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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.

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