title: Factor V Leiden and prothrombin G20210A mutations in Thai patients awaiting kidney transplant.
abstract: Renal transplantation provides the best long-term treatment for chronic renal failure, but thrombosis of the transplanted renal artery or renal vein is one of the causes of kidney failure in the early postoperative period. Factor V Leiden (FVL) and prothrombin G20210A mutation are the most frequent genetic abnormalities associated with venous thrombosis. We investigated the prevalence of FVL and prothrombin G20210A by polymerase chain reaction with restriction fragment length polymorphism in 75 Thai patients awaiting renal transplant, and a control group of 106 healthy blood donors. Of those awaiting renal transplant, none was found to carry FVL or prothrombin G20210A mutations. Neither the heterozygous nor the homozygous FVL mutation nor the prothrombin G20210A mutation was detected in the 106 healthy volunteers. Although we failed to detect FVL and prothrombin G20210A mutation among those waiting for a kidney transplant, the population size was small. Further studies need to be performed in order to ascertain if these coagulation mutations are of relevance in predicting patients at risk of early transplant failure.
authors.affiliation: Department of Pathology, Phramongkutklao College of Medicine, Bangkok, Thailand. pasra@anet.net.th
authors.forename: Pasra
authors.initials: P
authors.lastname: Arnutti
authors.forename: Oytip
authors.initials: O
authors.lastname: Nathalang
authors.forename: Suwanna
authors.initials: S
authors.lastname: Cowawintaweewat
authors.forename: Wichai
authors.initials: W
authors.lastname: Prayoonwiwat
authors.forename: Punbupa
authors.initials: P
authors.lastname: Choovichian
mesh_terms: D000293:Adolescent; D000328:Adult; D001782:Blood Donors; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D005165:Factor V / Q000235:genetics*; D005260:Female; D020022:Genetic Predisposition to Disease / Q000453:epidemiology / Q000235:genetics*; D006084:Graft Rejection; D006579:Heterozygote; D006720:Homozygote; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000601:surgery; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D009154:Mutation / Q000235:genetics*; D016133:Polymerase Chain Reaction; D012150:Polymorphism, Restriction Fragment Length; D011237:Predictive Value of Tests; D015995:Prevalence; D011516:Prothrombin / Q000235:genetics*; D012307:Risk Factors; D013785:Thailand / Q000453:epidemiology; D020246:Venous Thrombosis / Q000150:complications / Q000235:genetics*
chemical_list: C095381:factor V Leiden; D005165:Factor V; D011516:Prothrombin