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pubmed-article:11858490pubmed:abstractTextThe molecular basis of Factor V deficiency has been defined in few patients only. We report a homozygous nucleotide change (G6395A) in two Tunisian probands with Factor V deficiency and bleeding episodes. This substitution results in the replacement of an arginine (R) by a histidine (H) in amino acid position 2074, located in the Factor V C2-domain. Mutations in this protein domain have not previously been described. Several lines of evidence support that this sequence variant is indeed disease causing: 1) Crystal structures of Factor V and molecular C2-domain modeling studies of H2074 suggest that the conserved R2074 is required for correct folding; 2) Structure-function studies of selective Factor V mutants (R2074A) demonstrate the importance of R2074 for structural stability of the Factor V C2-domain and for cofactor activity (1); 3) In Factor VIII, point mutations in codon 2209, which corresponds to position 2074 in Factor V, cause hemophilia A.lld:pubmed
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pubmed-article:11858490pubmed:articleTitleNovel factor V C2-domain mutation (R2074H) in two families with factor V deficiency and bleeding.lld:pubmed
pubmed-article:11858490pubmed:affiliationDepartment of Pathology, Stanford University School of Medicine, CA 94305, USA.lld:pubmed
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