Severe factor XI deficiency caused by a Gly555 to Glu mutation (factor XI–Glu555): a cross‐reactive material positive variant defective in factor IX activation

During normal hemostasis, the coagulation protease factor (F)XIa activates FIX. Hereditary deficiency of the FXIa precursor, FXI, is usually associated with reduced FXI protein in plasma, and circulating dysfunctional FXI variants are rare. We identified a patient with

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Veröffentlicht in:Journal of thrombosis and haemostasis 2004-10, Vol.2 (10), p.1782-1789
Hauptverfasser: Zivelin, A., Ogawa, T., Bulvik, S., Landau, M., Toomey, J. R., Lane, J., Seligsohn, U., Gailani, D.
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container_end_page 1789
container_issue 10
container_start_page 1782
container_title Journal of thrombosis and haemostasis
container_volume 2
creator Zivelin, A.
Ogawa, T.
Bulvik, S.
Landau, M.
Toomey, J. R.
Lane, J.
Seligsohn, U.
Gailani, D.
description During normal hemostasis, the coagulation protease factor (F)XIa activates FIX. Hereditary deficiency of the FXIa precursor, FXI, is usually associated with reduced FXI protein in plasma, and circulating dysfunctional FXI variants are rare. We identified a patient with
doi_str_mv 10.1111/j.1538-7836.2004.00882.x
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When compared with FXIaWT, FXIa‐Glu555 activates factor IX at a greatly reduced rate (∼400‐fold), and is resistant to inhibition by antithrombin. Interestingly, FXIaWT and FXIa‐Glu555 cleave the small tripeptide substrate S‐2366 with comparable kcats. Modeling indicates that the side chain of Glu555 significantly alters the electrostatic charge around the active site, and would sterically interfere with the interaction between the FXIa S2′ site and the P2′ residues on factor IX and antithrombin. 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R.</creatorcontrib><creatorcontrib>Lane, J.</creatorcontrib><creatorcontrib>Seligsohn, U.</creatorcontrib><creatorcontrib>Gailani, D.</creatorcontrib><title>Severe factor XI deficiency caused by a Gly555 to Glu mutation (factor XI–Glu555): a cross‐reactive material positive variant defective in factor IX activation</title><title>Journal of thrombosis and haemostasis</title><addtitle>J Thromb Haemost</addtitle><description>During normal hemostasis, the coagulation protease factor (F)XIa activates FIX. Hereditary deficiency of the FXIa precursor, FXI, is usually associated with reduced FXI protein in plasma, and circulating dysfunctional FXI variants are rare. We identified a patient with &lt; 1% normal plasma FXI activity and normal levels of FXI antigen, who is homozygous for a FXI Gly555 to Glu substitution. Gly555 is two amino acids N‐terminal to the protease active site serine residue, and is highly conserved among serine proteases. Recombinant FXI‐Glu555 is activated normally by FXIIa and thrombin, and FXIa‐Glu555 binds activated factor IX similarly to wild type FXIa (FXIaWT). When compared with FXIaWT, FXIa‐Glu555 activates factor IX at a greatly reduced rate (∼400‐fold), and is resistant to inhibition by antithrombin. Interestingly, FXIaWT and FXIa‐Glu555 cleave the small tripeptide substrate S‐2366 with comparable kcats. Modeling indicates that the side chain of Glu555 significantly alters the electrostatic charge around the active site, and would sterically interfere with the interaction between the FXIa S2′ site and the P2′ residues on factor IX and antithrombin. FXI‐Glu555 is the first reported example of a naturally occurring FXI variant with a significant defect in FIX activation.</description><subject>Antithrombin III - pharmacology</subject><subject>Binding Sites</subject><subject>bleeding disorder</subject><subject>factor IX</subject><subject>Factor IX - metabolism</subject><subject>Factor XI - analysis</subject><subject>Factor XI - genetics</subject><subject>Factor XI - metabolism</subject><subject>Factor XI Deficiency - genetics</subject><subject>factor XIa</subject><subject>Homozygote</subject><subject>Humans</subject><subject>Kinetics</subject><subject>Models, Molecular</subject><subject>Mutation, Missense</subject><subject>Protein Binding - genetics</subject><subject>Static Electricity</subject><issn>1538-7933</issn><issn>1538-7836</issn><issn>1538-7836</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1O3DAQx60KVOiWV6h8quCwwY5jx6m4IMTHViv1UJC4WY4zkbzKx9ZOFnLjEZB4hL4ZT1Inu8C1vnjG8_vP2P4jhCmJaFinq4hyJuepZCKKCUkiQqSMo8dP6PC9sPcWZ4wdoC_erwihGY_JZ3RAecJFkpFD9Pc3bMABLrXpWofvF7iA0hoLjRmw0b2HAucD1vi6GjjnuGtD1OO673Rn2wYfvwtfn15CJTAnPwJuXOv969Ozg1C3G8C17sBZXeF16-10stEhb7pxIGwZ27zdY3GPJ9005CvaL3Xl4Wi3z9Dd1eXtxc18-et6cXG-nJuEiniek7jMQRCTlgaoSMtEypRmEnIgpYRUF5rlaUITQQqRxZzxlIqMalpoqjPC2Ax93_Zdu_ZPD75TtfUGqko30PZeCZExwmUSQLkFp1c6KNXa2Vq7QVGiRoPUSo1_r0Yf1GiQmgxSj0H6bTejz2soPoQ7RwJwtgUebAXDfzdWP29vQsD-AQ6MoX8</recordid><startdate>200410</startdate><enddate>200410</enddate><creator>Zivelin, A.</creator><creator>Ogawa, T.</creator><creator>Bulvik, S.</creator><creator>Landau, M.</creator><creator>Toomey, J. R.</creator><creator>Lane, J.</creator><creator>Seligsohn, U.</creator><creator>Gailani, D.</creator><general>Blackwell Science Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200410</creationdate><title>Severe factor XI deficiency caused by a Gly555 to Glu mutation (factor XI–Glu555): a cross‐reactive material positive variant defective in factor IX activation</title><author>Zivelin, A. ; Ogawa, T. ; Bulvik, S. ; Landau, M. ; Toomey, J. 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R.</creatorcontrib><creatorcontrib>Lane, J.</creatorcontrib><creatorcontrib>Seligsohn, U.</creatorcontrib><creatorcontrib>Gailani, D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of thrombosis and haemostasis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zivelin, A.</au><au>Ogawa, T.</au><au>Bulvik, S.</au><au>Landau, M.</au><au>Toomey, J. R.</au><au>Lane, J.</au><au>Seligsohn, U.</au><au>Gailani, D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Severe factor XI deficiency caused by a Gly555 to Glu mutation (factor XI–Glu555): a cross‐reactive material positive variant defective in factor IX activation</atitle><jtitle>Journal of thrombosis and haemostasis</jtitle><addtitle>J Thromb Haemost</addtitle><date>2004-10</date><risdate>2004</risdate><volume>2</volume><issue>10</issue><spage>1782</spage><epage>1789</epage><pages>1782-1789</pages><issn>1538-7933</issn><issn>1538-7836</issn><eissn>1538-7836</eissn><abstract>During normal hemostasis, the coagulation protease factor (F)XIa activates FIX. Hereditary deficiency of the FXIa precursor, FXI, is usually associated with reduced FXI protein in plasma, and circulating dysfunctional FXI variants are rare. We identified a patient with &lt; 1% normal plasma FXI activity and normal levels of FXI antigen, who is homozygous for a FXI Gly555 to Glu substitution. Gly555 is two amino acids N‐terminal to the protease active site serine residue, and is highly conserved among serine proteases. Recombinant FXI‐Glu555 is activated normally by FXIIa and thrombin, and FXIa‐Glu555 binds activated factor IX similarly to wild type FXIa (FXIaWT). When compared with FXIaWT, FXIa‐Glu555 activates factor IX at a greatly reduced rate (∼400‐fold), and is resistant to inhibition by antithrombin. Interestingly, FXIaWT and FXIa‐Glu555 cleave the small tripeptide substrate S‐2366 with comparable kcats. Modeling indicates that the side chain of Glu555 significantly alters the electrostatic charge around the active site, and would sterically interfere with the interaction between the FXIa S2′ site and the P2′ residues on factor IX and antithrombin. FXI‐Glu555 is the first reported example of a naturally occurring FXI variant with a significant defect in FIX activation.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Inc</pub><pmid>15456490</pmid><doi>10.1111/j.1538-7836.2004.00882.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Antithrombin III - pharmacology
Binding Sites
bleeding disorder
factor IX
Factor IX - metabolism
Factor XI - analysis
Factor XI - genetics
Factor XI - metabolism
Factor XI Deficiency - genetics
factor XIa
Homozygote
Humans
Kinetics
Models, Molecular
Mutation, Missense
Protein Binding - genetics
Static Electricity
title Severe factor XI deficiency caused by a Gly555 to Glu mutation (factor XI–Glu555): a cross‐reactive material positive variant defective in factor IX activation
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