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Protein C deficiency in a family with thromboembolism and identified gene mutations
Sakuo Hoshi1, Minako Hijikata, Yuuki Togashi
1Respiratory Medicine, JR Tokyo General Hospital. sakuchin@sannet.ne.jp
Insights
Hereditary protein C deficiency increases thromboembolism risk. This study identifies novel mutations, including C-154T promoter polymorphism, linked to familial pulmonary thromboembolism cases.
Area of Science:
- Genetics
- Hematology
- Molecular Biology
Background:
- Protein C is a critical anticoagulant, and its deficiency elevates thromboembolism risk.
- Genetic mutations are increasingly identified as causes of protein C deficiency.
Observation:
- This study investigated familial cases of thromboembolism.
- Three nucleotide substitutions were identified in affected family members.
Findings:
- A previously reported Arg169Trp missense mutation was found.
- Two novel polymorphisms, C-154T promoter polymorphism (rs1799808) and Ser99Ser synonymous polymorphism (rs5936), were identified.
- The C-154T and Ser99Ser polymorphisms were present in the mother, while all three mutations were found in the patient and his father.
Implications:
- These findings contribute to understanding the genetic basis of protein C deficiency.
- Identifying these mutations may aid in diagnosing and managing hereditary thromboembolism risk.
- Further research is needed to elucidate the functional impact of the C-154T promoter polymorphism.
Abstract:
Protein C is the central component of the major anti-thrombotic regulatory system, and individuals with hereditary protein C deficiency tend to have an increased risk of thromboembolism. During the last several years, mutations causing protein C deficiency have been identified. In the present study, we report familial cases with three nucleotide substitutions: One is a missense mutation Arg169Trp, which was previously reported. The other two are C-154T promoter polymorphism (rs1799808 on dbSNP database), the function of which is unknown and Ser99Ser synonymous polymorphism (rs5936). All three mutations were found in a 24-year-old patient with pulmonary thromboembolism and his 54-year-old father who also had pulmonary thromboembolism. C-154T promoter polymorphism (rs1799808 on dbSNP database) and Ser99Ser synonymous polymorphism (rs5936) were found in the patient's mother.
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