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The F9 Padua variant (R338L) is a gain-of-function mutant of coagulation factor IX (FIX), a serine protease essential for blood clotting. The mutation enhances FIX activity, making it a highly effective therapeutic transgene for hemophilia B gene therapy. It allows for lower vector doses and potentially reduces immunogenicity. Gene therapies based on this variant aim to restore endogenous FIX production, improving hemostatic control.
Recombinant hyperactive coagulation factor IX increases the rate of the intrinsic pathway of the coagulation cascade, promoting thrombin formation and improving hemostasis.
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