KEGG   DISEASE: Combined deficiency of vitamin K-dependent clotting factors
Entry
H00995                      Disease                                
Name
Combined deficiency of vitamin K-dependent clotting factors
Description
Combined vitamin K-dependent clotting factors deficiency (VKCFD) is a rare congenital bleeding disorder consisting of a deficiency of clotting factors II, VII, IX, and X , as well as the coagulation inhibitors protein C, protein S, and protein Z. VKCFD leads to a bleeding tendency with a variegate clinical picture. Two subtypes have been identified, deriving from mutations of two enzymes of the vitamin K cycle. VKCFD type1 is defined by defective GGCX activity, while VKCFD type 2 derives from functional deficiency of VKORC.
Category
Cardiovascular disease
Brite
Human diseases in ICD-11 classification [BR:br08403]
 03 Diseases of the blood or blood-forming organs
  Coagulation defects, purpura or other haemorrhagic or related conditions
   Coagulation defects
    Congenital or constitutional haemorrhagic condition
     3B14  Other inherited coagulation factor deficiency with bleeding tendency
      H00995  Combined deficiency of vitamin K-dependent clotting factors
Pathway
hsa01240  Biosynthesis of cofactors
hsa00130  Ubiquinone and other terpenoid-quinone biosynthesis
Gene
(VKCFD1) GGCX [HSA:2677] [KO:K10106]
(VKCFD2) VKORC1 [HSA:79001] [KO:K05357]
Drug
Phytonadione [DR:D00148]
Other DBs
ICD-11: 3B14.2
ICD-10: D68.4
OMIM: 277450 607473
Reference
  Authors
Napolitano M, Mariani G, Lapecorella M
  Title
Hereditary combined deficiency of the vitamin K-dependent clotting factors.
  Journal
Orphanet J Rare Dis 5:21 (2010)
DOI:10.1186/1750-1172-5-21
Reference
PMID:9845520 (GGCX)
  Authors
Brenner B, Sanchez-Vega B, Wu SM, Lanir N, Stafford DW, Solera J
  Title
A missense mutation in gamma-glutamyl carboxylase gene causes combined deficiency of all vitamin K-dependent blood coagulation factors.
  Journal
Blood 92:4554-9 (1998)
Reference
PMID:14765194 (VKORC1)
  Authors
Rost S, Fregin A, Ivaskevicius V, Conzelmann E, Hortnagel K, Pelz HJ, Lappegard K, Seifried E, Scharrer I, Tuddenham EG, Muller CR, Strom TM, Oldenburg J
  Title
Mutations in VKORC1 cause warfarin resistance and multiple coagulation factor deficiency type 2.
  Journal
Nature 427:537-41 (2004)
DOI:10.1038/nature02214

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