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Article Dans Une Revue Thrombosis and Haemostasis Année : 2017

Structural Basis for Hemophilia A Caused by Mutations in the C Domains of Blood Coagulation Factor VIII

Résumé

Summary Three dimensional homology models for the C1 and C2 domains of factor VIII (FVIII) were generated. Each C domain formed a β-sandwich, and C1 was covalently connected to C2 in a head-to-head orientation. Of the >250 missense mutations that cause FVIII deficiency and hemophilia A, 34 are in the C domains. We used the FVIII C1-C2 model to infer the structural basis for the pathologic effects of these mutations. The mutated residues were divided into four categories: 15 conserved buried residues that affect normal packing of the hydrophobic side chains, 2 non-conserved buried residues that affect structure, 11 conserved exposed residues and 6 non-conserved exposed residues. The effects of all 34 missense mutations can be rationalized by predictable disruptions of FVIII structure while at most four mutations (S2069F, T2154I, R2209Q/G/L and E2181D) may affect residues directly involved in intermolecular interactions of FVIII/VIIIa with other coagulation factors or vWF.
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Dates et versions

hal-03274036 , version 1 (29-06-2021)

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Andrew Gale, Jean-Luc Pellequer, Elizabeth Getzoff, John Griffin. Structural Basis for Hemophilia A Caused by Mutations in the C Domains of Blood Coagulation Factor VIII. Thrombosis and Haemostasis, 2017, 83 (01), pp.78-85. ⟨10.1055/s-0037-1613761⟩. ⟨hal-03274036⟩
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