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土耳其人群中肺栓塞和深静脉血栓形成的基因突变。

Genetic mutations in Turkish population with pulmonary embolism and deep venous thrombosis.

机构信息

Department of Pulmonary Diseases, Baskent University School of Medicine, Ankara, Turkey.

出版信息

Clin Appl Thromb Hemost. 2011 Nov-Dec;17(6):E87-94. doi: 10.1177/1076029610385224. Epub 2010 Nov 15.

Abstract

Venous thromboembolism (VTE) is a universal health hazard. Inherited and acquired risk factors increase the risk of VTE. We evaluated the relationship between factor V (G1691A, A1090G, and A1299G), prothrombin (PT G20210A), methylenetetrahydrofolate reductase (MTHFR C677T) mutations, plasminogen activator inhibitor 1 (PAI-1 -675) polymorphism, and VTE in Turkish population. In all, 80 patients with VTE and 104 controls were included. Heterozygous factor V Leiden (FVL) mutation was significantly higher among patients (P = .04) with allele frequency of 6.3% (P = .01). Heterozygous PT G20210A mutation was also significantly higher among patients (P = .001) with allele frequency of 6.9% (P = .003). MTHFR 677TT genotype was significantly higher in patients (P = .009) with allele frequency of 23.8% (P = .005). No significant difference was found in FV A1090G and FV A1299G mutation rate as well as PAI-1 genotypes and their allele frequencies (P > .05). Thus, frequencies of FV G1691A, PT G20210A, and MTHFR C677T mutations are higher in patients with VTE. FV A1090G, FV A1299G mutations, and PAI-1 gene polymorphisms may not be a risk factor for VTE in Turkish population.

摘要

静脉血栓栓塞症(VTE)是一种普遍存在的健康危害。遗传和获得性危险因素会增加 VTE 的风险。我们评估了因子 V(G1691A、A1090G 和 A1299G)、凝血酶原(PT G20210A)、亚甲基四氢叶酸还原酶(MTHFR C677T)突变、纤溶酶原激活物抑制剂 1(PAI-1 -675)多态性与土耳其人群 VTE 之间的关系。共纳入 80 例 VTE 患者和 104 例对照者。杂合子因子 V 莱顿(FVL)突变在患者中明显更高(P =.04),等位基因频率为 6.3%(P =.01)。杂合子 PT G20210A 突变在患者中也明显更高(P =.001),等位基因频率为 6.9%(P =.003)。MTHFR 677TT 基因型在患者中明显更高(P =.009),等位基因频率为 23.8%(P =.005)。FV A1090G 和 FV A1299G 突变率以及 PAI-1 基因型及其等位基因频率无显著差异(P >.05)。因此,VTE 患者中 FV G1691A、PT G20210A 和 MTHFR C677T 突变的频率较高。FV A1090G、FV A1299G 突变和 PAI-1 基因多态性可能不是土耳其人群 VTE 的危险因素。

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