FV HR2 haplotype as additional inherited risk factor for deep vein thrombosis in individuals with a high-risk profile.
A number of strongly linked polymorphisms within the Factor V gene (FV HR2 haplotype) has been identified as a cause of resistance to activated protein C, and has suggested a modest risk factor for vein thrombosis. We investigated the frequency of the HR2 haplotype in 433 consecutive patients with confirmed deep vein thrombosis and 326 controls. The HR2 haplotype was more frequent in patients (15.2%) than in controls (10.1%). The risk of thrombosis among carriers of this haplotype was significantly increased (odds ratio: 1.6 [95% CI: 1.0-2.5]). The estimated risk associated with the HR2 haplotype was 1.8 (95% CI: 1.1-2.9) in subjects with (n = 255), and 1.4 (95% CI: 0.8-2.4) in those without (n = 178) acquired risk factors for vein thrombosis. After adjustment for sex, FV Leiden and FII A20210 mutations, the estimated risk of vein thrombosis among carriers of the HR2 haplotype was 1.8 (95% CI: 1.1-2.8). Present data indicate that the HR2 haplotype is independently associated with vein thrombosis among individuals with a high-risk profile.
Margaglione
Maurizio
M
Unita' di Aterosclerosi e Trombosi, IRCCS Casa Sollievo della Sofferenza, S. Giovanni Rotondo, Italy. ate.tro@operapadrepio.it
Bossone
Anna
A
Coalizzo
Donatella
D
D'Andrea
Giovanna
G
Brancaccio
Vincenzo
V
Ciampa
Antonio
A
Grandone
Elvira
E
Di
Minno Giovanni
MG
D020016:Activated Protein C Resistance / Q000453:epidemiology* / Q000235:genetics; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D004252:DNA Mutational Analysis; D005165:Factor V / Q000235:genetics*; D005260:Female; D005787:Gene Frequency; D020022:Genetic Predisposition to Disease; D006239:Haplotypes / Q000235:genetics; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D015995:Prevalence; D012189:Retrospective Studies; D012306:Risk; D012307:Risk Factors; D020246:Venous Thrombosis / Q000453:epidemiology* / Q000235:genetics
D005165:Factor V