R. Schneppenheim et al., Von Willebrand disease type 2M "Vicenza" in Italian and German patients: Identification of the first candidate mutation (G3864A; R1205H) in 8 families, THROMB HAEM, 83(1), 2000, pp. 136-140
Von Willebrand disease type 2M "Vicenza' (VWD 2M V) is characterised by aut
osomal dominant inheritance, low von Willebrand factor (VWF) and the presen
ce of 'supranormal" multimers in plasma. This specific phenotype has been d
escribed in Italian and recently also in German patients. The molecular def
ect is linked to the VWF gene. However, no specific mutations have been ide
ntified until now. We analysed the complete coding region and adjacent intr
on sequences of the VWF gene in Italian families in comparison to German fa
milies with VWD 2M V by a PCR-based mutation screening, combined with SSC-
and heteroduplex-analysis of exons 2 through 52, followed by direct sequenc
ing. We identified the first heterozygous candidate mutation (G3864A; R1205
H) in all affected members of the 7 Italian families and in 1 German patien
t but not in the unaffected family members nor on 100 chromosomes of normal
subjects, suggesting a causal relationship between the mutation and the ph
enotype. Haplotype identity, with minor deviations in one Italian family, s
uggests a common but not very recent genetic origin of R1205H.