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Title: Nonsense mutation in the glycoprotein Ib. alpha. coding sequence associated with Bernard-Soulier syndrome

Journal Article · · Proceedings of the National Academy of Sciences of the United States of America; (USA)

Three distinct gene products, the {alpha} and {beta} chains of glycoprotein (GP) Ib and GP IX, constitute the platelet membrane GP Ib-IX complex, a receptor for von Willebrand factor and thrombin involved in platelet adhesion and aggregation. Defective function of the GP Ib-IX complex is the hallmark of a rare congenital bleeding disorder of still undefined pathogenesis, the Bernard-Soulier syndrome. The authors have analyzed the molecular basis of the disease in one patient in whom immunoblotting of solubilized platelets demonstrated absence of normal GP Ib{alpha} but presence of a smaller immunoreactive species. The truncated polypeptide was also present, along with normal protein, in platelets from the patient's mother and two of his four children. Genetic characterization identified a nucleotide transition changing the Trp-343 codon (TGG) to a nonsense codon (TGA). Such a mutation explains the origin of the smaller GP Ib{alpha}, which by lacking half of the sequence on the carboxyl-terminal side, including the transmembrane domain, cannot be properly inserted in the platelet membrane. Both normal and mutant codons were found in the patient, suggesting that he is a compound heterozygote with a still unidentified defect in the other GP Ib{alpha} allele. Nonsense mutation and truncated GP Ib{alpha} polypeptide were found to cosegregate in four individuals through three generations and were associated with either Bernard-Soulier syndrome or carrier state phenotype. The molecular abnormality demonstrated in this family provides evidence that defective synthesis of GP Ib{alpha} alters the membrane expression of the GP Ib-IX complex and may be responsible for Bernard-Soulier syndrome.

OSTI ID:
5989485
Journal Information:
Proceedings of the National Academy of Sciences of the United States of America; (USA), Vol. 87:5; ISSN 0027-8424
Country of Publication:
United States
Language:
English

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