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학술저널
저자정보
Sujayendra Kulkarni (Human Genetics Laboratory, Department of Anatomy, Shri B.M Patil Medical College, Hospital and Rese) Rajat Hegde (Karnataka Institute for DNA Research (KIDNAR) Dharwad India) Smita Hegde (Karnataka Institute for DNA Research (KIDNAR) Dharwad India) Suyamindra S. Kulkarni (Karnataka Institute for DNA Research (KIDNAR) Dharwad India) Suresh Hanagvadi (Department of Pathology, J. J. M. Medical College, Davangere, Karnataka, India) Kusal K. Das (Laboratory of Vascular Physiology and Medicine, Department of Physiology, Shri B. M. Patil Medical) Sanjeev Kolagi (Department of Anatomy, S. Nijaliangappa Medical College, HSK Hospital and Research Center, Bagalkot) Pramod B. Gai (Karnataka Institute for DNA Research (KIDNAR), Dharwad, India) Rudragouda Bulagouda (Human Genetics Laboratory, Department of Anatomy, Shri B.M Patil Medical College, Hospital and Rese)
저널정보
대한혈액학회 Blood Research Blood Research Vol.56 No.4
발행연도
2021.12
수록면
252 - 258 (7page)
DOI
10.5045/br.2021.2021016

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Background Hemophilia B (HB) is an X-linked bleeding disorder resulting from coagulation factor IX defects. Over 3,000 pathogenic, HB-associated mutations in the F9 gene have been identified. We aimed to investigate the role of F9 variants in 150 HB patients using sequencing technology. Methods F9 gene sequences were amplified from peripheral blood-derived DNA and sequenced on an Applied Biosystems (ABI) 3500 Sanger sequencing platform. Functional and structural predictions of mutant FIX were analyzed. Results Among 150 HB patients, 102 (68%), 30 (20%), and 18 (12%) suffered from severe, moderate, and mild HB, respectively. Genetic analysis identified 16 mutations, including 3 novel mutations. Nine mutations (7 missense and 2 stop-gain) were found to be pathogenic. Only 3 mutations (c.127C>T, c.470G>A, and c.1070G>A) were associated with different severities. While 2 mutations were associated with mild HB cases (c.304C>T and c.580A>G), 2 (c.195G>A and c.1385A>G) and 3 mutations (c.223C>T, c.1187G>A, and c.1232G>A) resulted in moderate and severe disease, respectively. Additionally, 1 mutation each was associated with mild-moderate (c.*1110A>G) and mild-severe HB disease (c.197A>T), 4 mutations were associated with moderate-severe HB cases (c.314A>G, c.198A>T, c.676C>T, and c.1094C>A). FIX concentrations were lower in the mutated group (5.5±2.5% vs. 8.0±2.5%). Novel p.E66D and p.S365 mutations were predicted to be pathogenic based on changes in FIX structure and function. Conclusion Novel single nucleotide polymorphisms (SNPs) largely contributed to the pathogenesis of HB. Our study strongly suggests that population-based genetic screening will be particularly helpful to identify risk prediction and carrier detection tools for Indian HB patients.

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