Bleeding disorders in Lowe syndrome patients: evidence for a link between OCRL mutations and primary haemostasis disorders

Bleeding disorders in Lowe syndrome patients: evidence for a link between OCRL mutations and primary haemostasis disorders
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DOI:
10.1111/j.1365-2141.2010.08304.x
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发表时间:
2010-09-01
影响因子:
6.5
通讯作者:
Bachelot-Loza, Christilla
Bachelot-Loza, Christilla
中科院分区:
医学2区
文献类型:
--
作者:
Lasne, Dominique;Baujat, Genevieve;Bachelot-Loza, Christilla

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Lowe综合征(LS)是一种罕见的X连锁疾病,由眼脑肾基因(OCRL)突变引起,OCRL编码一种具有RhoGAP结构域的磷脂酰肌醇5-磷酸酶。在一项回顾性临床调查中发现出血事件发生率异常。在此,我们报告的结果,探索止血在六个LS患者。所有患者的凝血试验均正常,但PFA-100系统的闭合时间(CT)延长。与RhoA激酶抑制剂孵育的健康供体的血液样品具有延长的CT。这表明血小板中异常的RhoA通路有助于LS中的CT延长和原发性止血障碍。
Lowe syndrome (LS) is a rare X-linked disorder caused by mutations in the oculocerebrorenal gene (OCRL), encoding OCRL, a phosphatidylinositol 5-phosphatase with a RhoGAP domain. An abnormal rate of haemorrhagic events was found in a retrospective clinical survey. Herein, we report the results of exploration of haemostasis in six LS patients. All patients had normal coagulation tests but prolonged closure times (CTs) in the PFA-100 system. Healthy donors' blood samples incubated with a RhoA kinase inhibitor had prolonged CTs. This suggests that an aberrant RhoA pathway in platelets contributes to CT prolongation and primary haemostasis disorders in LS.