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Structural and functional exploration of three newly identified coagulation factor IX mutations in Chinese hemophilia B patients

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Abstract

Aim

To structurally and functionally characterize three newly identified F9 missense mutations, C268Y, I316F, and G413V, in Chinese hemophilia B patients.

Methods

FIX mutants were expressed in vitro by transient transfection of Chinese hamster ovary (CHO) cells. One-stage activated partial thromboplastin time (APTT) based assay and enzyme-linked immunosorbent assay (ELISA) were used to measure the coagulation activity and antigen level of FIX in conditioned medium. Western blot analysis was also used to evaluate interference of the mutations with synthesis and secretion of FIX. A structural model of the FIX G413V mutant was constructed and structural disturbance caused by the mutation was determined by molecular dynamics simulations.

Results

Both C268Y and I316F impaired expression of FIX. However, the I316F mutant degraded quickly, whereas the C268Y mutant mostly accumulated intracellularly. The G413V mutant could be synthesized and secreted normally, but procoagulant activity was almost completely lost. This loss is likely mostly due to the impact on the catalytic residue cS195.

Conclusion

The three FIX mutations identified in Chinese hemophilia B patients either impaired the expression of FIX, as was seen with the I316F and C268Y mutants, or impaired the function of FIX, as was seen with the G413V mutant.

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Data availability

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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Acknowledgements

The authors are grateful to patients participating in the study, and the technical staff of Shanghai Center for Clinical Laboratory for assisting with the experiments.

Funding

This study was supported by a grant from the General Program of National Natural Science Foundation of China (81670130, 81970127, 82070137, 81900139, 82270129 and 31770772).

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Authors and Affiliations

Authors

Contributions

RW: designed experiments and performed research. SJ: performed molecular modeling and MD simulations. QX: analyzed the results and wrote the manuscript of molecular modeling and MD simulations. WW supervision of the entire project and provision of critical feedback on the manuscript. XW and DW supervise the project. All authors read and approved the final manuscript.

Corresponding authors

Correspondence to Qin Xu or Wenman Wu.

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The authors declare that they have no conflict of interest.

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Wang, R., Jiang, S., Wang, X. et al. Structural and functional exploration of three newly identified coagulation factor IX mutations in Chinese hemophilia B patients. Int J Hematol 118, 201–209 (2023). https://doi.org/10.1007/s12185-023-03616-9

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  • DOI: https://doi.org/10.1007/s12185-023-03616-9

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