Protein S and protein C gene mutations in Japanese deep vein thrombosis patients.
OBJECTIVE
Coagulation factor V Leiden has not been detected in Japanese patients suffering from thrombosis. Hitherto, the constitutional background of Japanese thrombotic patients has never been systematically examined. We have performed a systematic investigation to determine pathogenesis for deep vein thrombosis in a Japanese population.


METHODS
Routine coagulation and fibrinolysis tests were performed to determine the activities of protein S, protein C, antithrombin, plasminogen and fibrinogen. Gene analysis was performed in thrombotic patients having low activities of these factors.


RESULTS
Our study indicates that the frequency (19/85 = 0.22) of mutations of protein S gene in the Japanese patients was 5-10 times higher than that of mutations of protein S gene in Caucasian patients, and the frequency (8/85 = 0.09) of mutations of protein C gene was almost three times higher than that of Caucasian patients. The frequency of antithrombin gene mutation was similar in both populations.


CONCLUSIONS
Our study reinforces that the genetic anomaly in the protein S/protein C anticoagulation system is an important risk factor for thrombophilia in the Japanese population.
Department of Clinical Chemistry and Laboratory Medicine, Kyushu University Hospital, 3-1-1 Maedashi Fukuoka 812-8582, Japan.
Sachiko
S
Kinoshita
Hiroko
H
Iida
Sumiko
S
Inoue
Kumiko
K
Watanabe
Masako
M
Kurihara
Yui
Y
Wada
Hiroko
H
Tsuda
Dongchon
D
Kang
Naotaka
N
Hamasaki
D000293:Adolescent; D000328:Adult; D000368:Aged; D000991:Antithrombins / Q000235:genetics; D044466:Asian People; D002648:Child; D005192:Family Health; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008969:Molecular Sequence Data; D017354:Point Mutation; D011486:Protein C / Q000235:genetics*; D017293:Protein S / Q000235:genetics*; D012307:Risk Factors; D019851:Thrombophilia / Q000235:genetics; D020246:Venous Thrombosis / Q000097:blood / Q000235:genetics*
D000991:Antithrombins; D011486:Protein C; D017293:Protein S