Skip to main content
Log in

Identification of a candidate missense mutation in a family with von Willebrand disease type IIC

  • Original Investigation
  • Published:
Human Genetics Aims and scope Submit manuscript

Abstract

A screening project to identify candidate molecular defects causing von Willebrand disease type IIC (VWD IIC) in a German family was carried out using polymerase chain reaction (PCR) amplification of all 52 exons of the von Willebrand factor (VWF) gene, subsequent electrophoresis of single and double stranded DNA and direct sequencing of PCR products with aberrant electrophoretic patterns. Only one candidate mutation, G550R, caused by a G→A transition, was detected in exon 14 of the pro-VWF gene sequence. This mutation was not found on 200 chromosomes of normal individuals. The propositus was homozygous for the mutation and for an extended intragenic haplotype, composed of eight polymorphic markers. Further family members were heterozygous for the mutation and were phenotypically normal or only mildly affected, in accordance with the recessive pattern of inheritance for VWD type IIC. The mutation could influence one of the presumed active centers for the suspected multimerizing enzymatic activity of pro-VWF localized in the D1 and D2 domain, which corresponds to exon 5 and exon 14 of the VWF gene.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Armitage H, Rizza CR (1979) Two populations of factor VIII-related antigen in a family with von Willebrand's disease. Br J Haematol 41:279–289

    Google Scholar 

  • Batlle J, Lopez Fernandez MF, Lasierra J, Fernandez Villamor A, Lopez Berges C, Lopez Borrasca A, Ruggeri ZM, Zimmerman TS (1986) Von Willebrand disease type IIC with different abnormalities of von Willebrand factor in the same sibship. Am J Hematol 21: 177–188

    Google Scholar 

  • Bird AP (1980) DNA methylation and the frequency of CpG in animal DNA. Nucleic Acids Res 8: 1499–1504

    Google Scholar 

  • Bowen DJ, Webb CE, Peake IR, Bloom AL (1991) AatII polymorphism in von Willebrand factor gene at codon 471. Nucleic Acids Res 19:3159

    Google Scholar 

  • Brown JE, Bosak JO (1986) An ELISA test for the binding of von Willebrand antigen to collagen. Thromb Res 43:303–311

    Google Scholar 

  • Budowle B, Chakraborty R, Giusti AM, Eisenberg AJ, Allen RC (1991) Analysis of the VNTR locus DIS80 by the PCR followed by high resolution PAGE. Am J Hum Genet 48:137–144

    Google Scholar 

  • Bulleid NJ, Freedman RB (1988) Defective cotranslational formation of disulphide bonds in protein disulphide-isomerase-deficient microsomes. Nature 335:649–651

    Google Scholar 

  • Donner M, Holmberg L, Kristoffersson AC, Nilsson IM (1991) An HphI-polymorphism in exon 28 of the von Willebrand factor gene, and its frequency among patients with various forms of von Willebrand's disease. Br J Haematol 78:403–407

    Google Scholar 

  • Edman JC, Ellis L, Blacher RW, Roth RA, Rutter WJ (1985) Sequence of protein disulphide isomerase and implications of its relationship to thioredoxin. Nature 317:267–270

    Google Scholar 

  • Fowler WE, Fretto LJ, Hamilton KK, Erickson HP, McKee PA (1985) Substructure of human von Willebrand factor. J Clin Invest 76: 1491–1500

    Google Scholar 

  • Gaucher C, Diéval J, Mazurier C (1994) Characterization of von Willebrand factor gene defects in two unrelated patients with type IIC von Willebrand disease. Blood 84:1024–1030

    Google Scholar 

  • Ginsburg D, Sadler JE (1993) Von Willebrand disease: a database of point mutations, insertions, and deletions. For the Consortium on von Willebrand Factor Mutations and Polymorphisms, and the Subcommittee on von Willebrand Factor of the Scientific and Standardization Committee of the International Society on Thrombosis and Haemostasis. Thromb Haemost 69:177–184

    Google Scholar 

  • Holmberg L, Dent JA, Schneppenheim R, Budde U, Ware J, Ruggeri ZM (1993) Von Willebrand factor mutation enhancing interaction with platelets in patients with normal multimeric structure. J Clin Invest 91:2169–2177

    Google Scholar 

  • Kunkel GR, Graham JB, Fowlkes DM, Lord ST (1990) RsaI polymorphism in von Willebrand factor (VWF) at codon 789. Nucleic Acids Res 18:4961

    Google Scholar 

  • Kunkel GR, Graham JB, Fowlkes DM, Lord ST (1991) AccI polymorphism in von Willebrand factor (F8VWF) at codon 516. Nucleic Acids Res 19:1729

    Google Scholar 

  • Ledford MR, Rabinowitz I, Sadler JE, Kent JW, Civantos F (1993) New variant of von Willebrand disease type II with markedly increased levels of von Willebrand factor antigen and dominant mode of inheritance: von Willebrand disease type IIC Miami. Blood 82: 169–175

    Google Scholar 

  • Lowe T, Sharefkin J, Yang SQ, Dieffenbach CW (1990) A computer program for selection of oligonucleotide primers for polymerase chain reactions. Nucleic Acids Res 18: 1757–1761

    Google Scholar 

  • Macfarlane DE, Stibbe J, Kirby EP, Zucker MB, Grant RA, McPherson J (1975) Letter: a method for assaying von Willebrand factor (ristocetin cofactor). Thromb Diath Haemorrh 34: 306–308

    CAS  PubMed  Google Scholar 

  • Mancuso DJ, Tuley EA, Westfield LA, Worrall NK, Shelton Inloes BB, Sorace JM, Alevy YG, Sadler JE (1989) Structure of the gene for human von Willebrand factor. J Biol Chem 264: 19514–19527

    Google Scholar 

  • Mancuso DJ, Tuley EA, Westfield LA, Lester Mancuso TL, Le Beau MM, Sorace JM, Sadler JE (1991) Human von Willebrand factor gene and pseudogene: structural analysis and differentiation by polymerase chain reaction. Biochemistry 30: 253–269

    Google Scholar 

  • Maniatis T, Fritsch EF, Sambrook J (1982) Molecular cloning: a laboratory manual, Cold Spring Harbor Laboratory Cold Spring Harbor, NY

    Google Scholar 

  • Mannucci PM, Lombardi R, Pareti FI, Solinas S, Mazzucconi MG, Mariani G (1983) A variant of von Willebrand's disease characterized by recessive inheritance and missing triplet structure of von Willebrand factor multimers. Blood 62: 1000–1005

    Google Scholar 

  • Mayadas TN, Wagner DD (1989) In vitro multimerization of von Willebrand factor is triggered by low pH. Importance of the propolypeptide and free sulfhydryls. J Biol Chem 264: 13497–13503

    Google Scholar 

  • Mayadas TN, Wagner DD (1992) Vicinal cysteines in the prosequence play a role in von Willebrand factor multimer assembly. Proc Natl Acad Sci USA 89:3531–3535

    Google Scholar 

  • Mazurier C, Parquet Gernez A, Goudemand M (1977) Enzyme-linked immunoabsorbent assay of factor VIII-related antigen. Interest in study of von Willebrand's disease. Pathol Biol (Paris) 25:18–24

    Google Scholar 

  • Mazurier C, Mannucci PM, Parquet Gernez A, Goudemand M, Meyer D (1986) Investigation of a case of subtype IIC von Willebrand disease: characterization of the variability of this subtype. Am J Hemalol 22:301–311

    Google Scholar 

  • Mercier B, Gaucher C, Mazurier C (1990) An MspI polymorphism in the von Willebrand factor gene. Nucleic Acids Res 18:7467

    Google Scholar 

  • Orita M, Iwahana H, Kanazawa H, Hayashi K, Sekiya T (1989) Detection of polymorphisms of human DNA by gel electrophoresis as single-strand conformation polymorphisms. Proc Natl Acad Sci USA 86:2766–2770

    CAS  PubMed  Google Scholar 

  • Peake IR, Bowen D, Bignell P, Liddell MB, Sadler JE, Standen G, Bloom AL (1990) Family studies and prenatal diagnosis in severe von Willebrand disease by polymerase chain reaction amplification of a variable number tandem repeat region of the von Willebrand factor gene. Blood 76:555–561

    CAS  PubMed  Google Scholar 

  • Ploos van Amstel HK, Reitsma PH (1990) Tetranucleotide repeat polymorphism in the VWF gene. Nucleic Acids Res 18:4957

    CAS  Google Scholar 

  • Raines G, Aumann H, Sykes S, Street A (1990) Multimeric analysis of von Willebrand factor by molecular sieving electrophoresis in sodium dodecyl sulphate agarose gel. Thromb Res 60: 201–212

    Google Scholar 

  • Ruggeri ZM (1987) Classification of von Willebrand disease. In: Verstraete M, Vermylen J, Lijnen R, Arnout J (eds) Thrombosis and haemostasis. Leuven University Press, Leuven pp 419–445

    Google Scholar 

  • Ruggeri ZM, Zimmerman TS (1981) The complex multimeric composition of factor VIII/von Willebrand factor. Blood 57: 1140–1143

    CAS  PubMed  Google Scholar 

  • Ruggeri ZM, Nilsson IM, Lombardi R, Holmberg L, Zimmerman TS (1982) Aberrant multimeric structure of von Willebrand factor in a new variant of von Willebrand's disease (type IIC). J Clin Invest 70: 1124–1127

    Google Scholar 

  • Sadler JE (1994) A revised classification of von Willebrand disease. Thromb Haemost 71:520–525

    CAS  PubMed  Google Scholar 

  • Saiki RK, Gelfand DH, Stoffel S, Scharf SJ, Higuchi R, Horn GT, Mullis KB, Erlich HA (1988) Primer-directed enzymatic amplification of DNA with a thermostable DNA polymerase. Science 239:487–491

    CAS  PubMed  Google Scholar 

  • Takahashi Y, Kalafatis M, Girma JP, Meyer D (1988) Abnormality of the N-terminal portion of von Willebrand factor in type IIA and IIC von Willebrand disease. Thromb Haemost 60:498–505

    Google Scholar 

  • Thomas KB, Sutor AH, Zieger B, Jessat U, Budde U, Grohmann A, Choong SC, Tune EP (1994) Von Willebrand factor — collagen binding activity and ristocetin cofactor activity. A comparison of methods able to differentiate von Willebrand disease type I and II. Hämostaseologie 14: 133–139

    Google Scholar 

  • Verweij CL, Hart M, Pannekoek H (1987) Expression of variant von Willebrand factor (VWF) cDNA in heterologous cells: requirement of the pro-polypeptide in VWF multimer formation. EMBO J 6:2885–2890

    Google Scholar 

  • Wagner DD (1990) Cell biology of von Willebrand factor. Annu Rev Cell Biol 6:217–246

    Google Scholar 

  • Wise RJ, Pittman DD, Handin RI, Kaufman RJ, Orkin SH (1988) The propeptide of von Willebrand factor independently mediates the assembly of von Willebrand multimers. Cell 52:229–236

    Google Scholar 

  • Zimmerman TS, Dent JA, Ruggerie ZM, Nannini LH (1986) Sub-unit composition of plasma von Willebrand factor. Cleavage is present in normal individuals, increased in IIA and IIB von Willebrand disease, but minimal in variants with aberrant structure of individual oligomers (type IIC, IID and IIE). J Clin Invest 77:947–951

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schneppenheim, R., Thomas, K.B., Krey, S. et al. Identification of a candidate missense mutation in a family with von Willebrand disease type IIC. Hum Genet 95, 681–686 (1995). https://doi.org/10.1007/BF00209487

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00209487

Keywords

Navigation