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Measurement of Factor V Activity in Human Plasma Using a Microplate Coagulation Assay
Published on: September 9, 2012
Marburg I polymorphism of factor VII-activating protease is associated with idiopathic venous thromboembolism
Berthold Hoppe1, Farzaneh Tolou, Hartmut Radtke
1Institutee of Transfusion Meidicine, Campus Virchow-Klinikum, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany. berthold.hoppe@charite.de
Abstract:
The factor VII-activating protease (FSAP) variant Marburg I is known to attenuate the profibrinolytic system in vitro and was recently shown to be a significant predictor for the evolution and progression of carotid stenosis. The objective of this case-control study was to assess FSAP Marburg I's role in the occurrence of venous thromboembolism (VTE). The frequency of FSAP Marburg I was significantly increased in patients with a history of VTE (17 of 213 patients, 8.0%, P = .014) or idiopathic VTE (12 of 103 patients, 11.7%, P = .002) compared to healthy controls (5 of 213 controls, 2.3%). Logistic regression analysis confirmed FSAP Marburg I to be an independent risk factor for VTE (odds ratio, 3.5; 95% confidence interval [CI], 1.2-10.0) and idiopathic VTE (odds ratio, 6.2; 95% CI, 2.0-18.9).
Insights
The factor VII-activating protease (FSAP) Marburg I variant is linked to an increased risk of venous thromboembolism (VTE). This finding suggests FSAP Marburg I may be an independent risk factor for VTE occurrence, especially in idiopathic cases.
Area of Science:
- Vascular Biology
- Hemostasis and Thrombosis
- Genetic Risk Factors
Background:
- The factor VII-activating protease (FSAP) Marburg I variant is known to affect the profibrinolytic system.
- Previous research indicated FSAP Marburg I predicts carotid stenosis progression.
Purpose of the Study:
- To investigate the association between the FSAP Marburg I variant and the risk of developing venous thromboembolism (VTE).
Main Methods:
- A case-control study design was employed.
- The frequency of the FSAP Marburg I variant was compared between patients with VTE and healthy controls.
- Logistic regression analysis was used to determine independent risk factors.
Main Results:
- FSAP Marburg I was significantly more frequent in patients with a history of VTE (8.0%) and idiopathic VTE (11.7%) compared to controls (2.3%).
- Logistic regression confirmed FSAP Marburg I as an independent risk factor for VTE (OR, 3.5) and idiopathic VTE (OR, 6.2).
Conclusions:
- The FSAP Marburg I variant is associated with an increased risk of venous thromboembolism.
- FSAP Marburg I may serve as a significant independent risk factor for VTE, particularly for idiopathic VTE.
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