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Cys482Trp Missense Mutation in the Coagulation Factor XI Gene (F11) in a Korean Patient with Factor XI Deficiency

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초록

Dear Editor, Coagulation factor XI (FXI) is a member of the “contact path- way” and is activated either intrinsically by coagulation factor XII (FXII) or by thrombin, which is produced by an extrinsic path- way and plays an important role in hemostasis [1]. Factor XI de- ficiency, also known as hemophilia C, is a predominantly auto- somal recessive genetic bleeding disorder that was first reported in 1953 [2] and was found to be particularly prevalent in the Ashkenazi Jewish population [3]. The main clinical manifesta- tion is damage-related or post-operational bleeding in the buc- cal cavity, nasal cavity, tonsils, or urinary tract [4]. The F11 gene encodes the FXI protein, and mutations in the F11 gene have been found in patients with FXI deficiency. The F11 gene, lo- cated on the long arm of chromosome 4 (4q35) with a genome size of 23 kb, consists of 15 exons and 14 introns [5]. Exon 1 encodes the 5’-untranslated region, exon 2 encodes the signal peptide, and exons 3-15 are the region for encoding factor FXI protein [6]. FXI is synthesized as a homodimeric protein, and each FXI monomer consists of 4 N-terminal “apple domains” (A1-A4) and a C-terminal trypsin-like catalytic domain.

Abstract

Dear Editor, Coagulation factor XI (FXI) is a member of the “contact path- way” and is activated either intrinsically by coagulation factor XII (FXII) or by thrombin, which is produced by an extrinsic path- way and plays an important role in hemostasis [1]. Factor XI de- ficiency, also known as hemophilia C, is a predominantly auto- somal recessive genetic bleeding disorder that was first reported in 1953 [2] and was found to be particularly prevalent in the Ashkenazi Jewish population [3]. The main clinical manifesta- tion is damage-related or post-operational bleeding in the buc- cal cavity, nasal cavity, tonsils, or urinary tract [4]. The F11 gene encodes the FXI protein, and mutations in the F11 gene have been found in patients with FXI deficiency. The F11 gene, lo- cated on the long arm of chromosome 4 (4q35) with a genome size of 23 kb, consists of 15 exons and 14 introns [5]. Exon 1 encodes the 5’-untranslated region, exon 2 encodes the signal peptide, and exons 3-15 are the region for encoding factor FXI protein [6]. FXI is synthesized as a homodimeric protein, and each FXI monomer consists of 4 N-terminal “apple domains” (A1-A4) and a C-terminal trypsin-like catalytic domain.

참고문헌 (18)

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  16. 이종호, "A Novel Missense Mutation Asp506Gly in Exon 13 of the F11 Gene in an Asymptomatic Korean Woman with Mild Factor XI Deficiency", Annals of Laboratory Medicine, 31(4), pp.290~293 (2011), 대한진단검사의학회
  17. Kwon MJ, "Severe factor XI deficiency in a Korean woman with a novel missense mutation (Val498Met) and duplication G mutation in exon 13 of the F11 gene", Blood Coagul Fibrinolysis, 19, pp.679~683 (2008)
  18. Kim J, "A novel F11 mutation in a Korean pediatric patient with recurrent epistaxis", Blood Coagul Fibrinolysis, 24, pp.433~435 (2013)

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