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dc.rights.licenseopenen_US
dc.contributor.authorDE LA MORENA-BARRIO, Maria Eugenia
dc.contributor.authorSUCHON, Pierre
dc.contributor.authorJACOBSEN, Eva Marie
dc.contributor.authorIVERSEN, Nina
dc.contributor.authorMINANO, Antonia
dc.contributor.authorDE LA MORENA-BARRIO, Belen
dc.contributor.authorBRAVO-PEREZ, Carlos
dc.contributor.authorPADILLA, Jose
dc.contributor.authorCIFUENTES, Rosa
dc.contributor.authorASENJO, Susana
dc.contributor.authorDELEUZE, Jean Francois
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorTREGOUET, David-Alexandre
dc.contributor.authorLOZANO, Maria Luisa
dc.contributor.authorVICENTE, Vicente
dc.contributor.authorSANDSET, Per Morten
dc.contributor.authorMORANGE, Pierre Emmanuel
dc.contributor.authorCORRAL, Javier
dc.date.accessioned2022-10-17T11:55:15Z
dc.date.available2022-10-17T11:55:15Z
dc.date.issued2022-07-14
dc.identifier.issn1528-0020 (Electronic) 0006-4971 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/170035
dc.description.abstractEnAntithrombin deficiency, the most severe congenital thrombophilia, might be underestimated, as some pathogenic variants are not detected by routine functional methods. We have identified 2 new SERPINC1 variants, p.Glu227Lys and p.Asn224His, in 4 unrelated thrombophilic patients with early and recurrent thrombosis that had normal antithrombin activity. In one case, the mutation was identified by whole genome sequencing, while in the 3 remaining cases, the mutation was identified by sequencing SERPINC1 based on a single functional positive finding supporting deficiency. The 2 variants shared a common functional defect, an impaired or null N-glycosylation of Asn224 according to a eukaryotic expression model. Carriers had normal anti-FXa or anti-FIIa activities but impaired anti-FVIIa activity and a detectable loss of inhibitory function when incubating the plasma for 1 hour at 41°C. Moreover, the β glycoform of the variants, lacking 2 N-glycans, had reduced secretion, increased heparin affinity, no inhibitory activity, and a potential dominant-negative effect. These results explain the increased thrombin generation observed in carriers. Mutation experiments reflected the role that Lysine residues close to the N-glycosylation sequon have in impairing the efficacy of N-glycosylation. Our study shows new elements involved in the regulation of N-glycosylation, a key posttranslational modification that, according to our results, affects folding, secretion, and function, providing new evidence of the pathogenic consequence of an incorrect N-glycosylation of antithrombin. This study supports that antithrombin deficiency is underestimated and encourages the development of new functional and genetic tests to diagnose this severe thrombophilia.
dc.description.sponsorshipMedical Genomics - ANR-10-LABX-0013en_US
dc.language.isoENen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.title.enTwo SERPINC1 variants affecting N-glycosylation of Asn224 cause severe thrombophilia not detected by functional assays
dc.typeArticle de revueen_US
dc.identifier.doi10.1182/blood.2021014708en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed35486842en_US
bordeaux.journalBlooden_US
bordeaux.page140-151en_US
bordeaux.volume140en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue2en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamELEANOR_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDAgence Nationale de la Rechercheen_US
hal.identifierhal-03800816
hal.version1
hal.exportfalse
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Blood&rft.date=2022-07-14&rft.volume=140&rft.issue=2&rft.spage=140-151&rft.epage=140-151&rft.eissn=1528-0020%20(Electronic)%200006-4971%20(Linking)&rft.issn=1528-0020%20(Electronic)%200006-4971%20(Linking)&rft.au=DE%20LA%20MORENA-BARRIO,%20Maria%20Eugenia&SUCHON,%20Pierre&JACOBSEN,%20Eva%20Marie&IVERSEN,%20Nina&MINANO,%20Antonia&rft.genre=article


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