Department of General Surgery, The First People's Hospital of Neijiang, Neijiang, P.R. China.
Department of Nuclear Medicine, The First People's Hospital of Neijiang, Neijiang, P.R. China.
J Cell Biochem. 2018 Aug;119(8):6715-6722. doi: 10.1002/jcb.26860. Epub 2018 May 8.
This study aims to explore the associations between FVII gene polymorphisms (R353Q, 5'F7, and -402G/A) and lower extremity deep venous thrombosis (LEDVT) in a Chinese Han population. LEDVT patients (153) and healthy people (174) were, respectively, as case and control groups and evaluated related biochemical indicators. Gene polymorphisms of R353Q, 5'F7, and -402G/A of FVII, serum FVII level, antithrombin activity, plasma fibrinogen content, and plasma D-dimer (D-D) level were determined by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP), ELISA, chromogenic substrate assay, coagulating assay, and Immunoturbidimetry assay, respectively. Compared with the control group, the case group had a higher level of body mass index (BMI), glucose, and fibrinogen, and lower level of total cholesterol (TC). Notable differences were found in GG genotype, G and A alleles, as well as distribution of recessive model of -402G/A. The serum FVII level of GG genotype was higher than that of GA and AA genotypes. FIB and D-D had a higher level had a lower level in GG genotype when compared with GA and AA genotypes. Smoking, drinking, serum FVII level, and -402G/A-GG were the independent risk factors for LEDVT. This study demonstrates that -402G/A of FVII may be a risk factor for LEDVT patients in a Chinese Han population.
本研究旨在探讨凝血因子 VII 基因多态性(R353Q、5'F7 和-402G/A)与汉族人群下肢深静脉血栓形成(LEDVT)之间的关系。LEDVT 患者(153 例)和健康人(174 例)分别为病例组和对照组,并评估了相关生化指标。采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)、酶联免疫吸附试验(ELISA)、显色底物测定法、凝固测定法和免疫比浊法分别检测 R353Q、5'F7 和-402G/A 的 FVII 基因多态性、血清 FVII 水平、抗凝血酶活性、血浆纤维蛋白原含量和血浆 D-二聚体(D-D)水平。与对照组相比,病例组的体重指数(BMI)、血糖和纤维蛋白原水平较高,总胆固醇(TC)水平较低。-402G/A 的 GG 基因型、G 和 A 等位基因以及隐性模型的分布存在显著差异。GG 基因型的血清 FVII 水平高于 GA 和 AA 基因型。与 GA 和 AA 基因型相比,GG 基因型的 FIB 和 D-D 水平更高。吸烟、饮酒、血清 FVII 水平和-402G/A-GG 是 LEDVT 的独立危险因素。本研究表明,FVII 的-402G/A 可能是汉族人群 LEDVT 患者的危险因素。