Simonic, Massimo Malcovati, Elena Santagostino, Paul L. F. Giangrande, Pier Mannuccio Mannucci, and Maria Luisa Tenchini

From the Department of Biology and Genetics for Medical Sciences, University of Milan; Institute of Veterinary Physiology and Biochemistry, University of Milan, Italy; Angelo Bianchi Bonomi Hemophilia and Thrombosis Center and Fondazione Luigi Villa, Department of Internal Medicine, University of Milan, Italy, and IRCCS Maggiore Hospital, Milan, Italy; and Oxford Haemophilia Centre, Churchill Hospital, Headington, Oxford, UK.

Congenital afibrinogenemia is a rare autosomal recessive disorder characterized by the complete absence of plasma fibrinogen and by a bleeding tendency ranging from mild to moderately severe. Beside a deletion of the almost entire Aalpha -chain gene, only 2 missense mutations in the C-terminal domain of the Bbeta -chain have been very recently described as being associated with afibrinogenemia. We studied a Pakistani patient with unmeasurable plasma levels of functional and immunoreactive fibrinogen. Sequencing of the fibrinogen genes revealed a homozygous Gright-arrowA transition at position +5 of intron 1 of the gamma -chain gene. The predicted mutant fibrinogen gamma -chain would contain the signal peptide, followed by a short stretch of aberrant amino acids, preceding a premature stop codon. To demonstrate the causal role of the identified mutation, we prepared expression vectors containing a region of the fibrinogen gamma -chain gene spanning from exon 1 to intron 4 and carrying either a G or an A at position +5 of intron 1. Transient transfection of the mutated plasmid in HeLa cells, followed by RNA extraction and reverse transcriptase-polymerase chain reaction (RT-PCR) analysis, allowed us to demonstrate the production of an erroneously spliced messenger RNA (mRNA), retaining intron 1, as shown by direct sequencing. A normal splicing occurred in HeLa cells transfected with the wild-type plasmid. This is the first report of a mutation in the fibrinogen gamma -chain gene causing afibrinogenemia and indicates that, in addition to the Aalpha and Bbeta -chain genes, the gamma -chain gene must also be considered in mutation screening for afibrinogenemia.

© 2000 by The American Society of Hematology.
 

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