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http://purl.uniprot.org/citations/14567538 | http://www.w3.org/2000/01/rdf-schema#comment | "Four factor deficiency is variably associated with mild to fatal bleeding. We describe a 3-month-old boy, born of consanguineous parents, who presented with a right subdural haematoma and a clotting screen showing a prothrombin time (PT) > 100 s, an activated partial thromboplastin time (aPTT) > 150 s, a fibrinogen of 0.4 g/l, and fibrinogen degradation products < 1 microg/ml. He was given 300 U of factor IX concentrate (containing factors II and X) and 1 mg of vitamin K intravenously. Forty-five minutes later, clotting tests showed a PT of 24 s, an aPTT of 31 s and a fibrinogen of 2.6 g/l. The patient was found to be deficient in all the vitamin K-dependent factors: factors II, VII, IX and X, protein C and protein S. A 14-base deletion was found in intron 1 (bases 1056-1069) of the gamma-carboxylase gene. The patient and his elder sister were homozygous for this deletion, whereas both parents were heterozygous. The deletion destroys a reverse palindromic sequence (TTGAGGCAA) of the type often associated with cis-acting elements. Our results suggest that this element may be involved in the regulation of gamma-carboxylase expression. Expression studies are being completed so that this region can be definitively ascribed as a cis-acting element involved in gene regulation."xsd:string |
http://purl.uniprot.org/citations/14567538 | http://purl.org/dc/terms/identifier | "doi:10.1097/00001721-200306001-00013"xsd:string |
http://purl.uniprot.org/citations/14567538 | http://purl.uniprot.org/core/author | "Thomas A."xsd:string |
http://purl.uniprot.org/citations/14567538 | http://purl.uniprot.org/core/author | "Stirling D."xsd:string |
http://purl.uniprot.org/citations/14567538 | http://purl.uniprot.org/core/date | "2003"xsd:gYear |
http://purl.uniprot.org/citations/14567538 | http://purl.uniprot.org/core/name | "Blood Coagul Fibrinolysis 14 Suppl"xsd:string |
http://purl.uniprot.org/citations/14567538 | http://purl.uniprot.org/core/pages | "S55-7"xsd:string |
http://purl.uniprot.org/citations/14567538 | http://purl.uniprot.org/core/title | "Four factor deficiency."xsd:string |
http://purl.uniprot.org/citations/14567538 | http://purl.uniprot.org/core/volume | "1"xsd:string |
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