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Blood, 15 June 2007, Vol. 109, No. 12, pp. 5270-5275.
Prepublished online as a Blood First Edition Paper on February 27, 2007; DOI 10.1182/blood-2006-12-064188.
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Submitted December 26, 2006
Accepted February 21, 2007
Fatal hemorrhage in mice lacking -glutamyl carboxylase
Aihua Zhu, Hongmin Sun, Richard M. Raymond Jr., Barbara C. Furie, Bruce Furie, Mila Bronstein, Randal J Kaufman, Randal Westrick, and David Ginsburg*
Howard Hughes Medical Institute, University of Michigan, Ann Arbor, MI, United States
Life Sciences Institute, University of Michigan, Ann Arbor, MI, United States
Department of Internal Medicine, University of Michigan, Ann Arbor, MI, United States
Division of Hemostasis and Thrombosis, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States
Departments of Biological Chemistry, University of Michigan Medical Center, Ann Arbor, MI, United States
Department of Human Genetics, University of Michigan, Ann Arbor, MI, United States
* Corresponding author; email: ginsburg{at}umich.edu.
The carboxylation of glutamic acid residues to -carboxyglutamic acid (Gla) by the vitamin K-dependent -glutamyl carboxylase ( -carboxylase) is an essential post-translational modification required for the biological activity of a number of proteins, including proteins involved in blood coagulation and its regulation. Heterozygous mice carrying a null mutation at the -carboxylase (Ggcx) gene exhibit normal development and survival with no evidence of hemorrhage and normal functional activity of the vitamin K-dependent clotting factors IX, X, and prothrombin. Analysis of a Ggcx+/- intercross revealed a partial developmental block with only 50% of expected Ggcx-/- offspring surviving to term, with the latter animals dying uniformly at birth of massive intra-abdominal hemorrhage. This phenotype closely resembles the partial mid-embryonic loss and postnatal hemorrhage previously reported for both prothrombin and Factor V (F5) deficient mice. These data exclude the existence of a redundant carboxylase pathway and suggest that functionally critical substrates for -carboxylation, at least in the developing embryo and neonate, are primarily restricted to components of the blood coagulation cascade.

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