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.

Thrombosis Research
|July 2, 2002
PubMed

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.

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