Fibrinogen Mumbai: intracellular retention due to a novel G434D mutation in the Bbeta-chain gene

Luca Monaldini1, Rosanna Asselta, Stefano Duga

  • 1Department of Biology and Genetics for Medical Sciences, University of Milan, Milan, Italy. stefano.duga@unimi.it

Haematologica
|May 4, 2006
PubMed
Abstract

Insights

A novel G434D mutation in the fibrinogen Bbeta-chain gene causes severe hypofibrinogenemia by impairing fibrinogen secretion. This finding highlights the critical role of Bbeta-chain D domain folding in fibrinogen processing.

Area of Science:

  • Hematology
  • Molecular Genetics
  • Biochemistry

Background:

  • Afibrinogenemia and hypofibrinogenemia are rare inherited bleeding disorders.
  • Characterized by low plasma fibrinogen levels and variable bleeding severity.
  • 18 missense mutations are known, with 57 total mutations identified.

Observation:

  • A novel homozygous G-->A transition in exon 8 of the fibrinogen Bbeta-chain gene was identified in an Indian proband.
  • This resulted in a G434D missense mutation (fibrinogen Mumbai) in a conserved C-terminal D domain residue.
  • In vitro studies showed intracellular retention and reduced secretion of the mutant fibrinogen.

Findings:

  • The G434D substitution impairs fibrinogen secretion.
  • Intracellular retention of fibrinogen is a key mechanism.
  • This mutation leads to severe hypofibrinogenemia.

Implications:

  • Confirms the importance of Bbeta-chain D domain folding for proper intracellular fibrinogen processing.
  • Provides insight into the molecular mechanisms of hypofibrinogenemia.
  • Contributes to understanding rare inherited coagulation disorders.

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