Mutations in patients with factor XIII deficiency

Gene

Mutation

Location

Domain

Type

Genotype

Origin

Activity
U/dL

Antigen
U/dL

Expression

Comments

Reference

XIII-A

nt -7 del 20 bp and Ala394Val
IVS4+2 ins T
( Nagoya 1)

UTR
Exon 9
IVS4


Core

Splicing
Missense
Splicing

Comp het

Japan

 

<5

<5

 

 

1, 2

XIII-A

nt 27 del T*

Exon 2

Activation peptide

Frameshift

Hom

Sweden

<3

<5

 

Also found in heterozygote from Denmark

3

XIII-A

nt 131 del AG

Exon 3

Activation

Frameshift

Hom

Japan

<3

<5

 

 

4

XIII-A

Asn60Lys
Tyr441stop

Exon 3
Exon 11

b sandwich
Core

Missense
Nonsense

Comp het

Caucasian

<1

<5

Yes

 

5, 6, 7

XIII-A

Tyr69stop

Exon 3

b sandwich

Nonsense

Hom

India

 

 

 

 

8

XIII-A

Arg77His*

Exon 3

b sandwich

Missense

Hom

Iran

<3

0

 

 

9

XIII-A

Arg77His*

Exon 3

b sandwich

Missense

Hom

Switzerland

 

2.9

0.9

Yes

First family
described in 1960

10

 

XIII-A

Arg77His*
nt 607 del G

Exon 3
Exon 5

b sandwich
Core

Missense
Splicing

Comp het

Switzerland

 

5.4

1.8

 

Measured under replacement therapy

10 #

 

XIII-A

Arg78Cys
IVS5-1 G>C

Exon 3
Intron 5

b sandwich

Missense
Splicing

Comp het

 

 

 

 

 

11

XIII-A

nt 249 del 13

Exon 3

b sandwich

Frameshift

Hom

Greece

<5

 

 

 

12

XIII-A

nt 291 del GG and nt 303 ins 6 bp
IVS3+5 G>A

Exon 3

Intron 3

b sandwich

 

Frameshift

Splicing

Comp het

 

 

 

 

 

7

XIII- A

nt 319 G>T*

Exon 3

b sandwich

Splicing

Hom

 

 

 

 

 

7

XIII- A

nt 319 G>T*
Undefined

Exon 3

b sandwich

Splicing

Comp het

U.K

 

 

 

 

13

XIII-A

IVS3+6 T>C
Arg661stop *

Intron 3
Exon 14


Barrel 2

Splicing Nonsense

Comp het

Finland

<1

 

 

 

14, 15

XIII-A

IVS3-1 G>T

Intron 3

 

Splicing

Hom

UK

<1

 

 

 

7

XIII-A

nt 398 ins G
Ser413Leu*

Exon 4
Exon 10

b sandwich
Core

Frameshift
Missense

Comp het

 

<2

 

 

 

16

XIII-A

Met159Arg*

Exon 4

b sandwich

Missense

Hom

Switzerland

1.3

<0.5

Yes

 

10 #

XIII-A

Met159Arg*
Arg661stop*

Exon 4
Exon 14

b sandwich
Barrel 2

Missense
Nonsense

Comp het

Switzerland

1.8

<0.5

 

 

10 #

XIII-A

Arg171stop
Undefined
( Bristol)

Exon 4

b sandwich

Nonsense

Comp het

 

<5

 

 

 

17

XIII-A

Gly210Arg

Exon 5

Core

Missense

Hom

India

9

10

Yes

Measured under replacement therapy

18, 19

XIII-A

Gly215Arg
IVS10+1 G>A

Exon 5
Intron 10

Core
Core

Missense
Splicing

Comp het

Serbia

5.7

2.2

Yes

Measured under replacement therapy

10 #

 

XIII-A

nt 689 del A

Exon 5

Core

Frameshift

Hom

Iran

18

16

 

Measured under replacement therapy

9

XIII-A

IVS5-1 G>A*
Asn541Lys*

Intron 5
Exon 12


Barrel 1

Splicing
Missense

Comp het

U.K

 

<5

 

 

20

XIII-A

IVS5-1 G>A*

Intron 5

 

Splicing

Hom

Netherlands

<5

<5

 

 

21

XIII-A

IVS5-1 G>A*

Intron 5

 

Splicing

Hom

Czechoslovakia

0.5

0.1

 

Also found in homozygotes from Kosovo and Macedonia

10 #

 

XIII-A

Leu235Arg

Exon 6

Core

Missense

Hom

 

 

<5

 

 

22

XIII- A

nt 709 del G
Trp691stop

Exon 6
Exon 15

Core
Barrel 2

Frameshift
Nonsense

Comp het

U.K

 

 

 

 

13

XIII-A

Met242Thr
Arg661stop*

Exon 6
Exon 14

Core
Barrel 2

Missense
Nonsense

Comp het

Finland

 

 

 

 

15, 23

XIII-A

Arg252Ile
Arg326Gln*

Ex 6
Ex 8

Core
Core

Missense
Missense

Comp het

Germany

<2

<1

Yes

 

3, 23

XIII-A

Arg260Cys*
Undefined
( Nagoya 2)

Exon 6

Core

Missense

Comp het

Japan

 

<5

 

 

 

24

XIII-A

Arg260Cys*
Trp375Cys

Exon 6
Exon 9

Core
Core

Missense
Missense

Comp het

Switzerland

 

8.4

11.9

 

Yes

Measured under replacement therapy

10 #

 

XIII-A

Arg260Cys*
His716Arg*

Exon 6
Exon 15

Core
Barrel 2

Missense
Missense

Comp het

Switzerland

 

5.9

2.2

 

Yes

Measured under replacement therapy

10 #

 

XIII-A

Arg260Cys*

Exon 6

Core

Missense

Hom

Iran

8

3

 

Measured under replacement therapy

9

XIII-A

Arg260His*

Exon 6

Core

Missense

Hom

Syria

 

 

Yes

 

25

XIII-A

Arg260His*

Exon 6

Core

Missense

Hom

India

 

 

 

 

8

XIII-A

Arg260His*

Exon 6

Core

Missense

Hom

Iran

<3

<1

 

 

9

XIII-A

Arg260Leu

Exon 6

Core

Missense

Hom

Israeli Arab

4

<5

Yes

Measured under replacement therapy

18, 19

XIII- A

Gly262Glu
Val316Phe*

Exon 6
Exon 7

Core
Core

Missense
Missense

Comp het

Dutch

<1

<12.5

 

 

26

XIII-A

Ser263Phe
IVS14-1 G>A

Exon 6
Intron 14

Core

Missense
Splicing

Comp het

India

 

 

 

 

8

XIII-A

Tyr283Cys
Undefined

Exon 7

Core

Missense

Comp het

Italy

<2

<5

Yes

 

27, 28

XIII A

nt 869 ins C

Exon 7

Core

Frameshift

Hom

Tunis

4

 

 

 

18

XIII A

nt 874 ins G

Exon 7

Core

Frameshift

Hom

India

 

 

 

 

8

XIII-A

Ser295Arg*

Ex on 7

Core

Missense

Hom

Pakistan

 

 

 

 

13, 29

XIII-A

Val316Phe*
Arg326Gln*

Exon 7
Exon 8

Core
Core

Missense
Missense

Comp het

Netherlands

<1

 

 

 

30

XIII A

Ala318Val
nt 1652 del 10 bp

Exon 7
Exon 12

Core
Barrel 1

Missense
Frameshift

Comp het

Athiopian Jewish

2

2

Yes

 

18, 19

XIII-A

IVS7+1 G>A and
exon 8 last nt T>G

Intron 7
Exon 8


Core

Splicing

Hom

 

<1

 

 

 

31

XIII-A

Arg326Gln*

Exon 8

Core

Missense

Hom

Germany

<2

<1

Yes

 

3, 23

XIII-A

Arg326Gln*

Exon 8

Core

Missense

Hom

Pakistan

 

 

 

 

32

XIII-A

Arg326Gln*
Undefined

Exon 8

Core

Missense

Comp het

Netherlands

<1

 

 

 

30

XIII-A

Arg326stop

Exon 8

Core

Nonsense

Hom

Pakistan

 

 

 

 

13

XIII-A

nt 1033 del AAT

Exon 8

Core

Del Asn 344

Hom

Thailand

5

 

Yes

 

33

XIII-A

Leu354Pro*

Exon 8

Core

Missense

Hom

Pakistan

<5

 

 

Additional homozygote from India

18, 34

XIII-A

Arg382Ser

Exon 9

Core

Missense

Hom

Iran

6

5

 

Measured under replacement therapy

9

XIII-A

Thr398Asn

Exon 9

Core

Missense

Hom

India

1.6

1.3

Yes

 

18, 19

XIII-A

Gln400stop

Exon 9

Core

Nonsense

Hom

Turkey

<1

 

 

 

35

XIII-A

nt 1202 ins C*

Exon 9

Core

Frameshift

Hom

Turkey

 

 

 

Additional homozygote from Greece

36, 37

XIII-A

Arg408Gln
Big del exons 4-11

Exon 10
Exon 4-11

Core

Missense
Big deletion

Comp het

UK

<1

<1

 

 

7, 38

XIII-A

Ser413Leu*

Exon 10

Core

Missense

Hom

India

 

 

 

 

8

XIII-A

Val414Phe*

Exon 10

Core

Missense

Hom

Malaysia-India

6

6

 

Measured under replacement therapy

39

XIII-A

Val414Phe*

Exon 10

Core

Missense

Hom

India

 

 

Yes

 

8, 35

XIII-A

Gly420Ser

Exon 10

Core

Missense

Hom

Thailand

 

 

 

 

40

XIII-A

nt 1392 del AATT* Undefined

Exon 11

Core

Frameshift

Comp het

France

<1

 

 

 

35

XIII-A

nt 1392 del AATT*

Exon 11

Core

Frameshift

Hom

 

 

 

 

 

41

XIII-A

nt 1405 del CAAA

Exon 11

Core

Frameshift

Hom

Turkey

 

 

 

 

36

XIII A

IVS11+1 G>T

Intron 11

 

Splicing

Hom

Indian Jewish

2.5

5

 

Measured under replacement therapy

18

XIII-A

Leu498Pro
Arg661stop*

Exon 12
Exon 14

Core
Barrel 2

Missense
Nonsense

Comp het

Sweden

<2

<1

Yes

 

3, 23

XIII-A

Gly501Arg

Exon 12

Core

Missense

Het

 

 

 

Yes

 

5, 6

XIII-A

Asn541Lys

Exon 12

Barrel 1

Missense

Hom

Turkey

 

 

 

 

36

XIII-A

nt1643 ins A

Exon 12

Barrel 1

Splicing

Hom

India

 

 

 

 

8

XIII-A

Gly562Arg

Exon 12

Barrel 1

Missense

 

 

 

 

Yes

 

41

XIII-A

Leu660Pro*

Exon 14

Barrel 2

Missense

Hom

Israeli Arabs

<1

<5

 

Founder effect, Carriership of 0.67% in Israeli Arabs

42

XIII-A

Arg661stop*

Exon 14

Barrel 2

Nonsense

Hom

Finland

<1

 

Yes

 

3, 15, 23

XIII-A

Arg661stop*

Exon 14

Barrel 2

Nonsense

Hom

India

6

2

 

 

18

XIII-A

Leu667Pro
(Calgary)

Exon 14

Barrel 2

Missense

Hom

Canada

1

<6

 

 

43

XIII-A

nt 2035 del AAG

Exon 14

Barrel 2

Del Lys 678

Hom

 

<2

<5

 

 

22

XIII-A

nt 2045 G>A*

Exon 14

Barrel 2

Splicing

Hom

UK

<1

 

 

Published as Arg681His

7, 44

XIII-A

nt 2045 G>A*

Exon 14

Barrel 2

Splicing

Hom

Pakistan

 

 

 

Founder effect Additional homozygotes from India.

18, 32

XIII-A

nt 2067 del C

Exon 15

Barrel 2

Frameshift

Hom

Iran

<3

<1

 

 

9

XIII- A

Arg703Trp
His716Arg*

Exon 15
Exon 15

Barrel 2
Barrel 2

Missense
Missense

Comp het

China

<5

<1

 

 

45

 

XIII B

IVS1-2 del A*

Intron 1

 

Splicing

Hom

Japan

 

<10

 

Founder effect

46

XIII B

IVS1-2 del A*
Cys430Phe

Intron 1
Exon 8


Sushi 7

Splicing
Missense

Comp het

Japan

 

<5


Yes

 

47, 48, 49

XIII B

IVS1-2 del A*
nt 1498 del G

Intron 1
Exon 9


Sushi 8

Splicing
Frameshift

Comp het

Japan

 

<10


Yes

 

46

XIII B

nt 299 ins A AC*

Exon 3

Sushi 2

Frameshift

Hom

Italy

 

<5

 

Founder effect

50, 51

Nucleotide numbers of FXIII-A subunit are based on the Genebank file NM_000129 using the A (nucleotide 102) of the ATG initiator methionine as +1.
Nucleotide numbers of FXIII B subunit are based on the Genebank file NM_001994 using the A (nucleotide 36) of the ATG initiator methionine as +1.
Amino acid numbers of FXIII-A subunit are based on the initiator methionine as O and its succeeding serine as +1 (this is due to wrong numbering cited in most papers.)
* A Mutation that was identified in more than 1 family.
# Matching the genotypes to phenotypes is unavailable in the paper but was kindly communicated by the authors.

References

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  5. Coggan M, Baker R, Miloszewski K, et al: Mutations causing coagulation factor XIII subunit A deficiency: Characterization of the mutant proteins after expression in yeast. Blood 85:2455, 1995.
  6. Board PG, Losowsky MS, Miloszewski KJA. Factor XIII: Inherited and acquired deficiency. Blood Rev 7:229, 1993.
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  42. Inbal A, Yee VC, Kornbrot N, et al: Factor XIII deficiency due to a Leu660Pro mutation in the factor XIII subunit-a gene in three unrelated Palestinian Arab families. Thromb Haemost 77:1062, 1997.
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  47. Hashiguchi T, Saito M, Morishita E, et al: Two genetic defects in a patient with complete deficiency of the b-subunit for coagulation factor XIII. Blood 82:145, 1993.
  48. Hashiguchi T, Ichinose A: Molecular and cellular basis of deficiency of the b subunit for factor XIII secondary to a Cys430-Phe mutation in the seventh Sushi domain. J Clin Invest 95:1002, 1995.
  49. Saito M, Asakura H, Yoshida T, et al: A familial factor XIII subunit B deficiency. Br J Haematol 74:290, 1990.
  50. Izumi T, Hashiguchi T, Castaman G, et al: Type I factor XIII deficiency is caused by a genetic defect of its b subunit: Insertion of triplet A AC in exon III leads to premature termination in the second Sushi Domain. Blood 87:2769, 1996.
  51. Souri M, Izumi T, Higashi Y, et al: A founder effect is proposed for factor XIII B subunit deficiency caused by the insertion of triplet A AC in exon III encoding the second Sushi domain. Thromb Haemost 80:211, 1998.