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Thromb Haemost 1978; 40(02): 335-349
DOI: 10.1055/s-0038-1648667
Original Article
Schattauer GmbH Stuttgart

The Abnormal Factor IX of Hemophilia B+ Variants

Rogier M Bertina
The Hemostasis and Thrombosis Research Unit, Department of Medicine, University Hospital Leiden, Rijns burgerweg 10, Leiden, The Netherlands
,
Jan J Veltkamp
The Hemostasis and Thrombosis Research Unit, Department of Medicine, University Hospital Leiden, Rijns burgerweg 10, Leiden, The Netherlands
› Author Affiliations
Further Information

Publication History

Received 30 September 1977

Accepted 14 January 1978

Publication Date:
12 July 2018 (online)

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Summary

A rather large proportion of the hemophilia B patients can be characterized as hemophilia B+ because of the presence in their plasma of a protein which is immunologically identical with human factor IX. In a group of 33 hemophilia B patients we found 14 cases of hemophilia B+ belonging to 11 independent pedigrees. The variant factor IX molecules of these families have been compared with respect to the following properties: 1) factor IX activity and its dependence on phospholipid concentration; 2) factor IX antigen; 3) prolongation of prothrombin time with an ox brain thromboplastin; 4) electrophoretic mobility; 5) Ca2+ binding capacity; 6) affinity for binding to heparin and 7) susceptibility of the factor IX antigen to contact-induced activation. In the study of these parameters the use of a precipitating antibody against highly purified human factor IX showed to be of great value. According to our criteria at least 7 different factor IX variants were present in the 11 families with hemophilia B+ studied. Because of this rather high heterogeneity a suitable nomenclature for subclassification of hemophilia B+ variants is proposed.

 

  • References

  • 1 Andersson L-O, Borg H, Miller-Andersson M. 1975; Purification and characterization of human factor IX. Thrombosis Research 7: 451
    CrossrefPubMedSearch in Google Scholar
  • 2 Bertina RM, Linden IK. Van Der. 1977; Inhibitor-neutralisation assay and electroimmunoassay of human factor IX (Christmas factor). Clinica chimica acta 77: 275
    CrossrefPubMedSearch in Google Scholar
  • 3 Briët E. 1977. Three problems of hemophilia B. A study of abnormal factor IX molecules with an inhibitor neutralization assay. M. D. Thesis; Leiden:
    Search in Google Scholar
  • 4 Davie EW, Fujikawa K, Lindquist P, Di Scipio R, Kurachi K, Heimark R. 1977; The role of factor IX (Christmas factor) in blood coagulation. Thrombosis and Haemostasis 38: 115
    PubMedSearch in Google Scholar
  • 5 Denson KW E, Biggs R, Mannucci PM. 1968; An investigation of three patients with Christmas disease due to an abnormal type of factor IX. Journal of Clinical Pathology 21: 160
    CrossrefPubMedSearch in Google Scholar
  • 6 Di Scipio RG, Hermodson MA, Yates SG, Davie EW. 1977; A comparison of human prothrombin, factor IX (Christmas factor), factor X (Stuart factor), and protein S. Biochemistry 16: 698
    CrossrefPubMedSearch in Google Scholar
  • 7 Elödi S, Puskás E. 1972; Variants of haemophilia B. Thrombosis et Diathesis Haemorrhagica 28: 489
    PubMedSearch in Google Scholar
  • 8 Girolami A, Sticchi A, Burul A, Dal Bozanon R. 1977; An immunological investigation of hemophilia B with a tentative classification of the disease into five variants. Vox Sanguinis 32: 230
    CrossrefPubMedSearch in Google Scholar
  • 9 Graham JB, Barrett II DA, Blömback B, Cann HM, Hardisty RM, Larrieu MJ, Renwick JH. 1973; Reports from the International Committee of Haemostasis and Thrombosis. I. A genetic nomenclature for human blood coagulation. Thrombosis et Diathesis Haemorrhagica 30: 2
    PubMedSearch in Google Scholar
  • 10 HOUGIE C, TWOMEY JJ. 1967; Haemophilia Bm: A new type of factor-IX deficiency. Lancet I: 689
    PubMedSearch in Google Scholar
  • 11 Kasper CK, ØSterud B, Rapaport SI. 1977; Hemophilia B: genetic variants and carrier detection. Thrombosis and Haemostasis 38: 116
    PubMedSearch in Google Scholar
  • 12 Lavergne JM, Josso F. 1975. Metabolism of PIVKA II in man. In: Hemker HC, Veltkamp JJ. (ed.) Prothrombin and Related Coagulation Factors, Boerhaave series no 10. Leiden University Press; Leiden: p 183
    Search in Google Scholar
  • 13 Lindhout MJ, Kop-Klaassen BH M. 1975. Proteins induced by vitamin K antagonists (PIVKAs). In: Hemker HC, Veltkamp JJ. (ed.) Prothrombin and Related Coagulation Factors, Boerhaave series no 10. Leiden University Press; Leiden: p 274
    Search in Google Scholar
  • 14 Lowry O, Roseborough N, Farr A, Randall R. 1951; Protein measurement with the Folin phenol reagent. Journal of Biological Chemistry 193: 265
    PubMedSearch in Google Scholar
  • 15 Matsuoka M, Masakazu I, Takahashi K, Sakuragawa N. 1976; An immunological method for detection of the carrier of hemophilia B. Thrombosis and Haemostasis 36: 441
    Thieme ConnectPubMedSearch in Google Scholar
  • 16 Ménaché D. 1977; Clinical use of factor IX concentrates. Thrombosis and Haemostasis 38: 117
    PubMedSearch in Google Scholar
  • 17 Meyer D, Larrieu MJ. 1971; Factor VIII and IX variants. Relationship between haemophilia BM and haemophilia B+ European Journal of Clinical Investigation 1: 425
    CrossrefPubMedSearch in Google Scholar
  • 18 Nossel HL. 1964. The Contact Phase of Blood Coagulation. Blackwell Scientific Publications; Oxford:
    Search in Google Scholar
  • 19 Ørstavik KH, Østerud B, Prydz H, Berg K. 1975; Electroimmunoassay of factor IX in hemophilia B. Thrombosis Research 7: 373
    CrossrefPubMedSearch in Google Scholar
  • 20 Østerud B, Flengsrud R. 1975; Purification and some characteristics of the coagulation factor IX from human plasma. Biochemical Journal 145: 469
    CrossrefPubMedSearch in Google Scholar
  • 21 Østerud B, Laake K, Prydz H. 1975; The activation of human factor IX. Thrombosis et Diathesis Haemorrhagica 33: 553
    PubMedSearch in Google Scholar
  • 22 Pfueller S, Somer JB, Castaldi PA. 1969; Haemophilia B due to an abnormal factor IX. Coagulation 2: 213
    PubMedSearch in Google Scholar
  • 23 Roberts HR, Grizzle JE, Mclester WD, Penick GD. 1968; Genetic variants of hemophilia B: Detection by means of a specific PTC inhibitor. Journal of Clinical Investigation 47: 360
    CrossrefPubMedSearch in Google Scholar
  • 24 Rosenberg JS, Mckenna PW, ROSENBERG RD. 1975; Inhibition of human factor IXa by human antithrombin. Journal of Biological Chemistry 250: 8883
    PubMedSearch in Google Scholar
  • 25 Suomela H. 1976; Human coagulation factor IX. Isolation and characterization European Journal of Biochemistry 71: 145
    CrossrefPubMedSearch in Google Scholar
  • 26 Suomela H, Blombäck M, Blombäck B. 1977; The activation of factor X evaluated by using synthetic substrates. Thrombosis Research 10: 267
    CrossrefPubMedSearch in Google Scholar
  • 27 Thompson AR. 1977; Factor IX antigen by radioimmunoassay. Abnormal factor IX protein in patients on warfarin therapy and with hemophilia B Journal of Clinical Investigation 59: 900
    CrossrefPubMedSearch in Google Scholar
  • 28 Varadi K, Hemker HC. 1976; Kinetics of the formation of the factor IX activating enzyme of the blood coagulation system. Thrombosis Research 8: 303
    CrossrefPubMedSearch in Google Scholar
  • 29 Veltkamp JJ, Drion EF, Loeliger EA. 1968; Detection of the carrier state in hereditary coagulation disorders. I. Thrombosis et Diathesis Haemorrhagica 19: 279
    PubMedSearch in Google Scholar
  • 30 Weber K, Osborn M. 1969; The reliability of molecular weight determinations by dodecyl sulfate-polyacrylamide gel electrophoresis. Journal of Biological Chemistry 244: 4406
    PubMedSearch in Google Scholar