Naturally occurring mutations in glycoprotein Ibα that result in defective ligand binding and synthesis of a truncated protein
Naturally occurring mutations in glycoprotein Ibα that result in defective ligand binding and synthesis of a truncated protein
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DOI:
10.1182/blood.v92.1.175.413a36_175_183
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发表时间:
1998-07-01
期刊:
影响因子:
20.3
通讯作者:
Montgomery, RR
中科院分区:
文献类型:
--
作者:
Kenny, D;Jónsson, OG;Montgomery, RR
The platelet GPIb-V-IX complex is the receptor for the initial binding of von Willebrand factor (vWF) mediating platelet adhesion, The complex is composed of four membrane-spanning glycoproteins (GP): GPIb alpha, GPIb beta, GPIX, and GPV, Bernard-Soulier syndrome results from a qualitative or quantitative defect in one or more components of the platelet membrane GPIb-V-IX complex, We describe the molecular basis of a novel Bernard-Soulier syndrome variant in two siblings in whom GPIb alpha was not detected on the platelet surface but that was present in a soluble form in plasma. DNA sequence analysis showed that the affected individuals were compound heterozygotes for two mutations. One, inherited from a maternal allele, a T-777 --> C point mutation in GPIb alpha converting Cys(65) --> Arg within the second leucine rich repeat, the other, a single nucleotide substitution (G(2078) --> A) for the tryptophan codon (TGG) causing a nonsense codon (TGA) at residue 498 within the transmembrane region of GPIb alpha, inherited from a mutant paternal allele, The Bernard-Soulier phenotype was observed in siblings who were compound heterozygotes for these two mutations, Although GPlba was not detected on the surface of the patient's platelets, soluble GPIb alpha could be immunoprecipitated from plasma. When plasmids encoding GPIb alpha containing the Cys(65) --> Arg mutation were transiently transfected into Chinese hamster ovary (CHO) cells stably expressing the GP beta-IX complex (CHO beta IX), the expression of GPIb alpha was similar to the wild-type (WT) GPIb alpha, but did not bind vWF. When plasmids encoding GPIb alpha containing the Trp(498) --> stop were transiently transfected into CHO beta IX, the surface expression of GPIb alpha was barely detectable compared with the WT GPIb alpha. Thus, this newly described compound heterozygous defect produces Bernard-Soulier syndrome by a combination of synthesis of a nonfunctional protein and of a truncated protein that fails to insert into the platelet membrane and is found circulating in plasma. (C) 1998 by The American Society of Hematology.