title: Severe and moderate hemophilia A: identification of 38 new genetic alterations.
abstract: Hemophilia A is an X-linked recessive disorder caused by a lack or decrease of factor VIII activity. Its socio-economic impact is high given its high bleeding expression and treatment cost. Our aim was to establish the mutation of each patient to improve family management. A total of 116 unrelated families with severe and moderate hemophilia A were involved. Non-carriers of intron 22 and intron 1 rearrangements were included in F8 gene screening. Intron 1 and 22 inversion frequencies were 3% and 52.5% respectively. Putative mutations were identified in all the families; 38 were new. The cumulative inhibitor incidence was 22%. Approximately half the families carry non-recurrent mutations, which were unique in around one third. Harmful effects for mutations predicting null alleles are expected. Missense mutation consequences are not easily predictable, despite the help of some bio-informatics tools.
authors.affiliation: Unidad de Coagulopatías Congénitas, Hospital Universitari La Fe, Av. Campanar, 21, 46009 Valencia, Spain. casanya_pil@gva.es
authors.forename: Pilar
authors.initials: P
authors.lastname: Casaña
authors.forename: Noelia
authors.initials: N
authors.lastname: Cabrera
authors.forename: Ana Rosa
authors.initials: AR
authors.lastname: Cid
authors.forename: Saturnino
authors.initials: S
authors.lastname: Haya
authors.forename: Magdalena
authors.initials: M
authors.lastname: Beneyto
authors.forename: Carmen
authors.initials: C
authors.lastname: Espinós
authors.forename: Vicente
authors.initials: V
authors.lastname: Cortina
authors.forename: Maria Angeles
authors.initials: MA
authors.lastname: Dasí
authors.forename: Josè Antonio
authors.initials: JA
authors.lastname: Aznar
mesh_terms: D007446:Chromosome Inversion; D041321:Chromosomes, Human, X; D004252:DNA Mutational Analysis; D005169:Factor VIII / Q000235:genetics*; D005192:Family Health; D005260:Female; D005820:Genetic Testing; D006467:Hemophilia A / Q000175:diagnosis* / Q000235:genetics*; D006579:Heterozygote; D006801:Humans; D007438:Introns; D008297:Male; D009154:Mutation; D020125:Mutation, Missense; D010641:Phenotype
chemical_list: C078147:F8 protein, human; D005169:Factor VIII