The Clinical Genetics of Hemophilia B (Factor IX Deficiency)

Connie H Miller1,2 1Division of Blood Disorders, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA; 2Synergy America, Inc., Duluth, GA, USACorrespondence: Connie H MillerDivision of Blood Disorders, National Center on Birth...

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spelling oai:doaj.org-article:4b68979fcea141e8b9e75cbc34b2202b2021-11-23T18:43:00ZThe Clinical Genetics of Hemophilia B (Factor IX Deficiency)1178-704Xhttps://doaj.org/article/4b68979fcea141e8b9e75cbc34b2202b2021-11-01T00:00:00Zhttps://www.dovepress.com/the-clinical-genetics-of-hemophilia-b-factor-ix-deficiency-peer-reviewed-fulltext-article-TACGhttps://doaj.org/toc/1178-704XConnie H Miller1,2 1Division of Blood Disorders, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA; 2Synergy America, Inc., Duluth, GA, USACorrespondence: Connie H MillerDivision of Blood Disorders, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 1600 Clifton Road, MS D-02, Atlanta, GA, 30333, USATel +1 501 408-6239Email cmiller2@cdc.govAbstract: Hemophilia B (HB) is a bleeding disorder caused by deficiency of or defect in blood coagulation factor IX (FIX) inherited in an X-linked manner. It results from one of over 1000 known pathogenic variants in the FIX gene, F9; missense and frameshift changes predominate. Although primarily males are affected with HB, heterozygous females may have excessive bleeding due to random or non-random X chromosome inactivation; in addition, homozygous, compound heterozygous, and hemizygous females have been reported. Somatic and germinal mosaicism for F9 variants has been observed. Development of antibodies to FIX treatment products (inhibitors) is rare and related to the type of causative variant present. Treatment is with products produced by recombinant DNA technology, and gene therapy is in clinical trials. Genetic counseling with up-to-date information is warranted for heterozygotes, potential heterozygotes, and men and women affected with HB.Keywords: factor IX, hemophilia B, genetics, hematologyMiller CHDove Medical Pressarticlefactor ixhemophilia bgeneticshematologyMedicine (General)R5-920GeneticsQH426-470ENThe Application of Clinical Genetics, Vol Volume 14, Pp 445-454 (2021)
institution DOAJ
collection DOAJ
language EN
topic factor ix
hemophilia b
genetics
hematology
Medicine (General)
R5-920
Genetics
QH426-470
spellingShingle factor ix
hemophilia b
genetics
hematology
Medicine (General)
R5-920
Genetics
QH426-470
Miller CH
The Clinical Genetics of Hemophilia B (Factor IX Deficiency)
description Connie H Miller1,2 1Division of Blood Disorders, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA; 2Synergy America, Inc., Duluth, GA, USACorrespondence: Connie H MillerDivision of Blood Disorders, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 1600 Clifton Road, MS D-02, Atlanta, GA, 30333, USATel +1 501 408-6239Email cmiller2@cdc.govAbstract: Hemophilia B (HB) is a bleeding disorder caused by deficiency of or defect in blood coagulation factor IX (FIX) inherited in an X-linked manner. It results from one of over 1000 known pathogenic variants in the FIX gene, F9; missense and frameshift changes predominate. Although primarily males are affected with HB, heterozygous females may have excessive bleeding due to random or non-random X chromosome inactivation; in addition, homozygous, compound heterozygous, and hemizygous females have been reported. Somatic and germinal mosaicism for F9 variants has been observed. Development of antibodies to FIX treatment products (inhibitors) is rare and related to the type of causative variant present. Treatment is with products produced by recombinant DNA technology, and gene therapy is in clinical trials. Genetic counseling with up-to-date information is warranted for heterozygotes, potential heterozygotes, and men and women affected with HB.Keywords: factor IX, hemophilia B, genetics, hematology
format article
author Miller CH
author_facet Miller CH
author_sort Miller CH
title The Clinical Genetics of Hemophilia B (Factor IX Deficiency)
title_short The Clinical Genetics of Hemophilia B (Factor IX Deficiency)
title_full The Clinical Genetics of Hemophilia B (Factor IX Deficiency)
title_fullStr The Clinical Genetics of Hemophilia B (Factor IX Deficiency)
title_full_unstemmed The Clinical Genetics of Hemophilia B (Factor IX Deficiency)
title_sort clinical genetics of hemophilia b (factor ix deficiency)
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/4b68979fcea141e8b9e75cbc34b2202b
work_keys_str_mv AT millerch theclinicalgeneticsofhemophiliabfactorixdeficiency
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