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Published on: August 15, 2019
[Phenotypic detection and structure analysis of a PC missense mutation (Met406Ile) resulted in venous
Lan Zhang1, Hao-yu Deng, Jun Xie
1Department of Vascular Surgery, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China.
Insights
A protein C (PC) missense mutation, Met406Ile, causes hereditary venous thromboembolism by destabilizing PC structure. This genetic defect reduces PC activity, leading to blood clot formation.
Area of Science:
- Genetics
- Molecular Biology
- Biochemistry
Context:
- Hereditary protein C (PC) deficiency is a significant risk factor for venous thromboembolism (VTE).
- Identifying the specific genetic mutations and their structural consequences is crucial for understanding VTE pathogenesis.
- This study investigates a novel PC missense mutation linked to recurrent VTE in a multi-generational family.
Purpose:
- To identify the phenotypic characteristics and structural impact of a specific protein C (PC) missense mutation (Met406Ile).
- To analyze the mechanism by which this mutation leads to venous thromboembolism.
- To perform pedigree research and molecular analysis of affected individuals.
Summary:
- Pedigree analysis revealed hereditary PC deficiency. Chromogenic assays showed reduced PC activity in affected individuals.
- Direct sequencing identified the c.1218G > A (Met406Ile) missense mutation in the PROC gene in affected family members.
- Homology modeling demonstrated that the Met406Ile mutation disrupts PC structure, decreasing van der Waals interactions and increasing instability, correlating with reduced PC activity and VTE risk.
Impact:
- This research elucidates the molecular mechanism underlying a specific genetic cause of venous thromboembolism.
- The findings contribute to a better understanding of protein C function and dysfunction in thrombotic disorders.
- Identifies a novel mutation associated with VTE, potentially aiding in genetic screening and risk assessment for affected families.
Objective:
To identify the phenotypic detection and structure analysis of a protein C (PC) missense mutation (Met406Ile) resulting in venous thromboembolism.
Methods:
Pedigree research was performed for a hereditary PC deficiency pedigree. Chromogenic assay was used for phenotypic diagnosis to detect the AT activity. All 9 exons were amplified by polymerase chain reaction (PCR) and direct sequencing analysis was performed for PCR products. The corresponding mutation sites of family members were detected.Homology modeling was used for reconstructing mutant PC construction. The effects of construction change were analyzed.
Results:
The PC activities of proband and 4 family members decreased to different extents by 29.7%, 42.2%, 42.4%, 67.3% and 70.7% respectively. Among them, the proband and other three family members carried the same mutation (c.1218G > A, Met406Ile) while another family member had a PC polymorphism (rs1799810). Homology modeling showed that VDW's interaction radius of amino acids decreased after mutation (Met406Ile).In particular, the radius of Gly418:C and Ile406CG2, Gly418:C and Ile406HG23, Leu419:N and Ile406:HG23 decreased to 2.0733å, 1.620 45å and 1.446 52å respectively. Compared with normal PC, the interaction energy of mutant PC rose from -8.504 54 to 1210.04 kal/mol. And the change of VDW interaction energy was significant.
Conclusion:
The mechanism of this pedigree is caused by PROC gene missense mutation on exon 9 (c.1218G > A, Met406Ile). The regional amino acids of mutant PC collide with each other and lead to an instability of PC reconstruction.
Related Concept Videos
Point and Frameshift Mutations
Venous Thrombosis I: Introduction
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
Mutations
Pedigree Analysis

