Genotypes of European and Iranian patients with type 3 von Willebrand disease enrolled in 3WINTERS-IPS
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Genotypes of European and Iranian patients with type 3 von Willebrand disease enrolled in 3WINTERS-IPS. / Baronciani, Luciano; Peake, Ian; Schneppenheim, Reinhard; Goodeve, Anne; Ahmadinejad, Minoo; Badiee, Zahra; Baghaipour, Mohammad-Reza; Benitez, Olga; Bodó, Imre; Budde, Ulrich; Cairo, Andrea; Castaman, Giancarlo; Eshghi, Peyman; Goudemand, Jenny; Hassenpflug, Wolf; Hoorfar, Hamid; Karimi, Mehran; Keikhaei, Bijan; Lassila, Riitta; Leebeek, Frank W G; Lopez Fernandez, Maria Fernanda; Mannucci, Pier Mannuccio; Marino, Renato; Nikšić, Nikolas; Oyen, Florian; Santoro, Cristina; Tiede, Andreas; Toogeh, Gholamreza; Tosetto, Alberto; Trossaert, Marc; Zetterberg, Eva M K; Eikenboom, Jeroen; Federici, Augusto B; Peyvandi, Flora.
in: BLOOD ADV, Jahrgang 5, Nr. 15, 10.08.2021, S. 2987-3001.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Genotypes of European and Iranian patients with type 3 von Willebrand disease enrolled in 3WINTERS-IPS
AU - Baronciani, Luciano
AU - Peake, Ian
AU - Schneppenheim, Reinhard
AU - Goodeve, Anne
AU - Ahmadinejad, Minoo
AU - Badiee, Zahra
AU - Baghaipour, Mohammad-Reza
AU - Benitez, Olga
AU - Bodó, Imre
AU - Budde, Ulrich
AU - Cairo, Andrea
AU - Castaman, Giancarlo
AU - Eshghi, Peyman
AU - Goudemand, Jenny
AU - Hassenpflug, Wolf
AU - Hoorfar, Hamid
AU - Karimi, Mehran
AU - Keikhaei, Bijan
AU - Lassila, Riitta
AU - Leebeek, Frank W G
AU - Lopez Fernandez, Maria Fernanda
AU - Mannucci, Pier Mannuccio
AU - Marino, Renato
AU - Nikšić, Nikolas
AU - Oyen, Florian
AU - Santoro, Cristina
AU - Tiede, Andreas
AU - Toogeh, Gholamreza
AU - Tosetto, Alberto
AU - Trossaert, Marc
AU - Zetterberg, Eva M K
AU - Eikenboom, Jeroen
AU - Federici, Augusto B
AU - Peyvandi, Flora
N1 - © 2021 by The American Society of Hematology.
PY - 2021/8/10
Y1 - 2021/8/10
N2 - Type 3 von Willebrand disease (VWD3) is a rare and severe bleeding disorder characterized by often undetectable von Willebrand factor (VWF) plasma levels, a recessive inheritance pattern, and heterogeneous genotype. The objective of this study was to identify the VWF defects in 265 European and Iranian patients with VWD3 enrolled in 3WINTERS-IPS (Type 3 Von Willebrand International Registries Inhibitor Prospective Study). All analyses were performed in centralized laboratories. The VWF genotype was studied in 231 patients with available DNA (121 [115 families] from Europe [EU], and 110 [91 families] from Iran [IR]). Among 206 unrelated patients, 134 were homozygous (EU/IR = 57/77) and 50 were compound heterozygous (EU/IR = 43/7) for VWF variants. In 22 patients, no or only one variant was found. A total of 154 different VWF variants (EU/IR = 101/58 [5 shared]) were identified among the 379 affected alleles (EU/IR = 210/169), of which 48 (EU/IR = 18/30) were novel. The variants p.Arg1659*, p.Arg1853*, p.Arg2535*, p.Cys275Ser, and delEx1_Ex5 were found in both European and Iranian VWD3 patients. Sixty variants were identified only in a single allele (EU/IR = 50/10), whereas 18 were recurrent (≥3 patients) within 144 affected alleles. Nine large deletions and one large insertion were found. Although most variants predicted null alleles, 21% of patients carried at least 1 missense variant. VWD3 genotype was more heterogeneous in the European population than in the Iranian population, with nearly twice as many different variants. A higher number of novel variants were found in the Iranian VWD3 patients.
AB - Type 3 von Willebrand disease (VWD3) is a rare and severe bleeding disorder characterized by often undetectable von Willebrand factor (VWF) plasma levels, a recessive inheritance pattern, and heterogeneous genotype. The objective of this study was to identify the VWF defects in 265 European and Iranian patients with VWD3 enrolled in 3WINTERS-IPS (Type 3 Von Willebrand International Registries Inhibitor Prospective Study). All analyses were performed in centralized laboratories. The VWF genotype was studied in 231 patients with available DNA (121 [115 families] from Europe [EU], and 110 [91 families] from Iran [IR]). Among 206 unrelated patients, 134 were homozygous (EU/IR = 57/77) and 50 were compound heterozygous (EU/IR = 43/7) for VWF variants. In 22 patients, no or only one variant was found. A total of 154 different VWF variants (EU/IR = 101/58 [5 shared]) were identified among the 379 affected alleles (EU/IR = 210/169), of which 48 (EU/IR = 18/30) were novel. The variants p.Arg1659*, p.Arg1853*, p.Arg2535*, p.Cys275Ser, and delEx1_Ex5 were found in both European and Iranian VWD3 patients. Sixty variants were identified only in a single allele (EU/IR = 50/10), whereas 18 were recurrent (≥3 patients) within 144 affected alleles. Nine large deletions and one large insertion were found. Although most variants predicted null alleles, 21% of patients carried at least 1 missense variant. VWD3 genotype was more heterogeneous in the European population than in the Iranian population, with nearly twice as many different variants. A higher number of novel variants were found in the Iranian VWD3 patients.
KW - Genotype
KW - Humans
KW - Iran/epidemiology
KW - Prospective Studies
KW - von Willebrand Disease, Type 3/diagnosis
KW - von Willebrand Diseases
U2 - 10.1182/bloodadvances.2020003397
DO - 10.1182/bloodadvances.2020003397
M3 - SCORING: Journal article
C2 - 34351388
VL - 5
SP - 2987
EP - 3001
JO - BLOOD ADV
JF - BLOOD ADV
SN - 2473-9529
IS - 15
ER -