Bleeding disorders in Lowe syndrome patients: evidence for a link between OCRL mutations and primary haemostasis disorders

Br J Haematol. 2010 Sep;150(6):685-8. doi: 10.1111/j.1365-2141.2010.08304.x.

Abstract

Lowe syndrome (LS) is a rare X-linked disorder caused by mutations in the oculocerebrorenal gene (OCRL), encoding OCRL, a phosphatidylinositol 5-phosphatase with a RhoGAP domain. An abnormal rate of haemorrhagic events was found in a retrospective clinical survey. Herein, we report the results of exploration of haemostasis in six LS patients. All patients had normal coagulation tests but prolonged closure times (CTs) in the PFA-100 system. Healthy donors' blood samples incubated with a RhoA kinase inhibitor had prolonged CTs. This suggests that an aberrant RhoA pathway in platelets contributes to CT prolongation and primary haemostasis disorders in LS.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Blood Coagulation Tests
  • Child
  • Child, Preschool
  • GTPase-Activating Proteins / genetics
  • Genetic Predisposition to Disease
  • Hemostatic Disorders / etiology*
  • Hemostatic Disorders / genetics
  • Humans
  • Infant
  • Male
  • Mutation*
  • Oculocerebrorenal Syndrome / complications*
  • Oculocerebrorenal Syndrome / genetics
  • Phosphoric Monoester Hydrolases / genetics*
  • Retrospective Studies

Substances

  • GTPase-Activating Proteins
  • rho GTPase-activating protein
  • Phosphoric Monoester Hydrolases
  • OCRL protein, human