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Published on: September 15, 2018
R353Q polymorphism in the factor VII gene and cardiovascular risk in Heterozygous Familial Hypercholesterolemia: a
Juan Criado-García1, Francisco Fuentes, Cristina Cruz-Teno
1Lipids and Atherosclerosis Unit, Department of Medicine, IMIBIC/Hospital Universitario Reina Sofía/Universidad de Córdoba, Spain.
Insights
This study found no direct link between cardiovascular risk in Familial Hypercholesterolemia patients and Factor VII gene R353Q polymorphism or Factor VII antigen levels.
Area of Science:
- Cardiovascular Genetics
- Hematology
- Metabolic Disorders
Background:
- Familial Hypercholesterolemia (FH) significantly elevates cardiovascular disease (CVD) risk.
- Factor VII gene polymorphisms are linked to coronary artery disease.
- The association between Factor VII and CVD in FH patients remains unexplored.
Purpose of the Study:
- To investigate the relationship between Factor VII R353Q polymorphism, Factor VII antigen (FVII Ag) levels, and cardiovascular risk in Heterozygous Familial Hypercholesterolemia (FH) patients.
- To compare genotype frequencies and FVII Ag levels between FH patients and controls.
Main Methods:
- A case-control study involving 720 participants (546 FH patients, 174 controls).
- Genotyping for the Factor VII R353Q polymorphism and measurement of plasma FVII Ag levels.
- Analysis of associations with cardiovascular risk factors and events.
Main Results:
- No significant differences in R353Q genotype or allele frequencies were found between FH patients and controls.
- The R353Q polymorphism and FVII Ag levels were not associated with increased cardiovascular risk in FH patients.
- No associations were observed between cardiovascular disease, genotype, and FVII Ag levels within the FH subgroup.
Conclusions:
- This study found no direct association between cardiovascular risk, Factor VII R353Q polymorphism, and FVII Ag levels in patients with Heterozygous Familial Hypercholesterolemia.
- Factor VII R353Q polymorphism and FVII Ag levels do not appear to be significant predictors of cardiovascular risk in this FH population.
Background:
Heterozygous Familial Hypercholesterolemia (FH) is a genetic disorder characterized by a high risk of cardiovascular disease. Certain polymorphisms of the factor VII gene have been associated with the development of coronary artery disease and there is a known association between factor VII levels and polymorphic variants in this gene. To date, no study has evaluated the association between factor VII and coronary artery disease in patients with FH.
Results:
This case-control study comprised 720 patients (546 with FH and 174 controls). We determined the prevalence and allele frequencies of the R353Q polymorphism of factor VII, the plasma levels of factor VII antigen (FVII Ag) and whether they could be predictive factors for cardiovascular risk. 75% (410) of the patients with FH were RR, 23% (127) RQ and 1.6% (9) QQ; in the control group 75.3% (131) were RR, 21.3% (37) RQ and 3.4% (6) QQ (p = 0.32). No statistically significant associations were observed in the distribution of genotypes and allele frequencies between case (FH) and control groups. Nor did we find differences when we evaluated the relationship between the R353Q polymorphism and cardiovascular risk (including coronary disease, ischemic stroke and peripheral arterial disease), either in the univariate analysis or after adjustment for sex, age, arterial hypertension, body mass index, xanthomas, diabetes, smoking, HDLc and LDLc and lipid-lowering treatment. The FVII Ag concentrations behaved in a similar fashion, with no differences for the interaction between controls and those with FH (RR vs. RQ/QQ; p = 0.96). In the subgroup of patients with FH no association was found among cardiovascular disease, genotype and FVII Ag levels (RR vs. RQ/QQ; p = 0.97).
Conclusions:
Our study did not find a direct relationship between cardiovascular risk in patients with Heterozygous Familial Hypercholesterolemia, the R353Q polymorphism of factor VII and FVII Ag levels.
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