A family with factor X deficiency from Argentina: a compound heterozygosis because of the combination of a new mutation (Gln138Arg) with an already known one (Glu350Lys)

Blood Coagul Fibrinolysis. 2016 Sep;27(6):732-6. doi: 10.1097/MBC.0000000000000563.

Abstract

The objective was to investigate a family from Argentina. The proposita was a 51-year-old woman who had a moderate bleeding tendency. Some of her children showed a mild bleeding tendency. Her mother and the husband were asymptomatic. Clotting, immunological and molecular biology techniques were used. Partial thromboplastin, prothrombin, Russell Viper venom-clotting times were moderately prolonged in the proposita, whereas they were slightly prolonged in the children and in her mother. Factor X (FX) activity was about 2-3% of normal in all assay systems. FX antigen was less than 5%. Other clotting factors and platelet were normal. Genetic analysis showed a compound heterozygosis: combination of a 'new' mutation (Gln138Arg) with an already known mutation (Glu350Lys). The children had intermediate FX levels (35-63% of normal) and were carriers of one of the two mutations present in the proposita. This is the first observation of a FX deficiency in Argentina.

MeSH terms

  • Adolescent
  • Adult
  • Antigens / blood
  • Antigens / genetics*
  • Argentina
  • Base Sequence
  • Blood Coagulation Tests
  • DNA Mutational Analysis
  • Factor X / genetics*
  • Factor X Deficiency / blood
  • Factor X Deficiency / diagnosis
  • Factor X Deficiency / genetics*
  • Female
  • Gene Expression
  • Hemorrhage / blood
  • Hemorrhage / diagnosis
  • Hemorrhage / genetics*
  • Heterozygote*
  • Humans
  • Male
  • Middle Aged
  • Mutation*
  • Pedigree

Substances

  • Antigens
  • factor X antigen
  • Factor X