title: Analysis of polymorphisms Leiden Factor V G1691A and prothrombin G20210A as risk factors for acute myocardial infarction.
abstract: Thrombotic risk increases in elderly, therefore, the understanding of the genetic predisposition of hypercoagulability could make the difference in the prevention of venous and/or arterial thrombotic events. Laboratory evaluation of hyperfibrinogenemia, increased Factor VII levels, antiphospholipid antibodies presence and hyperhomocysteinemia are considered to have a consistent high predictivity for arterial thrombophilic diseases. Anyway, a large debate exists on the validity of testing Leiden Factor V (FV) G1691A and/or prothrombin (FII) G20210A polymorphisms in patients affected by arterial thrombotic diseases, despite of the several observations described. Here we report data strongly suggesting that at least the FII G20210A polymorphism might be considered an important risk factor for acute myocardial infarction in aged patients (55-80 years old). On the other hand, in spite of a not different genotypic and allelic distribution for the Leiden FV G1691A mutation, the presence of one or both the two polymorphisms is significantly higher among cases than in controls. In conclusion, our data suggest that FII G20210A and/or Leiden FV might be involved as risk factor for arterial disorders in about 5% of old subjects, justifying the opportunity of a genetic screening and an eventual preventive treatment, in particular in old subjects in which other and major risk factors, as hypertension and atherosclerosis, are detected.
authors.affiliation: Department of Biopathology, University of Palermo, Corso Tukory 211, 90134, Palermo, Italy. giusiforte@unipa.it
authors.forename: Giusi Irma
authors.initials: GI
authors.lastname: Forte
authors.forename: Loredana
authors.initials: L
authors.lastname: Vaccarino
authors.forename: Marisa
authors.initials: M
authors.lastname: Palmeri
authors.forename: Angelo
authors.initials: A
authors.lastname: Branzi
authors.forename: Claudio M
authors.initials: CM
authors.lastname: Caldarera
authors.forename: Letizia
authors.initials: L
authors.lastname: Scola
authors.forename: Calogero
authors.initials: C
authors.lastname: Caruso
authors.forename: Federico
authors.initials: F
authors.lastname: Licastro
authors.forename: Domenico
authors.initials: D
authors.lastname: Lio
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D005165:Factor V / Q000235:genetics*; D005260:Female; D020022:Genetic Predisposition to Disease; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000235:genetics*; D011110:Polymorphism, Genetic; D011516:Prothrombin / Q000235:genetics*
chemical_list: C095381:factor V Leiden; D005165:Factor V; D011516:Prothrombin