Protein C deficiency (McK. No. 176860) is an autosomally inherited disorder that is associated with a high risk of recurrent venous thrombosis. Until recently, the analysis and diagnosis of protein C deficiency has been reliant upon the laboratory measurement of plasma protein C antigen and activity levels. Diagnostic uncertainty ffioy, however, arise due to the overlap between the ranges of values characteristic of the normal and deficiency states. Diagnostic uncertainty may be further increased if the patient is already undergoing ordl anticoagulant therapy with vitamin K antagonists such as Coumarin drugs that block y-carboxylation. Moreover, this type of laboratory analysis provides little or no information as to the nature of the underlying defect or its mode of inheritance. The utility of a molecular genetic approach to the study of protein C deficiency lies in its ability to provide accurate and reliable information both on the specific genetic lesion(s) involved and on the genotypes of the propositae and their relatives. Precise knowledge of the underlying genetic abnormalities may also provide starting points for the structure-function analysis of the protein C gene (the effect of promoter mutations on gene expression) and molecule (protein C variants). With the advent of rapid and efficient techniques for the analysis of DNA at the single nucleotide level, such an approach has become feasible in an increasing number of laboratories. Here, we present an up-todate listing of mutations in the protein C gene so far identified. Only a small proportion of these lesions have been published in any detail. All unreviewed and unpublished data must be regarded as preliminary. Inclusion in the database should not preclude more detailed publication elsewhere. Structure and Function of Protein C Protein C, a vitamin K-dependent glycoprotein and zymogen of a serine protease, plays an important regulatory role in haemostasis (1, 2). Synthesized in the liver as a single-chain polypeptide, it undergoes post-translational modification (B-hydroxylation, y-carboxylation and glycosylation) to give rise