Compound-Heterozygous Mutations in the Plasminogen Gene Predispose to the Development of Ligneous Conjunctivitis

Homozygous type I plasminogen deficiency has been identified as a cause of ligneous conjunctivitis. In this study, 5 additional patients with ligneous conjunctivitis are examined. Three unrelated patients (1 boy, 1 elderly woman, and 1 man) had plasminogen antigen levels of less than 0.4, less than...

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Veröffentlicht in:Blood 1999-05, Vol.93 (10), p.3457-3466
Hauptverfasser: Schuster, Volker, Seidenspinner, Silvia, Zeitler, Petra, Escher, Cornelia, Pleyer, Uwe, Bernauer, Wolfgang, Stiehm, E. Richard, Isenberg, Sherwin, Seregard, Stefan, Olsson, Thomas, Mingers, Anne-Marie, Schambeck, Christian, Kreth, Hans Wolfgang
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container_end_page 3466
container_issue 10
container_start_page 3457
container_title Blood
container_volume 93
creator Schuster, Volker
Seidenspinner, Silvia
Zeitler, Petra
Escher, Cornelia
Pleyer, Uwe
Bernauer, Wolfgang
Stiehm, E. Richard
Isenberg, Sherwin
Seregard, Stefan
Olsson, Thomas
Mingers, Anne-Marie
Schambeck, Christian
Kreth, Hans Wolfgang
description Homozygous type I plasminogen deficiency has been identified as a cause of ligneous conjunctivitis. In this study, 5 additional patients with ligneous conjunctivitis are examined. Three unrelated patients (1 boy, 1 elderly woman, and 1 man) had plasminogen antigen levels of less than 0.4, less than 0.4, and 2.4 mg/dL, respectively, but had plasminogen functional residual activity of 17%, 18%, and 17%, respectively. These subjects were compound-heterozygotes for different missense mutations in the plasminogen gene: Lys19 → Glu/Arg513 → His, Lys19 → Glu/Arg216 → His, and Lys19 → Glu/Leu128 → Pro, respectively. The other 2 patients, a 14-year-old boy and his 19-year-old sister, who both presented with a severe course of the disease, exhibited plasminogen antigen and functional activity levels below the detection limit (
doi_str_mv 10.1182/blood.V93.10.3457.410k03_3457_3466
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Our findings also suggest that the severity of clinical symptoms of ligneous conjunctivitis and its associated complications may depend on the amount of plasminogen functional residual activity.</abstract><cop>Washington, DC</cop><pub>Elsevier Inc</pub><pmid>10233898</pmid><doi>10.1182/blood.V93.10.3457.410k03_3457_3466</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adolescent
Adult
Aged
Alleles
Amino Acid Substitution
Biological and medical sciences
Blood Coagulation Tests
Child, Preschool
Conjunctivitis - blood
Conjunctivitis - genetics
Conjunctivitis - pathology
Diseases of eyelid, conjunctiva and lacrimal tracts
Exons
Female
Genetic Predisposition to Disease
Heterozygote
Humans
Male
Medical sciences
Medicin och hälsovetenskap
Mutation
Mutation, Missense
Ophthalmology
Pedigree
Plasminogen - genetics
Sequence Deletion
title Compound-Heterozygous Mutations in the Plasminogen Gene Predispose to the Development of Ligneous Conjunctivitis
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