Naturally occurring hemophilia B (HB)-associated point mutations in the FIX propeptide sequence such as F9 N43Q/L or F9 N46S reduce affinity to GGCX resulting in reduced γ-carboxylation and aberrant propeptide processing (Bentley AK et al. 1986; Rabiet MJ et al. 1987; Diuguid DL et al. 1986; Ware J et al. 1989; de la Salle C et al. 1993). FIX variants are secreted into the circulation with a mutant 18-amino acid propeptide still attached (Bentley AK et al. 1986; Galeffi P & Brownlee GG 1987). However, unprocessed FIX variants showed altered phospholipid binding properties and delayed activation by factor XIa (Liddell MB et al. 1989; Ware J et al. 1989; de la Salle C et al. 1993; Wojcik EG et al. 1997; Bristol JA et al. 1993, 1994). In addition, beta-hydroxylation of aspartic acid 110 (D110) is an independent process which does not require vitamin K and is mediated through a hydroxylation recognition site in the mature Factor IX, not in the propeptide (Rabiet MJ et al. 1987).
The Reactome event describes defective γ-carboxylation of FIX variants due to HB-associated genetic defects in the propeptide sequence of the F9 gene.
Furie, B, Stafford, DW, Diuguid, DL, Liebman, HA, Rabiet, MJ, Ware, J, Kasper, CK, Furie, BC
Jorgensen, MJ, Furie, BC, Rabiet, MJ, Furie, B
gamma-glutamyl carboxylase activity of GGCX [endoplasmic reticulum membrane]
Loss of function of 3OHD110-F9(29-461) variant [endoplasmic reticulum lumen]
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