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Updated: Sep 30, 2026

Measurement of Factor V Activity in Human Plasma Using a Microplate Coagulation Assay
Published on: September 9, 2012
Effects of coagulation Factor VII polymorphisms on the coronary artery disease in Japanese: Factor VII polymorphism
Keiko Shimokata1, Takahisa Kondo, Miyoshi Ohno
1First Department of Internal Medicine, Nagoya University School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan.
Insights
Certain Factor VII (FVII) gene variations, specifically the M2 and 10 alleles, appear to offer protection against coronary artery disease (CAD) in individuals with normal cholesterol levels.
Area of Science:
- Cardiovascular Genetics
- Hemostasis and Thrombosis
Background:
- Factor VII coagulant activity (FVIIc) plays a role in blood clotting.
- Genetic variations in the Factor VII (FVII) gene may influence cardiovascular risk.
- Investigating FVII genetic polymorphisms in relation to coronary artery disease (CAD) is crucial for understanding disease mechanisms.
Purpose of the Study:
- To examine the association between FVIIc, FVII genetic polymorphisms (R353Q, -323 0/10 bp, HVR4), and the prevalence of CAD.
- To determine if specific FVII alleles confer protection against CAD in individuals with normal cholesterol levels.
Main Methods:
- Study included 380 Japanese individuals with normal cholesterol levels undergoing coronary angiography.
- FVIIc levels were measured.
- Genotyping for FVII R353Q (M1, M2 alleles), -323 0/10 bp (0, 10 alleles), and HVR4 (H5, H6, H7 alleles) was performed.
Main Results:
- FVIIc levels were slightly lower in individuals with M1M2/M2M2 genotypes compared to M1M1.
- Carriers of the M2 and/or 10 alleles showed a reduced likelihood of developing CAD (M2: OR 0.36; 10: OR 0.50).
- No significant association was found between these alleles and myocardial infarction (MI), nor was HVR4 related to CAD or MI.
Conclusions:
- The M2 and/or 10 alleles of the Factor VII gene may exert a protective effect against the development of coronary artery disease.
- These protective effects are observed in individuals with normal cholesterol levels, suggesting a specific role in this population.
Abstract:
We investigated the relationships among Factor VII coagulant activity (FVIIc), genetic polymorphisms of Factor VII (FVII) and coronary artery disease (CAD) in 380 unrelated Japanese individuals (mean 64 years) who underwent coronary angiography and whose cholesterol levels were within normal range. CAD subjects were defined as those in whom one of the three major coronary arteries showed >50% narrowing after nitroglycerin administration. FVIIc was measured and the following polymorphisms of FVII were determined: R353Q polymorphism (M1, M2 alleles), -323 0/10 bp polymorphism (0, 10 alleles), hypervariable region 4 of intron 7 (HVR4; H5, H6, H7 alleles). FVIIc was slightly lower in M1M2/M2M2 than M1M1 (89.5+/-8.9%, 93.4+/-17.8%). Those with M2 and/or 10 allele have less chance of developing CAD (M2: OR 0.36, 95% CI 0.18-0.69, 10: OR 0.50, 95% CI 0.26-0.97). However, both alleles did not associate with myocardial infarction (MI). HVR4 was unrelated with CAD, nor with MI. In conclusion, M2 and/or 10 allele has protective effects on the developing CAD in individuals with a normal cholesterol level.
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