Yan Jing-Bin
Institute of Medical Genetics, Shanghai Jiaotong University, Shanghai 200040, China.
Yi Chuan. 2005 Sep;27(5):833-8.
Hemophilia B is an X-linked bleeding disease, caused by the mutations of human coagulation factor IX (hFIX) gene located in chromosome X. It results in a dramatic decline of hFIX quantity or clotting activity in plasma, and the intrinsic clotting pathway is affected seriously. In this article, the structure and function of hFIX gene as well as the protein encoded by this gene were reviewed. Various types of hFIX mutants found in hemophilia B were also described, including the mutations caused by founder effects, mutations in regulatory region, coding region, splicing sites of introns and two other special mutations. Meanwhile, the biological effects of the mutations described above were discussed. Finally, a mutation type (Arg-->Ala at point 338) that can increase the clotting activity of hFIX as well as the potential application was briefly introduced.
血友病B是一种X连锁出血性疾病,由位于X染色体上的人类凝血因子IX(hFIX)基因突变引起。它导致血浆中hFIX数量或凝血活性急剧下降,内源性凝血途径受到严重影响。本文综述了hFIX基因的结构和功能以及该基因编码的蛋白质。还描述了在血友病B中发现的各种类型的hFIX突变体,包括由奠基者效应引起的突变、调控区突变、编码区突变、内含子剪接位点突变以及另外两种特殊突变。同时,讨论了上述突变的生物学效应。最后,简要介绍了一种可增加hFIX凝血活性的突变类型(第338位Arg→Ala)及其潜在应用。