title: Genetic characterization of patients with Bernard-Soulier syndrome and their relatives from Southern Iran.
abstract: Bernard-Soulier syndrome (BSS) is a rare recessively inherited bleeding disorder caused by the deficiency of the platelet glycoprotein (Gp) complex Ib/IX/V that is the von Willebrand factor receptor on platelets. In patients suffering from BSS platelet adhesion is typically impaired, while platelet aggregation is normal; macrothrombocytopenia is a common feature. In this study three different families from Southern Iran were investigated. GpIb/IX/V platelet expression as detected by flow cytometry was less than 2% of normal in six cases and 12% in the remaining one. Platelet count was 35,000 platelets/microliter and iron deficiency anemia was common. All patients suffered from mucocutaneous bleeding at presentation and were born from consanguineous marriages. Genetic analysis demonstrated the presence of the same GpIX Phe55Ser missense mutation in two families and of a single base insertion (GP1BA C3221 ins), a never described mutation causing a frameshift in the GpIbalpha gene, in the third family. Among the family members studied several heterozygotes were identified. None of them, with one exception, had macrothrombocytopenia. In one family a slight reduction of GpIb/IX/V expression was observed.
authors.affiliation: Haemostasis and Thrombosis Unit, Haematology Research Center, Shiraz Medical University of Science, Shiraz, Iran.
authors.forename: A
authors.initials: A
authors.lastname: Afrasiabi
authors.forename: A
authors.initials: A
authors.lastname: Lecchi
authors.forename: A
authors.initials: A
authors.lastname: Artoni
authors.forename: M
authors.initials: M
authors.lastname: Karimi
authors.forename: E
authors.initials: E
authors.lastname: Ashouri
authors.forename: F
authors.initials: F
authors.lastname: Peyvandi
authors.forename: P M
authors.initials: PM
authors.lastname: Mannucci
mesh_terms: D001606:Bernard-Soulier Syndrome / Q000235:genetics*; D001792:Blood Platelets; D004252:DNA Mutational Analysis; D005192:Family Health; D016368:Frameshift Mutation; D006801:Humans; D007492:Iran; D009154:Mutation; D020125:Mutation, Missense; D019038:Platelet Glycoprotein GPIb-IX Complex / Q000235:genetics*; D010980:Platelet Membrane Glycoproteins / Q000032:analysis / Q000235:genetics*; D011956:Receptors, Cell Surface / Q000032:analysis / Q000235:genetics*; D013921:Thrombocytopenia
chemical_list: D019038:Platelet Glycoprotein GPIb-IX Complex; D010980:Platelet Membrane Glycoproteins; D011956:Receptors, Cell Surface; C028254:von Willebrand factor receptor