Mutations and Polymorphisms in Genes Affecting Haemostasis Components in Children with Thromboembolic Events
doi: 10.1159/000097695
pmid: 17230042
Mutations and Polymorphisms in Genes Affecting Haemostasis Components in Children with Thromboembolic Events
The distribution of mutations/polymorphisms in genes affecting haemostasis [factor V Leiden (FVL), FV H1298R (FVR<sub>2</sub>), FII 20210A, b-Fib 455G→A, FXIII V34L, PAI-1 4G, HPA-1b] among 141 children with thrombosis at various sites and 103 controls was compared. Additionally, the carriage of these mutations/polymorphisms was associated with the levels of their corresponding proteins in thrombosed children. Thrombosis was more frequent in boys (p = 0.021). No studied mutation/polymorphism was found to be a risk factor for thrombosis, except for FVL (odds ratio 3.8, 95% CI 1.4–10.6). The risk of thrombosis for FVL carriers was twice as high in children with an idiopathic thrombosis (odds ratio 5.4) than in thrombosed children with an underlying disease or a triggering event (odds ratio 2.7). FVL carriers had an odds ratio of 5.9 (95% CI 1.8–19.6) when FVR<sub>2</sub> was absent. In thrombosed children, the activated protein C resistance ratio was significantly lower in the presence of FVL (p < 0.001). Prothrombin and fibrinogen levels, although higher in FII 20210A and b-Fib 455G→A carriers, did not reach statistical significance.
Male, Hemostasis, Polymorphism, Genetic, Infant, Newborn, Factor V, Infant, Blood Coagulation Factors, Case-Control Studies, Thromboembolism, Mutation, Odds Ratio, Humans, Female, Genetic Predisposition to Disease
Male, Hemostasis, Polymorphism, Genetic, Infant, Newborn, Factor V, Infant, Blood Coagulation Factors, Case-Control Studies, Thromboembolism, Mutation, Odds Ratio, Humans, Female, Genetic Predisposition to Disease
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