Missense mutation Thr309Lys in the coagulation factor XII gene in a Spanish family with hereditary angioedema type III

Authors: Prieto, A.1; Tornero, P.1; Rubio, M.1; Fernández-Cruz, E.2; Rodriguez-Sainz, C.2

Source: Allergy, Volume 64, Number 2, February 2009 , pp. 284-286(3)

Publisher: Blackwell Publishing

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Abstract:

Background: 

A new type of hereditary angioedema (type III) affecting mainly women with normal C1-inhibitor level and function has been described. Exposition to estrogens is an important precipitating factor. Recently, a missense mutation in the gene of the blood coagulation factor XII (Hageman factor) has been reported in a few families with this type of hereditary angioedema. Aim: 

To study a patient and her family with recurrent swelling attacks during pregnancy. Methods: 

Complement factors C3 and C4 as well as C1-inhibitor level and function were determined. Genomic DNA was isolated from venous blood samples and screened for mutations in the coagulation factor XII gene. Results: 

C3 and C4 levels as well as C1-inhibitor level and function were normal. A missense mutation Thr309Lys was identified in factor XII gene with a heterozygotic pattern. This mutation was also identified in the mother of the patient, her daughter and her son. Conclusion: 

These results support that the mentioned mutation in factor XII gene causes hereditary angioedema type III.

Keywords: coagulation factor XII; hereditary angioedema type III; missense mutation

Document Type: Research article

DOI: 10.1111/j.1398-9995.2008.01764.x

Affiliations: 1: Allergy Service 2: Immunology Service, Hospital General Universitario Gregorio Marañón, Madrid, Spain

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