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Updated: Aug 24, 2026

Measurement of Factor V Activity in Human Plasma Using a Microplate Coagulation Assay
Published on: September 9, 2012
Coagulation factor VII, R353Q polymorphism, and serum choline-containing phospholipids in males at high risk for
Anja S Lindman1, Jan I Pedersen, Harald Arnesen
1Center for Clinical Research, Ullevål University Hospital, Oslo, Norway. anja1@basalmed.uio.no
Insights
The FVII R353Q gene polymorphism impacts coagulation factor VII (FVII) levels but shows no significant link to myocardial infarction, cardiovascular disease, or diabetes. Serum phospholipids correlate with FVII levels, independent of genotype.
Area of Science:
- Cardiovascular Genetics
- Hemostasis and Thrombosis
- Molecular Epidemiology
Background:
- Elevated coagulation factor VII (FVII) levels are linked to increased myocardial infarction (MI) risk.
- The FVII R353Q gene polymorphism may influence FVII levels and MI risk.
Purpose of the Study:
- Investigate the FVII R353Q polymorphism's association with MI, cardiovascular disease (CVD), and diabetes.
- Determine the relationship between the FVII R353Q polymorphism and plasma levels of FVII coagulant activity (FVIIc), FVII antigen (FVIIag), and activated FVII (FVIIa).
- Examine the association between the FVII R353Q polymorphism and serum choline-containing phospholipids (PC).
Main Methods:
- Genotyping of the FVII R353Q polymorphism using real-time PCR and melting curve analysis in 560 hypercholesterolemic elderly men.
- Analysis of FVIIc, FVIIag, FVIIa, and PC levels in a subgroup of 205 individuals.
Main Results:
- No significant associations were found between the FVII R353Q genotype and MI, CVD, or diabetes.
- The R353Q polymorphism significantly influenced plasma FVIIag, FVIIc, and FVIIa levels.
- Serum PC levels correlated positively with FVIIag and negatively with FVIIa, irrespective of genotype.
Conclusions:
- The FVII R353Q polymorphism affects FVII plasma levels but is not significantly associated with MI, CVD, or diabetes risk.
- Serum PC levels show a significant association with FVIIag and FVIIa, independent of FVII R353Q genotype.
Introduction:
Elevated levels of coagulation factor VII (FVII) have been associated with increased risk for myocardial infarction (MI). The R353Q polymorphism of the FVII gene has been shown to modify plasma levels of FVII, and has in some studies also been associated with reduced risk for MI.
Objectives:
To examine the R353Q polymorphism of the FVII gene and the relation to myocardial infarction (MI), cardiovascular disease (CVD), and diabetes, and furthermore, to elucidate the association between the polymorphism and plasma levels of FVII coagulant activity (FVIIc), FVII antigen (FVIIag), activated FVII (FVIIa), and serum choline-containing phospholipids (PC).
Methods:
In 560 elderly men characterised as hypercholesterolemic in 1972, we examined the R353Q polymorphism by melting curve analysis after real-time PCR. In a subgroup of 205 individuals, FVIIc, FVIIag, FVIIa, and PC were analysed.
Results:
There were no significant associations between genotype and the disease states, although we observed a lower number of MI cases among subjects with the Q allele, compared to the RR individuals (14% vs. 19%). FVIIag and FVIIc levels were lower in RQ compared to RR subjects, whereas for FVIIa the opposite was observed (p<0.001 for all). PC correlated positively with FVIIag (r=0.24, p<0.001), but negatively with FVIIa (r=-0.25, p<0.001). No genotype specific interactions were found for the association between FVII and PC.
Conclusion:
No significant associations between the R353Q polymorphism and MI, CVD, or diabetes were observed, although the polymorphism strongly influenced plasma levels of FVII. Serum PC correlated significantly with FVIIag and inversely with FVIIa, independently of genotype.
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