2011
DOI: 10.1097/mbc.0b013e3283497699
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Mutation in the factor VII hepatocyte nuclear factor 4α-binding site contributes to factor VII deficiency

Abstract: Severe coagulant factor VII (FVII) deficiency in postpubertal dizygotic twin males results from two point mutations in the FVII gene, a promoter region T→C transition at -60 and a His-to-Arg substitution at amino acid 348; both mutations prevent persistence of plasma functional FVII. This report documents longitudinal laboratory measurements from infancy to adulthood of FVII coagulant activity (FVII:C) in the twin FVII-deficient patients; it also details specific biochemical analyses of the -60 T→C mutation. T… Show more

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Cited by 6 publications
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“…For example, Mutations leading to Factor VII deficiency and severe bleeding disorders occur in a promoter region harboring a CRM shared in all five species ( Figure 8—figure supplement 1A ). Several mutations (including SNP variant rs561241) within a conserved HNF4A motif have been shown to perturb F7 transcription leading to hemophilia ( Zheng et al, 2011 ). A critical highly conserved CRM localizes to the F9 promoter ( Figure 8—figure supplement 1B ).…”
Section: Resultsmentioning
confidence: 99%
“…For example, Mutations leading to Factor VII deficiency and severe bleeding disorders occur in a promoter region harboring a CRM shared in all five species ( Figure 8—figure supplement 1A ). Several mutations (including SNP variant rs561241) within a conserved HNF4A motif have been shown to perturb F7 transcription leading to hemophilia ( Zheng et al, 2011 ). A critical highly conserved CRM localizes to the F9 promoter ( Figure 8—figure supplement 1B ).…”
Section: Resultsmentioning
confidence: 99%
“…Nuclear HNF4A is a crucial transcription factor during embryonic liver development and hepatocyte differentiation [59]. Available literature shows that HNF4A is the major liver-specific transcription factor that modulates the expression of nearly 42% of the genes expressed in hepatocytes, involved in glucose, fatty acid metabolism, synthesis of blood coagulation factor VII, enzymes involved in hepatic detoxification, and hepatic differentiation [60,61,62,63,64,65]. Our data is supported by studies showing that mRNA and protein expression levels of HNF4A decreased severely patients with cirrhosis.…”
Section: Discussionmentioning
confidence: 99%
“…Our study also provides an explanation why HNF4A targeted protein expression is decreased in cirrhosis due to severe hepatic stress response. Studies have shown that decreased expression of HNF4A is also correlate with bleeding disorder due to decreased expression of the blood coagulation factor VII [64,65].…”
Section: Discussionmentioning
confidence: 99%
“…Patients homozygous for deleterious promoter mutations reducing transcription of the FVII gene (F7) [17], [18], [19], [20], [21], although rare, have been diagnosed following severe bleeding episodes that usually first occur during infancy. The phenotype of the F7 knockout mouse is reminiscent of that of patients with severe FVII deficiency.…”
Section: Introductionmentioning
confidence: 99%