Mutations in patients with prothrombin deficiency

Mutation
(Name)

Location

Domain

Type

Genotype

Origin

Activity U/dL

Antigen
U/dL

Studies of dysfunctional protein

Comments

 

reference

Arg-4Gln
( Edmonton)
Del half of intron 10 and most of exon 11

Exon 2

Intron 10 /Exon 11

Prepro

Catalytic

Missense

Deletion

Comp het

Caucasian

 

8

 

 

 

1

Arg-2Trp*

Exon 2

Prepro

Missense

Hom

Iran

8

8

   

2

Arg-2Trp*

Exon 2

Prepro

Missense

Hom

Iran

9

6

   

2

Arg-1Gln

Exon 2

Prepro

Missense

Homo

Iran

9

14

   

2

Glu7Lys

Exon 2

Prepro

Missense

Homo

 

 

 

 

 

3

Glu16Gln
(Puerto Rico II)
Arg457Gln*
( Puerto Rico I)

Exon 2

Exon 12

Gla

Catalytic

Missense

Missense

Comp het

Puerto Rico

9

35

 

 

4

Glu29Gly
( Shanghai)

Exon 2

Gla

Missense

Hom

China

7

32

 

 

5

IVS2-25 C>G
Trp569stop

Intron 2
Exon 14


Catalytic

Splicing
Nonsense

Comp het

Netherlands

3

2

 

 

6

Tyr44Cys*

Exon 3

Kringle 1

Missense

Hom

Netherlands

2

5

 

 

7, 8

Tyr44Cys*
(Carora)

Exon 3

Kringle 1

Missense

Hom

Venezuela

4

<5

 

 

9

IVS5+1 G>A
Arg457Gln*

Intron 5
Exon 12


Catalytic

Splicing
Missense

Comp het

Puerto Rico

8

18

 

 

4

Asp118Tyr
Arg220Cys

Exon 6
Exon 7

Kringle 1
Kringle 2

Missense
Missense

Comp het

Italy

26

14

 

 

2

nt 468 insT
Arg418Trp*
( Tokushima)

Exon 6
Exon 11

Kringle 1
Catalytic

Frameshift
Missense

Comp het

Japan

12

 

42

Purified

 

10, 11

Cys138Tyr
Trp357Cys

Exon 6
Exon 10

Kringle 1
Catalytic

Missense
Missense

Comp het

Italy

<1

<1

 

Prophylaxis

12

nt 877 del G
Arg340Trp

Exon 8
Exon 10

Kringle 2
Catalytic

Frameshift
Missense

Comp het

African American

8

4

 

 

13, 14

Arg271Cys*
( Barcelona)

Exon 8

Activation cleavage site

Missense

Hom

 

5

100

 

Amino acid sequencing

15, 16

Arg271Cys*
( Madrid)

Exon 8

Activation cleavage site

Missense

Hom

Spain

3

103

Purified

Amino acid sequencing

17, 18, 19

Arg271Cys*
(Obihiro)

Exon 8

Activation cleavage site

Missense

Hom

Japan

18

105

 

 

20

Arg271Cys*

Exon 8

Activation cleavage site

Missense

Hom

India

10

 

 

 

21

Arg271His*
( Padua)

Exon 8

Activation cleavage site

Missense

Het

 

52

100

Plasma studied

 

22, 23

Arg271His*
(Dhahran)

Exon 8

Activation cleavage site

Missense

Hom

Saudi Arabia

5

95

 

 

24

Arg271His*
nt 1718 del GT and His562Arg

Exon 8

Exon 14

Activation cleavage site
Catalytic

Missense

Frameshift

Comp het

Bangladesh

2

26

 

 

25

Glu300Lys
Glu309Lys*
( Denver)

Exon 9
Exon 9

Catalytic
Catalytic

Missense
Missense

Comp het

 

5

 

21

Plasma studied

 

26, 27

nt 1032 del GAA*

Exon 9

Catalytic

Del Amino acid 302

Hom

Iran

7

15

Expressed

 

2, 28, 29

nt 1032 del GAA*

Exon 9

Catalytic

Del Amino acid 302

Hom

Iran

1

10

 

 

2

nt 1032 del GAA*

Exon 9

Catalytic

Del Amino acid 302

Hom

India

5

 

 

 

21

Glu309Lys*

Exon 9

Catalytic

Missense

Hom

India

8

 

 

 

21

Gly319Arg
( Segovia)

Exon 9

Catalytic

Missense

Hom

 

7

130

Purified

 

30, 31, 32

Arg320His*
( San Antonio)

Exon 9

Activation cleavage site

Missense

Het

 

44

115

Plasma studied

 

33

Gly330Ser

Exon 9

Catalytic

Missense

Hom

 

5

40

Expressed

 

2, 34

Met337Thr
(Himi I)
Arg388His
( Himi II)

Exon 10

Exon 10

Catalytic

Catalytic

Missense

Missense

Comp het

Japan

10

Normal

Purified

 

35, 36

Ser354Arg

Exon 10

Catalytic

Missense

Hom

 

14

14

 

 

2

Ala362Thr
(Vellore I)
Arg-1Gln*

Exon 10

Exon 2

Catalytic

Prepro

Missense

Comp het

 

18

 

 

 

21

Arg382His

Exon 10

Catalytic

Missense

Hom

Iran

1

61

Expressed

 

2, 37

Arg382Cys*
(Quick I)
Gly558Val
(Quick II)

Exon 10

Exon 14

Catalytic

Catalytic

Missense

Missense

Comp het

 

<2

 

 

Purified

Amino acid sequencing

38, 39

Arg382Cys*
( Corpus Christi)
Gln541stop

Exon 10

Exon 14

Catalytic

Catalytic

Missense

Nonsense

Comp het

Hispanic

2

25

Purified

 

24

Arg418Trp
Unknown
( Molise)

Exon 11

Catalytic

Missense

Comp het

 

10

 

50

Purified

 

40, 41, 42

Arg457Gln*
nt19771 del 5 bp

Exon 12
Exon 13

Catalytic
Catalytic

Missense
Frameshift

Comp het

Puerto Rico

6

15

 

 

4

Arg457Gln*

Exon 12

Catalytic

Missense

Hom

Puerto Rico

15

28

 

 

4

Arg457Gln*

Exon 12

Catalytic

Missense

Hom

Puerto Rico

19

40

 

 

4

Glu466Ala*
(Salakta)

Exon 12

Catalytic

Missense

 

Tunis

15-18

100

Purified

Amino acid sequencing

43, 44, 45

Glu466Ala*
( Frankfurt) *

Exon 12

Catalytic

Missense

Hom

Tunis

13,20

91

 

 

46

Arg517Gln
( Greenville)

Exon 13

Catalytic

Missense

Het

Caucasian

51

102

Plasma studied

 

47

Arg538Cys*

Exon 14

Catalytic

Missense

Hom

Italy- Cicely

7

6

 

 

2

Arg538Cys*

Exon 14

Catalytic

Missense

Hom

Italy- Cicely

4

4

 

 

2

Gly548Ala*
(Perija)

Exon 14

Catalytic

Missense

Hom

Yukba Indian
Venezuela

2

 

70

Plasma studied

High (35%) prothrombin deficiency frequency in the village

48, 49, 50

Lys556Thr
( Scranton)

Exon 14

 

Missense

Het

USA

58

110

 

 

51

Nucleotide numbers are based on the Genebank file NM_000506 using the A (nucleotide 32) of the ATG initiator methionine as +1.
*A Mutation that was identified in more than 1 family

References

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  2. Akhavan S, Mannucci PM, Lak M, et al: Identification and three-dimensional structural analysis of nine novel mutations in patients with prothrombin deficiency. Thromb Haemost 84:989, 2000.
  3. Strijks E, Poort SR, Renier WO, et al: Hereditary prothrombin deficiency presenting as intracranial haematoma in infancy. Neuropediatrics 30:320, 1999.
  4. Lefkowitz JB, Weller A, Nuss R, et al: A common mutation, Arg457 gGln, links prothrombin deficiencies in the Puerto Rican population. J Thromb Haemost 1:2381, 2003.
  5. Wang W, Fu Q, Zhou R, et al: Prothrombin Shanghai: Hypoprothrombinaemia caused by substitution of Gla29 by Gly. Haemophilia 10:94, 2004.
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  7. Poort SR, Michiels JJ, Reitsma PH, Bertina RM: Homozygosity for a novel missense mutation in the prothrombin gene causing a severe bleeding disorder. Thromb Haemost 72:819, 1994.
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  51. Sun WY, Smirnow D, Jenkins ML, Degen SJF: Prothrombin Scranton: Substitution of an amino acid residue involved in the binding of Na + (Lys-556 to Thr) leads to dysprothrombinemia. Thromb Haemost 85:651, 2001.