Molecular genetic analysis of factor XI deficiency: Identification of fivenovel gene alterations and the origin of type II mutation in Portuguese families

Coagulation Factor XI (FXI) deficiency is an inherited autosomal recessive mild bleeding disorder. In this study, we report the molecular genetic anal ysis of FXI deficiency in six unrelated families of Portuguese origin. The Jewish type II mutation was found in two families, of seemingly Portuguese origin. Haplotype analysis in these families demonstrated that this mutatio n is of Jewish origin. In the remaining families, five novel FXI mutations have been identified. Two of these mutations (FXI IVS K -10T-->A and FXI 10 26G-->T, cd 324) affect the FXI pre-mRNA splicing. A further two (FXI 307 i ns AAGCAAT, ed 85 and FXI 1072 del A, ed 340) introduce frameshifts leading to premature termination codons. The FXI splicing mutation, 1026G-->T ed 3 24, was found in compound heterozygosity with missense mutation FXI K518N. Analysis of the FXI mRNA from the latter genotype demonstrated new donor sp lice site usage. All reported mutations most likely result in functional nu ll-alleles. In addition, three novel polymorphisms have been identified: at nt -138 in intron A, at codon D125 in exon 5 and at codon T249 in exon 8.