The present invention relates to a method of diagnosing hereditary angioedema type III (HAE III) or a predisposition thereto in a subject being suspected of having developed or of having a predisposition to develop a hereditary angioedema type III or in a subject being suspected of being a carrier for hereditary angioedema type III, the method comprising determining in vitro from a biological sample of said subject the presence or absence of a disease-associated mutation in a nucleic acid molecule regulating the expression of or encoding coagulation factor XII; wherein the presence of such a mutation is indicative of a hereditary angioedema type III or a predisposition thereto. The present invention also relates to a method of diagnosing hereditary angioedema type III (HAE III) or a predisposition thereto in a subject being suspected of having developed or of having a predisposition to develop a hereditary angioedema type III or in a subject being suspected of being a carrier for hereditary angioedema type III, the method comprising assessing the presence, amount and/or activity of coagulation factor XII in said subject and including the steps of: (a) determining from a biological sample of said subject in vitro, the presence, amount and /or activity of: (i) a (poly)peptide encoded by the coagulation factor XII gene; (ii) a substrate of the (poly)peptide of (i); or (iii) a (poly)peptide processed by the substrate mentioned in (ii); (b) comparing said presence, amount and/or activity with that determined from a reference sample; and (c) diagnosing, based on the difference between the samples compared in step (b), the pathological condition of a hereditary angioedema type III or a predisposition thereto. The present invention also relates to a method of identifying a compound modulating coagulation factor XII activity which is suitable as a medicament or a lead compound for a medicament for the treatment and/or prevention of hereditary angioedema type III, the method comprising the steps of: (a) in vitro contacting a coagulation factor XII (poly)peptide or a functionally related (poly)peptide with the potential modulator; and (b) testing for modulation of coagulation factor XII activity, wherein modulation of coagulation factor XII activity is indicative of a compound's suitability as a medicament for the treatment and/or prevention of hereditary angioedema type III. Furthermore, the present invention relates to gene therapy methods and to a kit for diagnosing hereditary angioedema type III.
本发明涉及一种诊断遗传性血管性
水肿 III 型(HAE III)或其易感性的方法,该受试者疑似已患或有患遗传性血管性
水肿 III 型的易感性,或受试者疑似遗传性血管性
水肿 III 型的携带者、该方法包括从所述受试者的
生物样本中体外测定调节
凝血因子 XII 表达或编码
凝血因子 XII 的核酸分子中是否存在与疾病相关的突变;其中,这种突变的存在表明存在遗传性血管性
水肿 III 型或其易感性。本发明还涉及一种诊断遗传性血管性
水肿 III 型(HAE III)或遗传性血管性
水肿 III 型易感性的方法,该方法用于诊断疑似患遗传性血管性
水肿 III 型或有患遗传性血管性
水肿 III 型易感性的受试者或疑似遗传性血管性
水肿 III 型携带者,该方法包括评估所述受试者体内
凝血因子 XII 的存在、数量和/或活性,并包括以下步骤:(a) 从所述受试者的体外
生物样本中确定以下物质的存在、数量和/或活性:(i)由
凝血因子 XII
基因编码的(多)肽;(ii)(i)的(多)肽的底物;或(iii)由(ii)中提及的底物加工的(多)肽;(b)将所述存在、量和/或活性与从参考样本中确定的存在、量和/或活性进行比较;以及(c)根据步骤(b)中比较的样本之间的差异,诊断遗传性血管性
水肿 III 型的病理状况或其易患性。本发明还涉及一种鉴定调节
凝血因子 XII 活性的化合物的方法,该化合物适合作为治疗和/或预防遗传性血管性
水肿 III 型的药物或药物的先导化合物,该方法包括以下步骤:(a) 在体外将
凝血因子 XII(多)肽或功能相关的(多)肽与潜在的调节剂接触;以及 (b) 测试
凝血因子 XII 活性的调节,其中
凝血因子 XII 活性的调节表明化合物适合作为治疗和/或预防遗传性血管性
水肿 III 型的药物。此外,本发明还涉及
基因治疗方法和诊断遗传性血管性
水肿 III 型的试剂盒。