HEMOFİLİ A HASTALIĞININ MOLEKÜLER GENETİK TEMELLERİ
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Molecular genetic fundaments of Haemophilia A disease
Haemophilia A, with a prevalence of 1 in 10.000 is caused by a deficiency of blood coagulation factor VIII (FVIII). Haemophilia A is categorized into severe, moderate, or mild forms, with over half of the patients manifesting the severe disease. The factor VIII gene is extremely large (~ 180 kb) and structurally complex (26 exons). FVIII gene is located towards the end of the long arm at Xq28. Current treatment of haemophilia A is directed toward replacing the missing clotting factor in response to bleeding crises with infusions of plasma-derived or recombinant FVIII. Considerable progress has been made recently in the development of adenoviral-mediated in vivo and ex vivo gene therapy of haemophiliaA.
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