Mutations in patients with factor X deficiency

Mutation

Location

Domain

Type

Genotype

Origin

Activity
(PT based assay) U /dL

Antigen U/dL

Studies of
Dysfunctional protein

Reference

Met-40Val
(Nice I)
Pro304Ser
(Nice II)

Exon 1

Exon 8

Prepro

Catalytic

Initiation Met

Missense

Comp het

 

4

7

 

1

nt 8 del GC
Phe31Ser

Exon 1
Exon 2

Prepro
Gla

Frameshift

Comp het

China

<1

5

 

2

Leu-32Pro

Exon 1

Prepro

Missense

Hom

Germany

23

15

 

3

Ser-30Arg
( Shanghai)

Exon 1

Prepro

Missense

Hom

China

2.6

8.2

Expressed

4

Gly-20Arg*
( Santo Domingo)

Exon 1

Prepro

Missense

Hom

Santo Domingo

<2

<5

Expressed

3, 5, 6, 7

Gly-20Arg*
( Santo Domingo) Gly204Arg*

Exon 1

Exon 7

Prepro

Catalytic

Missense

Missense

Comp het

Venezuela

<1 #

 

 

3

IVS1+1 G>A Arg347His

Intron 1
Exon 8


Catalytic

Splicing Missense

Comp het

China

2.5

59


Expressed

8

IVS1+3 A>T

Intron 1

 

Splicing

Hom

Iran

<1

7

 

9

IVS1-1 G>C

Intron 1

 

Splicing

Hom

Asia

0

<1

 

7

Thr-2Met
Cys111Tyr

Exon 2
Exon 5

Prepro
EGF 2

Missense
Missense

Comp het

France

12

26

 

7

Arg-1Thr*

Exon 2

Prepro

Missense

Hom

 

<1-7

43-66

 

9

Ser3Cys

Exon 2

Gla

Missense

Hom

 

10

42

 

10

Glu7Gly*
(St Louis II)

Exon 2

Gla

Missense

Hom

 

1-3

100

Expressed

11

Gly7Lys

Exon 2

Gla

Missense

Het

Germany

47 #

 

 

3

Glu14Lys* (Vorarlberg)

Exon 2

Gla

Missense

Hom

 

5-10

20

Purified

3, 12

Glu14Gly*
( Ketchikan)

Exon 2

Gla

Missense

Hom

 

5

20

 

13

Glu14Gly*
( Ketchikan)
Ser379Lys

Exon 2

Exon 8

Gla

Catalytic

Missense

Missense

Comp het

Poland

2 #

 

 

3

Glu19Ala

Exon 2

Gla

Missense

Hom

Italy

<1

17

Expressed

14

Glu25Lys
( Frankfurt I)

Exon 2

Gla

Missense

Het

 

56

55

Expressed

15

Phe31Ser
nt 514 det T and nt 516 T>C

Exon 2
Exon 6

Gla
EGF 2

Missense
Frameshift

Comp het

Nepal

<1

 

 

16

Glu32Gln
( Tokyo)

Exon 2

Gla

Missense

Hom

Japan

3

61

 

17

IVS2-3 T>G

Intron 2

 

Splicing

Hom

Iran

2

3

 

9

Asn57Thr
( Wenatchee II) Arg139Cys
( Wenatchee I)

Exon 4

Exon 6

EGF 1

EGF 2

Missense

Missense

Comp het

 

10-20

30-35

 

18

Gly78Asp

Exon 4

EGF 1

Missense

Hom

Iran

<1

8

 

9

Cys81Tyr*

Exon 4

EGF 1

Missense

Hom

Iran

<1

 

 

9

IVS4-8del CTT

Intron 4

 

Splicing

Hom

Japan

2.5

<5

 

19

Gly94Arg*

Exon 5

EGF 2

Missense

Hom

Poland

<2

<2

 

3

Gly94Arg*
Asp95Glu

Exon 5
Exon 5

EGF 2
EGF 2

Missense Missense

Comp het

Iran-Turkey

<1-2

3-4

 

9

Gly94Arg*
Arg142Met

Exon 5
Exon 6

EGF 2 Catalytic

Missense Missense

Comp het

Germany

<3 #

 

 

3

Gly94Arg*
Tyr344Cys

Exon 5
Exon 8

EGF 2 Catalytic

Missense Missense

Comp het

Poland

<3 #

 

 

3

Glu102Lys

Exon 5

EGF2

Missense

Hom

Germany

36

 

 

3

Cys109Tyr

Exon 5

EGF 2

Missense

Hom

 

<1

 

 

7

Gly114Arg*
(Kanazawa)

Exon 5

EGF 2

Missense

Hom

Venezuela

19

25

 

3

Gly114Arg*
(Kanazawa)

Exon 5

EGF 2

Missense

Het

Japan

45

50

 

20

Gly133Arg

Exon 6

EGF 2

Missense

Hom

India

<1

 

 

16

Arg139Ser
(Kurayoshi)

Exon 6

EGF 2

Missense

Hom

Japan

27

72

 

21

nt556 del C and Lys408Asn*

Exon 6 and exon 8

Catalytic Catalytic

Frameshift Missense

Double het

Italy

9

72

 

22

Gly152Arg and Ala234Ser*

Exon 6 and exon 7

Catalytic

Missense

Double hom

Venezuela

6

120

 

3

nt 608 del AT

Exon 6

Catalytic

Frameshift

Hom

 

<1

 

 

3, 23

Gly204Arg

Exon 6

Catalytic

Missense

Hom

Iran

6

7

 

9

Gly222Asp*

Exon 7

Catalytic

Missense

Hom

Iran

<1

10

 

3, 9

Gly223Arg

Exon 7

Catalytic

Missense

Hom

India

<  

 

 

16

nt814 del C Arg326Cys
( San Antonio)

Exon 7

Catalytic

Frameshift Missense

Comp het

 

14

36

 

24

Ala234Ser*

Exon 7

Catalytic

Missense

Het

Germany

52 #

 

 

3

nt 865 G>C

Exon 7

Catalytic

Splicing

Het

Spain

60

53

 

7

IVS7-1 G>A

Introns 7

 

Splicing

Hom

Germany

<1

 

 

3

Arg251Trp

Exon 8

Catalytic

Missense

Hom

 

26

100

 

25, 26

nt 882 ins C Gly366Ser*

Exon 8
Exon 8

Catalytic
Catalytic

Frameshift
Missense

Comp het

China

<1

45

 

27

Glu264Lys

Exon 8

Catalytic

Missense

Het

France

68

74

 

7

nt 929 del TCA

Exon 8

Catalytic

Frameshift

Het

Slovakia

 

 

 

3

Phe281Leu

Exon 8

Catalytic

Missense

Hom

Poland

<1

<2

 

3

Asp282Asn* Arg287Trp

Exon 8
Exon 8

Catalytic

Missense Missense

Comp het

U.K

6

 

 

7

Asp282Asn*
(Stockton)

Exon 8

Catalytic

Missense

Het

 

43

101

Plasma studied

28

Val298Met*
(Stuart)

Exon 8

Catalytic

Missense

Hom

 

<1

<1

 

29

Val298Met*
(Stuart)

Exon 8

Catalytic

Missense

Het

Germany

45 #

 

 

3

Val298Met*
nt1151 del17bp

Exon 8
Exon 8

 

Missense Frameshift

Comp het

UK

< 1

2

 

7

Arg306Cys
(Nagoya I)
Undefined

Exon 8

Catalytic

Missense

Comp het

 

3

<10

 

30

Glu310Lys
Undefined

Exon 8

Catalytic

Missense

Comp het

Germany

8

10

 

7

Thr318Met*
(Roma)

Exon 8

Catalytic

Missense

Hom

Italy

<1

100

Plasma studied

7, 31

Thr318Met*

Exon 8

Catalytic

Missense

Hom

 

3

80

 

32

Thr318Met*

Exon 8

Catalytic

Missense

Hom

India

24

 

 

16

Thr318Met*
Gly323Ser*

Exon 8
Exon 8

Catalytic Catalytic

Missense Missense

Comp het

UK

<1

64

 

7

Gly323Ser*

Exon 8

Catalytic

Missense

Hom

India

<1

 

 

16

Glu329Gly

Exon 8

Catalytic

Missense

Het

Slovakia

32 #

 

 

3

Ser334Pro*
(Marseille)

Exon 8

Catalytic

Missense

Hom

France

21-26

100

Purified

33, 34, 35

Ser334Pro* Gly380Arg*
( Padua 3)

Exon 8
Exon 8

Catalytic Catalytic

Missense Missense

Comp het

Italy

8

40

 

36

Val342Ala

Exon 8

Catalytic

Missense

Het

 

73

 

Expressed

37

Pro343Ser*
( Friuli)

Exon 8

Catalytic

Missense

Hom

Italy

4-9

100

 

38, 39, 40

Arg347Cys
Undefined

Exon 8

Catalytic

Missense

Com het

Germany

<1 #

 

 

3

Cys350Phe*
(Padua 4)

Exon 8

Catalytic

Missense

Hom

Italy

5

5

 

25, 41

Cys350Phe*
(Padua 4)

Exon 8

Catalytic

Missense

Hom

Germany

<1

 

 

3

Ser353Arg

Exon 8

Catalytic

Missense

Het

Germany

47 #

 

 

3

Ser354Arg

Exon 8

Catalytic

Missense

Hom

India

<1

 

 

16

Phe356Cys
Glu7Gly*

Exon 8
Exon 2

Catalytic
Gla

Missense Missense

Comp het

 

3

25

 

42

Phe363Ile

Exon 8

Catalytic

Missense

Het

Germany

44 #

 

 

3

Cys364Arg*

Exon 8

Catalytic

Missense

Hom

Iran

<1

 

 

43

Cys364Arg*

Exon 8

Catalytic

Missense

Het

 

48

31

 

7

Gly366Ser*
(Nagoya II)

Exon 8

Catalytic

Missense

Het

 

34

80

 

7, 30

Gly366Ser*

Exon 8

Catalytic

Missense

Hom

Sri Lanka

1

67

Expressed

44

Gly366Ser*

Exon 8

Catalytic

Missense

Hom

India

<1

 

 

16

Gly380Arg*

Exon 8

Catalytic

Missense

Hom

Costa Rica

<1

<1

 

3, 23

Gly381Asp

Exon 8

Catalytic

Missense

Hom

Oman

<1

Normal

Expressed

45

Pro382Leu

Exon 8

Catalytic

Missense

Hom

 

<1

10

 

42

His383Gln
Trp421Arg

Exon 8
Exon 8

Catalytic Catalytic

Missense Missense

Comp het

 

6

 

 

32

Ala404Thr (Nottingham)

Exon 8

Catalytic

Missense

Hom

 

1-3

110

 

46

Arg405Gly
(Taunton)

Exon 8

Catalytic

Missense

Het

 

54

98

 

46

Lys408Asn
(San Giovanni Rotondo)

Exon 8

Catalytic

Missense

Hom

 

16

98

 

22

Ile411Phe
(Leicester)

Exon 8

Catalytic

Missense

Hom

Gujarati Indian

<1

8

 

47

Del exons 7-8 Undefined

 

 

Big deletion

Comp het

 

4

<10

 

48

Gene deletion ?
Del exons 7-8

 

 

Big deletion

Comp het

 

1

18

 

49

Nucleotide numbers are based on the Genebank file NM_000504 using the A (nucleotide 26) of the ATG initiator methionine as +1.
*A Mutation that was identified in more than 1 family.
# Value was obtained by personal communication with the authors

References

  1. Miyata T, Fischer F, Yneyama H, et al: Factor X Nice I and II: Two novel missense mutations (Met-40Val and Pro304Ser) in patients with coagulation factor X deficiency. Thromb Haemost 80:709, 1998.
  2. Au WY , Lam CCK, Cheung WC, Kwong YL: Two novel factor X gene mutations in a Chinese family with factor X deficiency. Ann Hematol 83:304, 2004.
  3. Herrmann FH, Auerswald G, Ruiz-Saez A, et al: Factor X deficiency: Clinical manifestation of 102 subjects from Europe and Latin America with mutations in the factor 10 gene. Haemophilia 12:479, 2006.
  4. Wang WB, Fu QH, Wu WM, et al: Factor X Shanghai and disruption of translocation to the endoplasmic reticulum. Haematologica 90:1659, 2005.
  5. Watzke HH, Wallmark A, Hamaguchi N, et al: Factor X Santo Domingo: Evidence that the severe clinical phenotype arises from a mutation blocking secretion. J Clin Invest 88:1685, 1991.
  6. Racchi M, Watzke HH, High KA, Lively MO. Human coagulation factor X deficiency caused by a mutant signal peptide that blocks cleavage by signal peptidase but not targeting and translocation to the endoplasmic reticulum. J Biol Chem 268:5735, 1993.
  7. Millar DS, Elliston L, Deex P, et al: Molecular analysis of the genotype-phenotype relationship in factor X deficiency. Hum Genet 106:249, 2000.
  8. Wang WB, Fu QH, Zhou RF, et al: Molecular characterization of two novel mutations causing factor X deficiency in a Chinese pedigree. Hemophilia 11:31, 2005.
  9. Peyvandi F, Menegatti M, Santagostino E, et al: Gene mutations and three-dimensional structural analysis in 13 families with severe factor X deficiency. Br J Haematol 117:685, 2002.
  10. Menegatti M, Karimi M, Garagiola I, et al: A rare inherited coagulation disorder: combined homozygous factor VII and factor X deficiency. Am J Hematol 77:90, 2004.
  11. Rudolph AE, Mullane MP, Porche-Sorbet R, et al: Factor X St. Louis II : Identification of a glycine substitution at residue 7 and characterization of the recombinant protein. J Biol Chem 271:28601, 1996.
  12. Watzke HH, Lechner K, Roberts HR: Molecular defect (Gla +14 ® Lys ) and its functional consequences in a hereditary factor X deficiency (factor X "Vorarlberg"). J Biol Chem 265:11982, 1990.
  13. Kim DJ, Thompson AR, James HL: Factor X Ketchikan: A variant molecule in which Gly replaces a Gla residue at position 14 in the light chain. Hum Genet 95:212, 1995.
  14. Pinotti M, Marchetti G, Baroni M, et al: Reduced activation of the Gla19Ala FX variant via the extrinsic coagulation pathway results in symptomatic CRM red FX deficiency. Thromb Haemost 88:236, 2002.
  15. Nobauer-Huhmann IM, Holler W, Krinninger B, et al: Factor X Frankfurt I: Molecular and functional characterization of a hereditary factor X deficiency (Gla +25 to Lys). Blood Coagul Fibrinolysis 9:143, 1998.
  16. Jayandharan G, Viswabandya A, Baidya S, et al: Six novel mutations including triple heterozygosity for Phe31Ser, 514delT and 516T ® G factor X gene mutations are responsible for congenital factor X deficiency in patients of Nepali and Indian origin. J Thromb Haemost 3:1482, 2005.
  17. Zama T, Murata M, Watanabe R, et al: A family with hereditary factor X deficiency with a point mutation Gla 32 to Gln in the Gla domain (factor X Tokyo). Br J Haematol 106:809, 1999.
  18. Kim DJ, Thompson AR, Nash DR, James HL: Factor X Wenatchee I and II: Compound heterozygosity involving two variant proteins. Biochim Biophys Acta 1271:327, 1995.
  19. Hayashi T, Yahagi A, Suzuki K, et al: Molecular abnormality observed in a patient with coagulation factor X (FX) deficiency: A novel three-base-pair (CTT) deletion within the polypyrimidine tract of the FX intron D. Br J Haematol 102:926, 1998.
  20. Morishita E, Yamaguchi K, Asakura H, et al: One missense mutation in the factor X gene causing factor X deficiency – factor X Kanazawa. Int J Hematol 73:390, 2001.
  21. Iijima K. Murakami M, Kimura O, et al: A dysfunctional factor X (factor X Kurayoshi) with a substitution of Arg139 for Ser at the carboxyl-terminus of the light chain. Thromb Res 101:311, 2001.
  22. Simioni P, Vianello F, Kalafatis M, et al: A dysfunctional factor X (factor X San Giovanni Rotondo) present at homozygous and double heterozygous level: Identification of a novel microdeletion (delC556) and missense mutation (Lys 408 ® Asn) in the factor X gene. A study of an Italian family. Thromb Res 101:219, 2001.
  23. Herrmann FH, Navarette M, Salazar-Sanchez L, et al: Homozygous factor X gene mutations Gly380Arg and Tyr163delAT are associated with perinatal intracranial hemorrhage. J Pediatr 146:128, 2005.
  24. Reddy SV, Zhou ZQ, Rao KJ, et al: Molecular characterization of human factor X San Antonio. Blood 74:1486, 1989.
  25. Vianello F, Lombardi AM, Bello FD, et al. Conformation sensitive gel electrophoresis for detection of factor X gene mutations. Thromb Res 107:51, 2002.
  26. Girolami A, Vianello F, Cabrio L, Lombardi AM: A new mutation (Arg251Trp) in the Ca2+ binding site of factor X protease domain appears to be responsible for the defect in the extrinsic pathway activation of factor X Padua. Clin Appl Thromb Hemost 10:5, 2004.
  27. Shen M, Lin JS, Lin DSY, et al: A novel mutation with Ins C (882-883) of the factor X gene in a Taiwanese Chinese factor X-deficient family. Thromb Haemost 91:208, 2004.
  28. Messier TL, Wong CY, Bovill EG, et al: Factor X Stockton: A mild bleeding diathesis associated with an active site mutation in factor X. Blood Coagul Fibrinolysis 7:5, 1996.
  29. Cooper DN, Millar DS, Wacey A, et al: Inherited factor X deficiency: Molecular genetics and pathophysiology. Thromb Haemost 78:161, 1997.
  30. Miyata T, Kojima T, Suzuki K, et al: Factor X Nagoya 1 and Nagoya 2: A CRM-factor X deficiency and a dysfunctional CRM + factor X deficiency characterized by substitution of Arg306 by Cys and of Glys366 by Ser, respectively. Thromb Haemost 79:486, 1998.
  31. De Stefano V, Leone G, Ferrelli R, et al: Factor X Roma: A congenital factor X variant defective at different degrees in the intrinsic and the extrinsic activation. Br J Haematol 69:387, 1988.
  32. Odom MW, Leone G, De Stefano V, et al: Five novel point mutations: Two causing haemophilia B and three causing factor X deficiency. Molec Cellul Probes 8:63, 1994.
  33. Bezeaud A, Miyata T, Helley D, et al: Functional consequences of the Ser334 ® Pro mutation in a human factor X variant (factor X Marseille). Eur J Biochem 234:140, 1995.
  34. Bernardi F, Castaman G, Redaelli R, et al: Topologically equivalent mutations causing dysfunctional coagulation factor VII ( 294Ala ® Val) and X ( 334Ser ® Pro). Hum Molec Genet 3:1175, 1994.
  35. Marchetti G, Castaman G, Pinotti M, et al: Molecular bases of CRM + factor X deficiency: A frequent mutation (Ser334Pro) in the catalytic domain and a substitution (Glu102Lys) in the second EGF-like domain. Br J Haematol 90:910, 1995.
  36. Vianello F, Lombardi AM, Boldrin C, et al: A new factor X defect (factor X Padua 3) a compound heterozygous between true deficiency (Gly 380 ® Arg) and an abnormality (Ser 334 ® Pro). Thromb Res 104:257, 2001.
  37. Pinotti M, Monti M, Baroni M, et al: Molecular characterization of factor X deficiency associated with borderline plasma factor X level. Haematologica 89:501, 2004.
  38. James HL, Girolami A, Fair DS: Molecular defect in coagulation factor X Friuli results from a substitution of serine for proline at position 343. Blood 77:317, 1991.
  39. Girolami A, Molaro G, Lazzarin M, et al: A "new" congenital haemorrhagic condition due to the presence of an abnormal factor X (factor X Friuli): Study of a large kindred. Br J Haematol 19:179, 1970.
  40. Fair DS, Revak DJ, Hubbard JG, Girolami A: Isolation and characterization of the factor X Friuli variant. Blood 73:2108, 1989.
  41. Vianello F, Lombardi AM, Bello FD, et al: A novel type I factor X variant (factor X Cys350Phe) due to loss of a disulfide bond in the catalytic domain. Blood Coagul Fibrinolysis 14:401, 2003.
  42. Deam S, Uprichard J, Eaton JT, et al: Two new factor X mutations (Pro382Leu and Phe356Cys) associated with low activity and low antigen levels. Thromb Haemost 92:1161, 2004.
  43. Todd T, Perry DJ, Hayman E, Lawrence K, Gattens M, Baglin T: Severe factor X deficiency due to a homozygous mutation (Cys364Arg) that disrupts a disulphide bond in the catalytic domain. Haemophilia 12:621, 2006.
  44. Isshiki I, Favier R, Moriki T, et al: Genetic analysis of hereditary factor X deficiency in a French patient of Sri Lankan ancestry: in vitro expression study identified Gly366Ser substitution as the molecular basis of the dysfunctional factor X. Blood Coagul Fibrinol 16:9, 2005.
  45. Pinotti M, Camire RM, Baroni M, et al: Impaired prothrombinase activity of factor X Gly381Asp results in severe familial CRM+ FX deficiency. Thromb Haemost 89:243, 2003.
  46. Deam S, Srinivasan N, Westby J, et al: F X Nottingham and F X Taunton. Two novel mutations in factor X resulting in loss of functional activity and an interpretation using molecular modelling. Thromb Haemost 85:265, 2001.
  47. Deam S, Uprichard J, Eaton JT, et al: Factor X Leicester: Ile411Phe associated with a low antigen level and a disproportionately low functional activity of factor X. J Thromb Haemost 1:603, 2003.
  48. Bernardi F, Marchetti G, Patracchini P, et al: Partial gene deletion in a family with factor X deficiency. Blood 73:2123, 1989.
  49. Wieland K, Millar DS, Grundy CB, et al: Molecular genetic analysis of factor X deficiency: Gene deletion and germline mosaicism. Hum Genet 86:273, 1991.