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Blood, 15 April 2002, Vol. 99, No. 8, pp. 3063-3065

BRIEF REPORT

Homozygous factor V splice site mutation associated with severe factor V deficiency

Iris Schrijver, Marion A. Koerper, Carol D. Jones, and James L. Zehnder

From the Department of Pathology, Stanford University School of Medicine, and the Department of Pediatric Hematology, University of California at San Francisco.

We investigated a family whose proband has a severe bleeding disorder and factor V antigenic and functional levels of 8% and less than 1% of control values, respectively. Molecular analysis of the factor V gene revealed a novel homozygous mutation in the last nucleotide of exon 10. 1701G>T causes activation of a cryptic exonic splice site in exon 10, which encodes part of the factor V heavy chain (A2 domain). This leads to the deletion of 35 nucleotides and results in a frameshift with a premature stop codon at amino acid position 498. The G1701 and corresponding Gln509 are conserved in murine, bovine, and porcine factor V and in human factor VIII. Few factor V deficiency mutations have been identified as yet. Several are present in the heterozygous form in combination with factor V Leiden (Arg506Gln). This is the first reported homozygous splice site mutation in a patient with factor V deficiency.

© 2002 by The American Society of Hematology.
 

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