SummaryWe report two novel hypofibrinogenemias, Shizuoka III and Kanazawa II, which are caused by heterozygous mutations in FGG. Shizuoka III showed c.147delT and 147_149insACA in FGG exon 3 and a subsequent frameshift mutation, resulting in γ23X (stop codon), and Kanazawa II showed c.1205G>A in FGG exon 9, resulting in γ376X.To determine whether the truncated γ-chains, γ23X and γ376X, were synthesized and participated in the assembly of fibrinogen, mutant-type cDNA vectors were transfected into Chinese hamster ovary (CHO) cells. Significant levels of mutant fibrinogen were not detected by ELISA in the culture media and cell lysates. Immunoblot analysis of cell lysates revealed that the mutant γ-chain of γ376X was observed but intact fibrinogen was not. On the other hand, mutant γ-chain was not observed in γ23X-expressing cells.To demonstrate the involvement of the mechanisms of nonsense-mediated mRNA decay (NMD), we cloned wild-and mutant-type mini-genes containing γ23-or γ376-codon and transfected these into CHO cell lines in the absence or presence of cycloheximide (CHX) as an NMD inhibitor. mRNA levels were determined using real-time quantitative RT-PCR in CHO cells. In the absence of CHX, levels of mRNAs transcribed from the mutant gene were lower than from the wild-type gene whereas, in the presence of CHX, levels of mRNAs transcribed from the mutant gene increased dose-dependently.
3Finally, these results demonstrated that aberrant mRNAs containing γ23X or γ376X are degraded by the NMD system and translation decrease in hepatocytes, resulting in hypofibrinogenemias.4