Factor V Leiden and Prothrombin Gene Mutation in Deep Vein Thrombosis

Authors

  • Sarawut Thanawut Department of Surgery, Siriraj Hospital and Faculty of Medicine, Mahidol University, Bangkok
  • Yongyut Sirivatanauksorn Department of Surgery, Siriraj Hospital and Faculty of Medicine, Mahidol University, Bangkok
  • Chanin Limwongs Division of Molecular Genetics, Department of Medicine, Siriraj Hospital and Faculty of Medicine, Mahidol University, Bangkok

Keywords:

factor V Leiden, prothrombin G20210A gene mutation

Abstract

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

1. Anderson FA, Wheeler HB, Goldberg RJ, et al. A population based perspective of the hospital incidence and case-fatality rates of deep vein thrombosis and pulmonary embolism. The Worcester DVT study. Arch Int Med 1991; 151:933-8.

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.

Downloads

Published

2006-03-31

How to Cite

1.
Thanawut S, Sirivatanauksorn Y, Limwongs C. Factor V Leiden and Prothrombin Gene Mutation in Deep Vein Thrombosis. Thai J Surg [Internet]. 2006 Mar. 31 [cited 2024 Nov. 23];27(1):11-4. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/242045

Issue

Section

Original Articles