Mutations in patients with combined factor V and VIII deficiency

Gene

Mutation

Location

Type

Genotype

Origin

comments

Reference

LMAN1

Met1Thr*

Exon 1

Initiation codon

Hom

Italy

 

1, 2, 3

LMAN1

nt 23 del G

Exon 1

Frameshift

Hom

Iran

 

2

LMAN1

nt 31 del G

Exon 1

Frameshift

Hom

Algeria

 

2

LMAN1

nt 89 ins G*

Exon 1

Frameshift

Hom

Middle Eastern Jewish

Founder effect

1, 2, 4, 5

LMAN1

nt 89 ins G*

Exon 1

Frameshift

Hom

Iran

 

2

LMAN1

nt 89 ins G*
nt 912 ins A*

Exon 1
Exon 8

Frameshift
Frameshift

Comp het

Iran

 

2

LMAN1

Gly114stop

Exon 2

Nonsense

Hom

India

 

6

LMAN1

nt 422 del C
Undefined

Exon 3

Frameshift

Comp het

Japan

 

1

LMAN1

Arg202stop*

Exon 5

Nonsense

Hom

Japan

 

1, 7

LMAN1

Arg202stop*

Exon 5

Nonsense

Hom

Iran

 

2

LMAN1

IVS5+1G>T

Intron 5

Splicing

Hom

Italy

 

2

LMAN1

nt 720 del 16bp

Exon 6

Frameshift

Hom

Venezuela

 

1

LMAN1

nt781 del T

Exon 7

Frameshift

Hom

Austria

 

3

LMAN1

nt 822 G>A

Exon 7

Splicing

Hom

Iran

 

2

LMAN1

IVS7+1 G>A

Intron 7

Splicing

Hom

Belgium

 

3

LMAN1

IVS7+33 ins GGTT
Undefined

Intron 7

Splicing

Comp het

USA

Skipping exon 8

3

LMAN1

IVS7-1 G>C
Arg456stop*

Intron 7
Exon 11

Splicing
Nonsense

Comp het

Thailand

 

8

LMAN1

nt 841 del A

Exon 8

Frameshift

Hom

Poland

 

3

LMAN1

Lys302stop*

Exon 8

Nonsense

Hom

Pakistan

 

2

LMAN1

Lys302stop*

Exon 8

Nonsense

Hom

France

 

1

LMAN1

nt 912 ins A*

Exon 8

Frameshift

Hom

Iran

 

2

LMAN1

Glu321stop

Exon 9

Nonsense

Hom

Iraq

 

3

LMAN1

nt 1109 del TC

Exon 9

Frameshift

Hom

USA

 

1

LMAN 1

Gln380stop
nt 1271 del G

Exon 9
Exon 11

Nonsense
Splicing

Comp het

Lebanon

 

9

LMAN1

IVS9+2 T>G

Intron 9

Splicing

Hom

Iran

 

2

LMAN1

IVS9+2 T>C*

Intron 9

Splicing

Hom

Tunisian Jewish

Founder effect

1, 4, 5, 10

LMAN1

nt 1208 ins T

Exon 10

Frameshift

Hom

Italy

 

2

LMAN1

nt 1214 del 5 bp

Exon 10

Frameshift

Hom

Iran

 

2

LMAN1

Arg456stop*

Exon 11

Nonsense

Hom

China

 

2

LMAN1

Arg456stop*

Exon 11

Nonsense

Hom

Pakistan

 

2

LMAM1

Cys475Arg
Undefined

Exon 12

Missense

Comp het

Argentina

Italian origin

3

LMAN1

nt 1524 del A

Exon 13

Frameshift

Hom

USA (Armenian)

 

1

 

MCFD2

IVS1-1 G>C

Intron 1

Splicing

Hom

Iran

 

3

MCFD2

IVS2+5 G>A*

Intron 2

Splicing

Hom

Undefined, Italy, India, Serbia

Different haplotypes

3, 6, 11

MCFD2

IVS3+1 G>A*

Intron 3

Splicing

Hom

   

11

MCFD2

nt 103 del C

Exon 2

Frameshift

Hom

   

11

MCFD2

nt 249 del T

Exon 3

Frameshift

Hom

   

11

MCFD2

nt 263 del 8 bp

Exon 3

Frameshift

Hom

   

11

MCFD2

Asp89Ala

Exon 3

Missense

Hom

   

3

MCFD2

Asp129Glu

Exon 4

Missense

Hom

   

11

MCFD2

Ile136Thr*

Exon 4

Missense

Hom

Undefined, Kosovo

 

3, 11

Nucleotide numbers of LMAN1 are based on the Genebank file X716661 using the A (nt 22) of the ATG initiation methionine as +1.
Nucleotide numbers of MCFD2 are based on the Genebank file NM_139279 using the A (nt 90) of the ATG initiation methionine as +1.
*A mutation that was identified in more than 1 family.

References

  1. Nichols WC, Terry VH, Wheatley MA, et al: ERGIC-53 gene structure and mutation analysis in 19 combined factors V and VIII deficiency families.Blood93:2261, 1999.
  2. Neerman-Arbez M, Johnson KM, Morris MA, et al: Molecular analysis of the ERGIC-53 gene in 35 families with combined factor V-Factor VIII deficiency.Blood 93:2253, 1999.
  3. Zhang B, McGee B, Yamaoka JS, et al: Combined deficiency of factor V and factor VIII is due to mutations in either LMAN1 or MCFD2. Blood, 107:1903, 2006.
  4. Nichols WC, Seligsohn U, Zivelin A, et al: Mutations in the ER-Golgi intermediate compartment protein ERGIC-53 cause combined deficiency of coagulation factorsV and VIII.Cell93:61, 1998.
  5. Nichols WC, Seligsohn U, Zivelin A, et al: Linkage of combined factors V and VIII deficiency to chromosome 18q by homozygosity mapping.J Clin Invest99:596, 1997.
  6. Mohanty D, Ghosh K, Shetty S, et al: Mutations in the MCFD2 gene and a novel mutation in the LMAN1 gene in Indian families with combined deficiency of factor V and VIII. Am J Hematol 79:262, 2005.
  7. Dansako H, Ishimaru F, Takai Y, et al: Molecular characterization of the ERGIC-53 gene in two Japanese patients with combined factor V-factor VIII deficiency.Ann Hematol80:292, 2001.
  8. Sirachainan N, Zhang B, Chuansumrit A, et al: Combined factor V and factor VIII deficiency in a Thai patient: a case report of genotype and phenotype characteristics. Haemophilia 11:280, 2005.
  9. Farah RA, De Moerloose P, Bouchardy I, et al: Combined factor V – factor VIII deficiency (F5F8D): Compound heterozygosity for two novel truncating mutations in LMANI in a consanguineous patient. Thromb Haemost 95:893, 2006.
  10. Segal A, Zivelin A, Rosenberg N, et al: A mutation in LMAN1 (ERGIC-53) causing combined factor V and factor VIII deficiency is prevalent in Jews originating from the island of Djerba in Tunisia.Blood Coagul Fibrinolysis15:99, 2004.
  11. Zhang B, Cunningham MA, Nichols WC, et al: Bleeding due to disruption of a cargo-specific ER-to-Golgi transport complex.Nat Genet34:220, 2003.