Ann Lab Med.  2019 Mar;39(2):229-231. 10.3343/alm.2019.39.2.229.

The First Case of Congenital Prekallikrein Deficiency in Korea With a Novel Pathogenic Variant (c.1198G>T)

Affiliations
  • 1Department of Laboratory Medicine, Seoul National University College of Medicine, Seoul, Korea. lukekhk@snu.ac.kr
  • 2Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
  • 3Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.
  • 4Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul, Korea.

Abstract

No abstract available.


MeSH Terms

Korea*
Prekallikrein*
Prekallikrein

Figure

  • Fig. 1 Results from prekallikrein assays. (A) The patient's and normal plasma were pre-incubated with an activated partial thromboplastin time (aPTT) reagent containing silica activator (SynthASil, Instrumentation Laboratory, Miami, USA) for various times, and clotting times were measured after addition of calcium chloride. Patient plasma pre-incubated with the aPTT reagent showed significant shortening of aPTT. (B) Direct sequencing of KLKB1 showed a c.1198G>T (between red lines) nonsense mutation in exon 11, resulting in premature termination at the 400th amino acid (p.Gly400Ter). (C) Direct sequencing of KLKB1 also showed a c.1259G>A (between red lines) missense mutation in exon 11, leading to the conversion of glycine to glutamine at the 420th amino acid (p.Gly420Glu).


Reference

1. Girolami A, Scarparo P, Candeo N, Lombardi AM. Congenital prekallikrein deficiency. Expert Rev Hematol. 2010; 3:685–695. PMID: 21091145.
2. Chng WJ, Sum C, Kuperan P. Causes of isolated prolonged activated partial thromboplastin time in an acute care general hospital. Singapore Med J. 2005; 46:450–456. PMID: 16123828.
3. Asmis LM, Sulzer I, Furlan M, Lämmle B. Prekallikrein deficiency: the characteristic normalization of the severely prolonged aPTT following increased preincubation time is due to autoactivation of factor XII. Thromb Res. 2002; 105:463–470. PMID: 12091043.
4. Yu H, Anderson P, Freedman B, Rich S, Bowden D. Genomic structure of the human plasma prekallikrein gene, identification of allelic variants, and analysis in end-stage renal disease. Genomics. 2000; 69:225–234. PMID: 11031105.
5. Richards S, Aziz N, Bale S, Bick D, Das S, Gastier-Foster J, et al. Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. Genet Med. 2015; 17:405–424. PMID: 25741868.
6. Shigekiyo T, Fujino O, Kanagawa Y, Matsumoto T. Prekallikrein (PK) Tokushima: PK deficiency caused by a Gly401-->Glu mutation. J Thromb Haemost. 2003; 1:1314–1316. PMID: 12871337.
7. Girolami A, Ferrari S, Cosi E, Lombardi AM. A structure-function analysis in patients with prekallikrein deficiency. Hematology. 2018; 23:346–350. PMID: 29165051.
8. Girolami A, Ferrari S, Santarossa C. Critical analysis of the patients with congenital prekallikrein deficiency and a “purported” bleeding tendency. J Mol Genet Med. 2017; 1:9.
9. Girolami A, Ferrari S, Cosi E, Sambado L, Girolami B. Prevalence of hypertension and its complications in congenital prekallikrein deficiency: analysis of all reported cases and clinical significance. Blood Coagul Fibrinolysis. 2015; 26:560–563. PMID: 25886833.
10. Girolami A, Allemand E, Bertozzi I, Candeo N, Marun S, Girolami B. Thrombotic events in patients with congenital prekallikrein deficiency: a critical evaluation of all reported cases. Acta Haematol. 2010; 123:210–214. PMID: 20424433.
Full Text Links
  • ALM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr