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Mutations and Polymorphisms in Genes Affecting Haemostasis Components in Children with Thromboembolic Events

Authors: Komitopoulou, A.; Platokouki, H.; Kapsimali, Z.; Moschovi, M.; Kattamis, A.; Pergantou, H.; Aronis, S.;

Mutations and Polymorphisms in Genes Affecting Haemostasis Components in Children with Thromboembolic Events

Abstract

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.

Keywords

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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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
9
Average
Average
Average
Green