Factor V Leiden and Prothrombin Gene Mutation in Deep Vein Thrombosis
Keywords:
factor V Leiden, prothrombin G20210A gene mutationAbstract
Objectives: To study the prevalence of genetic risk variation in factor V gene (G1691A Leiden mutation) and prothrombin gene (G20210A)
Materials and Methods: Polymerase chain reaction techniques were performed in 50 healthy Thais and 48 patients with deep vein thrombosis.
Results: The prevalence of both factor V Leiden and prothrombin G20210A gene mutation in a control group was zero. Of 48 patients with DV'T, the disease was located in the lower extremities, none was a carrier of factor V Leiden or the prothrombin gene mutation. Our finding confirms the previous study by Angchaisuksiri et al who found a very low prevalence of this mutation in Thai patients with DVT.
Conclusion: The screening for factor V Leiden and Prothrombin gene mutation is not beneficial and may not be cost-effective in Thai patients with DVT.
References
2. Atichartakarn V, Songsiridej N, Jootar S. Incidence and risk factors of deep vein thrombosis among Thai patients: their implications on patients' management. J Med Assoc Thai 1998;71:231-7.
3. Lane DA, Mannucci PM, Bauer KA, et al. Inherited thrombophilia: part 1. Thromb Haemo 1996; 76:651-62.
4. Dahlback B, Carisson M, Stvensson PJ, Familial thrombophilia due to a previously unrecognized mechanism characterized by poor anticoagulation response to activated protein C: prediction of a cofactor to activated protein C. Proc NatSci USA 1993; 90: 1004-8.
5. Poort RS, Rosendaal FR, Reitsma PH, Bertina RM. A common genetic variation in the 3'-untranslated region of the prothrombin gene is associated with elevated plasma prothrombin levels and an increase in venous thrombosis. Blood 1996;88: 3698-703.
6. Svensson PJ, Dahlback B. Resistance to activated protein c as a basis for venous thrombosis. N Engl J Med 1994;330:517-22.
7. Rosendaal FR, Koster T, Vansenbroucke J, Reitema PH. High risk of thrombosis in patients homozygous for factor V Leiden (Activated protein C resistance). Blood 1995;85: 1504-8.
8. Prayoonwiwat W, Arnutti P, Hiyoshi M. Detection of faction V Leiden in Thai patient with venous thrombosis. Asian Pac J All Immu 2000; 18: 105-8.
9. Angchaisuksiri P, Pingsuthiwong S, Arychai K. Prevalence of G 1691A mutation in the factor V gene (factor V Leiden) and the G20210A prothrombin gene mutation in the Thai population. Am J Hemat 2000; 65: 119-22.
10. Meyer G, Emmerich J, Fiessinger JN. Factor V Leiden and II 20210A in patients with symptomatic pulmonary embolism and deep vein thrombosis. Am J Med 2001; 110: 12-5.
11. He'zard N, Cornillet P, Droulle C, Gillot L, Potron G, Nguyen P. Factor V Leiden : detection in whole blood by ASA PCR using an additional mismatch in antepenultimate position. Throm Res 1997; 88: 59-66.
12. Poort RS, Bertina RM, Vos HL. Rapid detection of the prothrombin 20210a variation by allele specific PCR. Thromb Haemost 1997; 78:1157-8.
13. Pepe G, Rickarde O, Abbate R. Prevalence of factor V Leiden mutation in non-European populations. Thromb Haemo 1997; 77:329-31.
14. Bertina RM. Molecular risk factors for thrombosis. Thromb Haem 1999; 82: 601-9.
15. Rees DC, Cox M, Clegg JB. World distribution of factor V Leiden. Lancet 1995; 346:1133-4.
16. Reber G, Perrier A, Perneger T, Bounameaux H. Prevalence of factor V Leiden and prothrombin G20210A mutation in unselected patients with venous thrombolism. Brit J Haematol 2000; 110:125-9.
17. Martinelli I, Bucciarelli P, Mannucci PM. The risk of venous thromboembolism in family members with mutation in the genes of factor V or prothrombin or both, Brit J Haematol 2000;111:1223-9.
18. Rosendaal FR. Risk factors for venous thrombotic disease. Thromb Haemo 1999; 82: 6109.
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