PMID- 10613647 OWN - NLM STAT- MEDLINE DCOM- 20000131 LR - 20061115 IS - 0340-6245 (Print) IS - 0340-6245 (Linking) VI - 82 IP - 6 DP - 1999 Dec TI - Poor relationship between phenotypes of protein S deficiency and mutations in the protein S alpha gene. PG - 1634-8 AB - By single strand conformational polymorphism, nucleotide sequencing and enzyme restriction, we analyzed the protein S alpha gene in 17 protein S-deficient probands and in their available family members. The relationship between genotype and phenotype was also evaluated. Twelve different sequence variations were identified in 17 probands. Ten were putative causal mutations distributed in 16 probands: 4 were nonsense, 5 missense and one a splice site mutation. In most families in which a mutation was identified, more than one phenotype of PS deficiency was present. The same splice site mutation (intron j G-A, exon 10+5) was associated with type I deficiency in one family and with type I/III in another unrelated family. A phenotypic discrepancy was also observed for the Arg474Pro, Gly597Asp and Arg410stop mutations. Glu26Ala, previously reported in kindreds with type I deficiencies, was found in association with I, II and III phenotypes in four unrelated kindreds. Phenotypic analysis of protein S deficiency is poorly related to the underlying genetic defect. FAU - Hermida, J AU - Hermida J AD - Angelo Bianchi Bonomi Hemophilia and Thrombosis Center, I.R.C.C.S. Maggiore Hospital and Department of Internal Medicine, University of Milano, Italy. FAU - Faioni, E M AU - Faioni EM FAU - Mannucci, P M AU - Mannucci PM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Germany TA - Thromb Haemost JT - Thrombosis and haemostasis JID - 7608063 RN - 0 (DNA Primers) RN - 0 (Protein S) SB - IM MH - Adult MH - DNA Primers MH - Female MH - Humans MH - Male MH - *Mutation MH - Phenotype MH - Protein S/*genetics MH - Protein S Deficiency/*genetics/physiopathology EDAT- 1999/12/29 00:00 MHDA- 1999/12/29 00:01 CRDT- 1999/12/29 00:00 PHST- 1999/12/29 00:00 [pubmed] PHST- 1999/12/29 00:01 [medline] PHST- 1999/12/29 00:00 [entrez] AID - 99121634 [pii] PST - ppublish SO - Thromb Haemost. 1999 Dec;82(6):1634-8.