Au W Y, Cheung J W, Lam C C K, Kwong Y L
University Department of Medicine, Queen Mary Hospital, Hong Kong.
Am J Hematol. 2003 Oct;74(2):136-8. doi: 10.1002/ajh.10396.
We describe a Chinese family with factor XI deficiency, the first reported to date. The proband had factor XI activity of 1% and was heterozygous for two nonsense mutations, an exon-8 C713-->T mutation resulting in Gln263-->Term, and an exon-10 C979-->A mutation resulting in Tyr351-->Term. Two daughters were heterozygous for the Gln263-->Term mutation and two for the Try351-->Term mutation. All showed a reduction of factor XI activity to about 50%. The Gln263-->Term mutation has been described in two Japanese families, and it remains to be determined whether a common founder exists between the three kindreds. The Try351-->Term mutation is novel.
我们描述了一个患有因子XI缺乏症的中国家庭,这是迄今为止首次报道的此类病例。先证者的因子XI活性为1%,并且存在两个无义突变的杂合子,一个是外显子8的C713→T突变,导致Gln263→终止密码子,另一个是外显子10的C979→A突变,导致Tyr351→终止密码子。两个女儿是Gln263→终止密码子突变的杂合子,另外两个是Tyr351→终止密码子突变的杂合子。所有人的因子XI活性均降低至约50%。Gln263→终止密码子突变已在两个日本家庭中被描述,这三个家族之间是否存在共同的奠基者仍有待确定。Tyr351→终止密码子突变是新发现的。