Laboratory of Genetics, Immunology and Human Pathologies, Tunis, Tunisia.
Diagn Pathol. 2012 Aug 8;7:92. doi: 10.1186/1746-1596-7-92.
Inherited factor VII (FVII) deficiency is a rare disorder characterized by a bleeding phenotype varying from mild to severe. To date, more than 200 mutations have been described along the F7 gene encoding for FVII. The aim of this study was the identification of genetic defects underlying FVII deficiency in 10 patients belonging to eight unrelated families of the North provinces from Tunisia. Mutation detection was performed by sequencing the whole F7 gene coding region, exon-intron boundaries and about 400 bp of the promoter region. We identified 5 mutations in five unrelated families; the novel p.F328Y mutation and the reported mutations: p.R304Q, p.M298I, IVS1aG > A and p.G-39G. For the remaining 5 patients we didn't identified any mutations using PCR/Sequencing protocol. In conclusion, this study represents the first comprehensive molecular series of FVII deficiency affected patients in Tunisia from the North. We will try in the future to continue the molecular study for Tunisian patients from Center and South provinces in order to have a complete idea about the FVII deficiency mutational profile in our country.
The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1288044089753085.
遗传性因子 VII(FVII)缺乏症是一种罕见的疾病,其出血表型从轻度到重度不等。迄今为止,已经在编码 FVII 的 F7 基因中描述了超过 200 种突变。本研究的目的是鉴定来自突尼斯北部 8 个无关家庭的 10 名 FVII 缺乏症患者的遗传缺陷。通过对整个 F7 基因编码区、外显子-内含子边界和启动子区约 400bp 进行测序,检测突变。我们在 5 个无关家庭中发现了 5 种突变;新的 p.F328Y 突变和已报道的突变:p.R304Q、p.M298I、IVS1aG> A 和 p.G-39G。对于其余 5 名患者,我们使用 PCR/测序方案未发现任何突变。总之,本研究代表了突尼斯北部 FVII 缺乏症患者的第一个全面分子系列。我们将在未来尝试继续对突尼斯中部和南部省份的患者进行分子研究,以便对我们国家的 FVII 缺乏症突变谱有一个完整的了解。