International Journal of Hematology

, Volume 107, Issue 4, pp 436–441 | Cite as

Genetic analysis of a novel missense mutation (Gly542Ser) with factor XII deficiency in a Chinese patient of consanguineous marriage

  • Anqing Zou
  • Mingshan Wang
  • Yanhui Jin
  • Xiaoli Cheng
  • Kankan Su
  • Lihong Yang
Original Article


Coagulation factor XII deficiency is a rare autosomal recessive disorder, which could be found in a consanguineous family. We studied a Chinese family in which the activated partial thromboplastin time (APTT) of the proband had clearly prolonged up to 101.7 s, associated with low FXII activity of 3% and FXII antigen < 1%. To analyze the gene mutation in this FXII-deficient patient, we performed FXII mutation screening, and analyzed the DNA sequence of the F12 gene. A ClustalX-2.1-win and four online bioinformatics software services were used to study the conservatism and effects of the mutation. A transient in vitro expression study was performed to elucidate the possible pathological mechanism. Sequence analysis revealed a homozygous c.1681 G > A point mutation in exon 14, causing a novel Gly542Ser mutation in the catalytic domain. The results of the conservatism and bioinformatics analyses both indicated that the mutation likely affects the function of the protein. Additional expression studies in COS-7 cells showed that the antigen level of mutant FXII (FXII-Gly542Ser) was lower than wild type in culture medium, whereas the corresponding level of FXII antigen in cell lysates was equivalent. These results suggest that the Gly542Ser mutation causes FXII deficiency through intracellular degradation.


Gene mutation Factor XII deficiency Genetic analysis CRM Expression study 



We thank all the participants in this study.


This work was supported by The Project Supported by Zhejiang Provincial Natural Science Foundation of China (LY16H080005) and The Project of Wenzhou Public Welfare Science and Technology (Y20150098).

Compliance with ethical standards

Conflict of interests

No potential conflict of interest was reported by the authors.


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Copyright information

© The Japanese Society of Hematology 2018

Authors and Affiliations

  1. 1.Department of Clinical LaboratoryThe First Affiliated Hospital of Wenzhou Medical UniversityWenzhouChina

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