Fibrinogen St. Louis: a new inherited fibrinogen variant, coincidentally associated with hemophilia A

A patient with classical hemophilia (factor VIII deficiency) was found to have a new abnormal fibrinogen (fibrinogen St. Louis). Other family members exhibited either defect alone. Fibrinogen St. Louis was inherited as an autosomal dominant and was not associated with clinical bleeding. When compare...

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Veröffentlicht in:The Journal of clinical investigation 1972-03, Vol.51 (3), p.590-597
Hauptverfasser: Sherman, L A, Gaston, L W, Kaplan, M E, Spivack, A R
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container_title The Journal of clinical investigation
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creator Sherman, L A
Gaston, L W
Kaplan, M E
Spivack, A R
description A patient with classical hemophilia (factor VIII deficiency) was found to have a new abnormal fibrinogen (fibrinogen St. Louis). Other family members exhibited either defect alone. Fibrinogen St. Louis was inherited as an autosomal dominant and was not associated with clinical bleeding. When compared with normal fibrinogen, fibrinogen St. Louis was found to have defective fibrin polymerization and possibly a slower release of fibrinopeptides. The prolonged thrombin times were partially corrected by calcium chloride and protamine sulfate. Ultracentrifugal sedimentation, electrophoretic mobility, DEAE chromatographic pattern, carbohydrate content, N-terminal amino acids, immunodiffusion, and immunoelectrophoretic patterns and electrophoresis of reduced and alkylated fragments were all normal. In contrast to fibrinogen St. Louis, the most similar other fibrinogen variant (fibrinogen Zurich) was found to be heterogeneous by several criteria and to have reduced hexose content.
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Other family members exhibited either defect alone. Fibrinogen St. Louis was inherited as an autosomal dominant and was not associated with clinical bleeding. When compared with normal fibrinogen, fibrinogen St. Louis was found to have defective fibrin polymerization and possibly a slower release of fibrinopeptides. The prolonged thrombin times were partially corrected by calcium chloride and protamine sulfate. Ultracentrifugal sedimentation, electrophoretic mobility, DEAE chromatographic pattern, carbohydrate content, N-terminal amino acids, immunodiffusion, and immunoelectrophoretic patterns and electrophoresis of reduced and alkylated fragments were all normal. 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Other family members exhibited either defect alone. Fibrinogen St. Louis was inherited as an autosomal dominant and was not associated with clinical bleeding. When compared with normal fibrinogen, fibrinogen St. Louis was found to have defective fibrin polymerization and possibly a slower release of fibrinopeptides. The prolonged thrombin times were partially corrected by calcium chloride and protamine sulfate. Ultracentrifugal sedimentation, electrophoretic mobility, DEAE chromatographic pattern, carbohydrate content, N-terminal amino acids, immunodiffusion, and immunoelectrophoretic patterns and electrophoresis of reduced and alkylated fragments were all normal. In contrast to fibrinogen St. Louis, the most similar other fibrinogen variant (fibrinogen Zurich) was found to be heterogeneous by several criteria and to have reduced hexose content.</abstract><cop>United States</cop><pmid>4622105</pmid><doi>10.1172/JCI106848</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Amino Acids - analysis
Blood Coagulation - drug effects
Blood Coagulation Factors - analysis
Blood Coagulation Tests
Blood Protein Electrophoresis
Calcium Chloride - pharmacology
Carbohydrates - analysis
Chromatography, DEAE-Cellulose
Clot Retraction
Factor VIII
Female
Fibrin - analysis
Fibrinogen - analysis
Hemophilia A - blood
Hemophilia A - complications
Hemophilia A - genetics
Humans
Hydrogen-Ion Concentration
Immunodiffusion
Immunoelectrophoresis
Male
Middle Aged
Pedigree
Peptides - analysis
Platelet Adhesiveness
Protamines - pharmacology
Prothrombin Time
Ultracentrifugation
title Fibrinogen St. Louis: a new inherited fibrinogen variant, coincidentally associated with hemophilia A
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