We identified a novel mutation in an asymptomatic 65-year-old Japanese man
with severe factor XI deficiency. Sequence analysis after polymerase chain
reaction single-stranded conformation polymorphism (PCR-SSCP) analysis of h
is factor XI gene revealed a G -->A transition in codon 501 of exon 13, res
ulting in a substitution of Trp501 (T (G) under barG) by a stop codon (T (A
) under barG) in the catalytic domain. This mutation abolished a FokI restr
iction site. The PCR product from normal subjects was digested with FokI an
d yielded two fragments, one of 223 bp and one of 47 bp. The PCR product fr
om the patient gave a single 270-bp fragment, demonstrating possible homozy
gosity.