Thromb Haemost 2010; 104(02): 213-233
DOI: 10.1160/TH09-08-0540
Blood Coagulation, Fibrinolysis and Cellular Haemostasis
Schattauer GmbH

A C-terminal amino acid substitution in the γ-chain caused by a novel heterozygous frameshift mutation (Fibrinogen Matsumoto VII) results in hypofibrinogenaemia

Authors

  • Noriko Fujihara

    1   Department of Laboratory Medicine, Shinshu University Hospital, Matsumoto, Japan
    2   Department of Laboratory Medicine, Shinshu University School of Medicine, Matsumoto, Japan
  • Ayumi Haneishi

    2   Department of Laboratory Medicine, Shinshu University School of Medicine, Matsumoto, Japan
    3   Department of Biomedical Laboratory Sciences, School of Health Sciences, Shinshu University, Matsumoto, Japan
  • Kazuyoshi Yamauchi

    4   Department of Medicine, Molecular Clinical Pathology, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan
  • Fumiko Terasawa

    3   Department of Biomedical Laboratory Sciences, School of Health Sciences, Shinshu University, Matsumoto, Japan
  • Toshiro Ito

    5   Division of Hematology, Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan
  • Fumihiro Ishida

    5   Division of Hematology, Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan
  • Nobuo Okumura

    3   Department of Biomedical Laboratory Sciences, School of Health Sciences, Shinshu University, Matsumoto, Japan

Financial support: This study was supported by a Grant-in-Aid for Science Research from the Ministry of Education, Science, Sports, and Culture of Japan (20930020, 21931032, NF).
Further Information

Publication History

Received: 07 August 2009

Accepted after minor revision: 03 March 2010

Publication Date:
24 November 2017 (online)

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Summary

We found a novel hypofibrinogenemia designated as Matsumoto VII (M-VII), which is caused by a heterozygous nucleotide deletion at position g.7651 in FGG and a subsequent frameshift mutation in codon 387 of the γ-chain. This frameshift results in 25 amino acid substitutions, late termination of translation with elongation by 15 amino acids, and the introduction of a canonical glycosylation site. Western blot analysis of the patient’s plasma fibrinogen visualised with anti-γ-chain antibody revealed the presence of two extra bands. To identify the extra bands and determine which of the above-mentioned alterations caused the assembly and/or secretion defects in the patient, 11 variant vectors that introduced mutations into the cDNA of the γ-chain or γ′-chain were transfected into Chinese hamster ovary cells. In vitro expression of transfectants containing γΔ7651A and γΔ7651A/399T (γΔ7651A with an amino acid substitution of 399Asn by Thr and a variant lacking the canonical glycosylation site) demonstrated a reduction in secretion to approximately 20% of the level seen in the transfectants carrying the normal γ-chain. Furthermore, results from other transfectants demonstrated that eight aberrant residues between 391 and 398 of the M-VII variant, rather than the 15 amino acid extension or the additional glycosylation, are responsible for the reduced levels of assembly and secretion of M-VII variant fibrinogen. Finally, the results of this study and our previous reports demonstrate that the fibrinogen γ-chain C-terminal tail (388–411) is not necessary for protein assembly or secretion, but the aberrant amino acid sequence observed in the M-VII variant (especially 391–398) disturbs these functions.