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Title

A novel Asp344Val substitution in the fibrinogen gamma chain (fibrinogen Caen) causes dysfibrinogenemia associated with thrombosis

Authors
Le Querrec, Agnès
Gandon-Laloum, Sylvie
Borel Derlon, Annie
Published in Blood Coagulation and Fibrinolysis. 2008, vol. 19, no. 7, p. 697-9
Abstract A 5-year-old boy was hospitalized for acute appendicitis. Routine preoperative hemostasis screening resulted in a diagnosis of dysfibrinogenemia. Fifteen days after the operation the patient was re-hospitalized for deep vein thrombosis. Genetic analysis of the fibrinogen genes revealed a novel missense mutation in exon 8 of fibrinogen gamma-chain gene (FGG): c.1031A>T, p.Asp344Val (p.Asp318Val in the mature chain) in heterozygosity. Interestingly, this same residue in the fibrinogen gamma chain was previously found to be mutated to a glycine (fibrinogen Giessen IV) in another young dysfibrinogenemia patient with thrombosis. The side chain of Asp344 (or Asp318) in the gamma chain is directly involved in binding to calcium. Abnormal polymerization of fibrin in fibrinogen Giessen IV and in the novel fibrinogen Caen described here could lead to the formation of abnormal clots leading to thrombosis, in addition to abnormal thrombin binding and decreased fibrinolysis.
Keywords Afibrinogenemia/etiology/geneticsAmino Acid SequenceAmino Acid SubstitutionChild, PreschoolFibrinogen/geneticsFibrinogens, Abnormal/geneticsHumansMaleMutation, MissenseVenous Thrombosis/complications/genetics
Stable URL https://archive-ouverte.unige.ch/unige:1432
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Identifiers
PMID: 18832913
Structures
Research groups Anticorps antiphospholipides (12)
Bases moléculaires des anomalies génétiques de l'hémostase (504)

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Deposited on : 2009-04-28

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