Abstract
Factor V is an essential protein in the blood clotting process and plays a central role in secondary hemostasis. Its deficiency causes a rare inherited disorder characterized by episodes of severe bleeding, some of which can be life-threatening. Although previous studies have established that factor V is essential for normal embryonic development, its specific contribution to vascular maturation remains incompletely understood, factor V is believed to contribute to blood vessel stabilization and regulate angiogenesis through its interaction with thrombin. In a recent study, a CRISPR-engineered mouse model intended to produced a mild factor V deficiency disease, unexpectedly produced a frameshift mutation in the A3 domain, resulting in a truncated protein. Factor V levels in healthy embryonic mouse tissues were assessed to investigate its role at different developmental stages. The mutation markedly impaired viability, as homozygous mice exhibited a lethal phenotype with severe bleeding and perinatal death, along with impaired coagulation function. Histopathological and immunohistochemical analyses indicated a link between factor V deficiency, thrombin and α-smooth muscle actin, potentially affecting proangiogenic signaling and embryonic vascular formation. Factor V gene expression increased during late embryogenesis, underscoring its importance in vascular development and maturation. Overall, these findings are consistent with a role for factor V in stabilizing embryonic blood vessels and modulating thrombin-dependent angiogenesis, and add further detail on the developmental impact of its deficiency and the pathogenesis of congenital bleeding disorders.
Data availability
The data generated during and/or analyzed during the current study are available from the corresponding author (Antonio Liras) on reasonable request, and in the Supplementary information file.
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Acknowledgements
The authors would like to thank Benedicto Jerónimo, supervisor of the animal facility, for his care for the safety and welfare of the animals. We thank the technical staff at CABD, Tamara Garcia-Leal, Ana Franco, and Candida Mateos, for their support with embryo collection and animal husbandry. We would also like to thank the genomics unit, CAI of biological techniques, of the Complutense University of Madrid, for their work on the Sanger sequencing of the samples.
Funding
This research was funded by the Association for Research and Cure of Factor V deficiency (ASDEFAV), grant number ASDEFAV/2021–25; the Complutense University of Madrid and Banco Santander, grant number CT63/19-CT64/19; the Spanish Ministry of Science and Innovation, grant number PID2020-117501RB-I00; the Community of Madrid, grant number CT85/23; MJS work was supported by a Spanish María de Maeztu Unit excellence grant CEX-2020-001088-M to the CABD, and by Regional Government of Andalusia, Department of Innovation (PAI-BIO-295).
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A.L. project administration and coordination, A.L., P.B.A., L.R. supervision, A.L., J.A.D.P.M., N.P., P.B.A., L.J.S. conceptualization, A.L., P.B.A., M.J.S., M.G.A., L.R. resources, A.L., P.B.A., M.G.A., A.R.B., L.R. funding acquisition, A.L., A.M.B., J.A.D.P.M., N.P., P.B.A., L.J.S., J.M.D.P.M., M.G.A., A.R.B. methodology, A.L., A.M.B., J.A.D.P.M., P.B.A., L.G.B., L.J.S., J.M.D.P.M., M.J.S., M.G.A., A.R.B., L.R., B.C.J. investigation, A.L., A.M.B., J.A.D.P.M., M.G.A., B.C.J. formal analysis and data curation and interpretation, A.L., A.M.B., J.A.D.P.M., N.P., P.B.A., L.G.B., B.C.J. writing—Original draft, A.L., A.M.B., J.A.D.P.M., N.P., P.B.A., M.G.A., L.R., B.C.J. writing—Review & Editing.
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The authors declare that they have no competing interests. AL, JADPM, LR, AMB, PBA, and LGB, have a mouse model, deficient infactor V, protected by Spanish patent (Ref. ES2948817B2). Holders: Complutense University of Madrid, and Superior Council for Scientific Research. Spain. Official Bulletin of Industrial Property (21-02-2024) Volume 2: Inventions. p. 8. Available in: https://sede.oepm.gob.es/bopiweb/descargaPublicaciones/formBusqueda.action
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The study was conducted in compliance with Royal Decree 53/2013 and Directive 2010/63/EU. All procedures used were approved by the School of Veterinary Medicine of the Complutense University of Madrid, the Ethics Committees on Animal Experimentation of the Complutense University, and the Madrid Regional Government (PROEX 040/17 and PROEX 358.4/21).
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Miguel-Batuecas, A., De Pablo-Moreno, J.A., Porras, N. et al. Effect of a truncated mutant factor V on hemostatic function and embryonic development in mice. Sci Rep (2026). https://doi.org/10.1038/s41598-026-38387-w
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DOI: https://doi.org/10.1038/s41598-026-38387-w