Variants p.Pro2063Ser and p.Arg324* co-segregate in type 3 von Willebrand disease patients from Southern Brazil
Ana Paula Ornaghi
Departamento de Genética e Programa de Pós-Graduação em Genética e Biologia Molecular, Instituto de Biociências, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Search for more papers by this authorMariana Rost Meireles
Departamento de Genética e Programa de Pós-Graduação em Genética e Biologia Molecular, Instituto de Biociências, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Search for more papers by this authorMariana Rodrigues Botton
Departamento de Genética e Programa de Pós-Graduação em Genética e Biologia Molecular, Instituto de Biociências, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Search for more papers by this authorFrancisco Mauro Salzano
Departamento de Genética e Programa de Pós-Graduação em Genética e Biologia Molecular, Instituto de Biociências, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
In Memoriam
Search for more papers by this authorCorresponding Author
Eliane Bandinelli
Departamento de Genética e Programa de Pós-Graduação em Genética e Biologia Molecular, Instituto de Biociências, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Correspondence
Eliane Bandinelli, Departamento de Genética, Instituto de Biociências, UFRGS, Caixa Postal 15053, 91501-970 Porto Alegre, RS, Brazil.
Email: [email protected]
Search for more papers by this authorUrsula Matte
Departamento de Genética e Programa de Pós-Graduação em Genética e Biologia Molecular, Instituto de Biociências, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Search for more papers by this authorAna Paula Ornaghi
Departamento de Genética e Programa de Pós-Graduação em Genética e Biologia Molecular, Instituto de Biociências, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Search for more papers by this authorMariana Rost Meireles
Departamento de Genética e Programa de Pós-Graduação em Genética e Biologia Molecular, Instituto de Biociências, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Search for more papers by this authorMariana Rodrigues Botton
Departamento de Genética e Programa de Pós-Graduação em Genética e Biologia Molecular, Instituto de Biociências, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Search for more papers by this authorFrancisco Mauro Salzano
Departamento de Genética e Programa de Pós-Graduação em Genética e Biologia Molecular, Instituto de Biociências, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
In Memoriam
Search for more papers by this authorCorresponding Author
Eliane Bandinelli
Departamento de Genética e Programa de Pós-Graduação em Genética e Biologia Molecular, Instituto de Biociências, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Correspondence
Eliane Bandinelli, Departamento de Genética, Instituto de Biociências, UFRGS, Caixa Postal 15053, 91501-970 Porto Alegre, RS, Brazil.
Email: [email protected]
Search for more papers by this authorUrsula Matte
Departamento de Genética e Programa de Pós-Graduação em Genética e Biologia Molecular, Instituto de Biociências, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
Search for more papers by this authorAbstract
Introduction
von Willebrand factor (VWF) is a multimeric plasma glycoprotein that plays an important role in haemostasis. von Willebrand disease (VWD) is an inherited heterogeneous bleeding disorder caused by either a quantitative or qualitative defect of VWF. Type 3 VWD, the most severe form of the disease, leads to complete quantitative VWF deficiency.
Aim
The present study aims to investigate the molecular pathogenesis of type 3 VWD patients from Southern Brazil.
Methods
The VWF gene was sequenced in 26 cases clinically diagnosed with type 3 VWD by next-generation sequencing using Ion Torrent PGM.
Results
In 25 patients, we were able to identify both disease-causing variants. We identified 72 different variants: 31 intronic and 41 exonic. Five novel variants were found: c.6976+5G>T; c.6885_6886insC; c.3378C>T (p.Cys1126); c.3346_3347insCCA; and c.2503G>T (p.Glu835*). Variants p.Pro2063Ser and p.Arg324* co-segregated in 17 patients, 15 of them in homozygosity.
Conclusion
Our results may contribute to the discussion on whether the variant p.Pro2063Ser is pathogenic or not. Finally, the presence of a common haplotype in patients bearing these two variants suggests a founder effect for this variant in our region.
CONFLICT OF INTEREST
The authors have no conflict of interest to report.
Supporting Information
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REFERENCES
- 1Mancuso DJ, Tuley EA, Westfield LA, et al. Human von Willebrand factor gene and pseudogene: structural analysis and differentiation by polymerase chain reaction. Biochemistry. 1991; 30(1): 253-269.
- 2Wagner DD. Cell biology of von Willebrand factor. Annu Rev Cell Biol. 1990; 6: 217-246.
- 3Eikenboom JC. Congenital von Willebrand disease type 3: clinical manifestations, pathophysiology and molecular biology. Best Pract Res Clin Haematol. 2001; 14(2): 365-379.
- 4Tuddenham EG. Factor VIII and haemophilia A. Baillieres Clin Haematol. 1989; 2(4): 849-877.
- 5Zhang ZP, Falk G, Blombäck M, Egberg N, Anvret M. Identification of a new nonsense mutation in the von Willebrand factor gene in patients with von Willebrand disease type III. Hum Mol Genet. 1992; 1(1): 61-62.
- 6Schneppenheim R, Krey S, Bergmann F, et al. Genetic heterogeneity of severe von Willebrand disease type III in the German population. Hum Genet. 1994; 94(6): 640-652.
- 7Baronciani L, Cozzi G, Canciani MT, et al. Molecular defects in type 3 von Willebrand disease: updated results from 40 multiethnic patients. Blood Cells Mol Dis. 2003; 30(3): 264-270.
- 8Gorziza RP, Vieira IA, Kappel DB, et al. Genetic changes in severe haemophilia A: new contribution to the aetiology of a complex disease. Blood Coagul Fibrinolysis. 2013; 24(2): 164-169.
- 9Rosset C, Vieira IA, Sinigaglia M, Gorziza RP, Salzano FM, Bandinelli E. Detection of new mutations and molecular pathology of mild and moderate haemophilia A patients from southern Brazil. Haemophilia. 2013; 19(5): 773-781.
- 10Meireles MR, Pantoja AG, Ornaghi APM, Vieira GF, Salzano FM, Bandinelli E. Molecular characterization of haemophilia B patients in southern Brazil. Haemophilia. 2017; 23(5): e457-e461.
- 11Lahiri DK, Nurnberger JI. A rapid non-enzymatic method for the preparation of HMW DNA from blood for RFLP studies. Nucleic Acids Res. 1991; 19(19): 5444.
- 12Bellissimo DB, Christopherson PA, Flood VH, et al. VWF mutations and new sequence variations identified in healthy controls are more frequent in the African-American population. Blood. 2012; 119(9): 2135-2140.
- 13Cumming A, Grundy P, Keeney S, et al. An investigation of the von Willebrand factor genotype in UK patients diagnosed to have type 1 von Willebrand disease. Thromb Haemost. 2006; 96(5): 630-641.
- 14Goodeve A, Eikenboom J, Castaman G, et al. Phenotype and genotype of a cohort of families historically diagnosed with type 1 von Willebrand disease in the European study, Molecular and Clinical Markers for the Diagnosis and Management of Type 1 von Willebrand Disease (MCMDM-1VWD). Blood. 2007; 109(1): 112-121.
- 15Sutherland MS, Keeney S, Bolton-Maggs PH, Hay CR, Will A, Cumming AM. The mutation spectrum associated with type 3 von Willebrand disease in a cohort of patients from the north west of England. Haemophilia. 2009; 15(5): 1048-1057.
- 16Elayaperumal S, Fouzia NA, Biswas A, et al. Type-3 von Willebrand disease in India-Clinical spectrum and molecular profile. Haemophilia. 2018; 24(6): 930-940.
- 17Eikenboom JC, Reitsma PH, Peerlinck KM, Briët E. Recessive inheritance of von Willebrand's disease type I. Lancet. 1993; 341(8851): 982-986.
- 18Holmberg L, Dent JA, Schneppenheim R, Budde U, Ware J, Ruggeri ZM. von Willebrand factor mutation enhancing interaction with platelets in patients with normal multimeric structure. J Clin Invest. 1993; 91(5): 2169-2177.
- 19Eikenboom JC, Vink T, Briët E, Sixma JJ, Reitsma PH. Multiple substitutions in the von Willebrand factor gene that mimic the pseudogene sequence. Proc Natl Acad Sci USA. 1994; 91(6): 2221-2224.
- 20Kanaji T, Okamura T, Kuroiwa M, Murakawa M, Kamura T, Niho Y. A sequence analysis of von Willebrand factor mRNA, gene, and pseudogene in two patients with von Willebrand disease type 2B, and an investigation of gene conversion in its gene. Int J Hematol. 1996; 64(1): 53-59.
- 21Surdhar GK, Enayat MS, Lawson S, Williams MD, Hill FG. Homozygous gene conversion in von Willebrand factor gene as a cause of type 3 von Willebrand disease and predisposition to inhibitor development. Blood. 2001; 98(1): 248-250.
- 22Kenter AL, Birshtein BK. Chi, a promoter of generalized recombination in lambda phage, is present in immunoglobulin genes. Nature. 1981; 293(5831): 402-404.
- 23Allen S, Abuzenadah AM, Hinks J, et al. A novel von Willebrand disease-causing mutation (Arg273Trp) in the von Willebrand factor propeptide that results in defective multimerization and secretion. Blood. 2000; 96(2): 560-568.
- 24Bowman M, Tuttle A, Notley C, et al. The genetics of Canadian type 3 von Willebrand disease: further evidence for co-dominant inheritance of mutant alleles. J Thromb Haemost. 2013; 11(3): 512-520.
- 25Baronciani L, Cozzi G, Canciani MT, et al. Molecular characterization of a multiethnic group of 21 patients with type 3 von Willebrand disease. Thromb Haemost. 2000; 84(4): 536-540.
- 26Gupta PK, Adamtziki E, Budde U, et al. Gene conversions are a common cause of von Willebrand disease. Br J Haematol. 2005; 130(5): 752-758.
- 27Gupta PK, Saxena R, Adamtziki E, et al. Genetic defects in von Willebrand disease type 3 in Indian and Greek patients. Blood Cells Mol Dis. 2008; 41(2): 219-222.
- 28Kasatkar P, Shetty S, Ghosh K. Genetic heterogeneity in a large cohort of Indian type 3 von Willebrand disease patients. PLoS One. 2014; 9(3):e92575.
- 29Sadler JE, Ginsburg D. A database of polymorphisms in the von Willebrand factor gene and pseudogene. For the Consortium on von Willebrand Factor Mutations and Polymorphisms and the Subcommittee on von Willebrand Factor of the Scientific and Standardization Committee of the International Society on Thrombosis and Haemostasis. Thromb Haemost. 1993; 69(2): 185-191.
- 30James PD, Notley C, Hegadorn C, et al. The mutational spectrum of type 1 von Willebrand disease: results from a Canadian cohort study. Blood. 2007; 109(1): 145-154.
- 31Kasatkar P, Ghosh K, Shetty S. A common founder mutation p. P2063S in exon 36 of VWF in 11 unrelated Indian von Willebrand disease (VWD) families. Ann Hematol. 2013; 92(8): 1147-1148.
- 32Hampshire DJ, Goodeve AC. p.P2063S: a neutral VWF variant masquerading as a mutation. Ann Hematol. 2014; 93(3): 505-506.
- 33Eikenboom J, Hilbert L, Ribba AS, et al. Expression of 14 von Willebrand factor mutations identified in patients with type 1 von Willebrand disease from the MCMDM-1VWD study. J Thromb Haemost. 2009; 7(8): 1304-1312.
- 34Johansson AM, Halldén C, Säll T, Lethagen S. Variation in the VWF gene in Swedish patients with type 1 von Willebrand disease. Ann Hum Genet. 2011; 75(4): 447-455.