A novel type 2A von Willebrand factor mutation (V1499E) associated with variable clinical expression.
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A novel type 2A von Willebrand factor mutation (V1499E) associated with variable clinical expression. / van Den, Heuvel; Esther, [Unbekannt]; Laat, de; Bas, [Unbekannt]; Eckmann, [Unbekannt]; Carel, M; Michiels, [Unbekannt]; Jan, J; Schneppenheim, Reinhard; Reinhard, [Unbekannt]; Ulrich, Budde; Mourik, van; Jan, A; Versteegh, [Unbekannt]; Florens, G A.
In: J PEDIAT HEMATOL ONC, Vol. 31, No. 4, 4, 2009, p. 277-280.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - A novel type 2A von Willebrand factor mutation (V1499E) associated with variable clinical expression.
AU - van Den, Heuvel
AU - Esther, [Unbekannt]
AU - Laat, de
AU - Bas, [Unbekannt]
AU - Eckmann, [Unbekannt]
AU - Carel, M
AU - Michiels, [Unbekannt]
AU - Jan, J
AU - Schneppenheim, Reinhard
AU - Reinhard, [Unbekannt]
AU - Ulrich, Budde
AU - Mourik, van
AU - Jan, A
AU - Versteegh, [Unbekannt]
AU - Florens, G A
PY - 2009
Y1 - 2009
N2 - We have identified a previously unreported mutation, V1499E, with a high penetrance in a family with type 2A von Willebrand disease. Affected family members were difficult to identify owing to variable von Willebrand factor (VWF) levels, variable expression of VWF multimers, and clinical symptoms. Recombinant V1499E-VWF was more readily cleaved by ADAMTS13 than the wild-type protein, suggesting that V1499E is the causative mutation. Surprisingly, this seemingly novel unique mutation was also found in other family members in 2 other hospitals displaying the same variable laboratory and clinical symptoms. The fact that this V1499E mutation was detected independently in 3 hospitals is strongly in favor of 1 central database, especially considering the variable laboratory and clinical picture.
AB - We have identified a previously unreported mutation, V1499E, with a high penetrance in a family with type 2A von Willebrand disease. Affected family members were difficult to identify owing to variable von Willebrand factor (VWF) levels, variable expression of VWF multimers, and clinical symptoms. Recombinant V1499E-VWF was more readily cleaved by ADAMTS13 than the wild-type protein, suggesting that V1499E is the causative mutation. Surprisingly, this seemingly novel unique mutation was also found in other family members in 2 other hospitals displaying the same variable laboratory and clinical symptoms. The fact that this V1499E mutation was detected independently in 3 hospitals is strongly in favor of 1 central database, especially considering the variable laboratory and clinical picture.
M3 - SCORING: Zeitschriftenaufsatz
VL - 31
SP - 277
EP - 280
JO - J PEDIAT HEMATOL ONC
JF - J PEDIAT HEMATOL ONC
SN - 1077-4114
IS - 4
M1 - 4
ER -