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Common genetic risk factors for venous thrombosis in the Chinese population
Liang Tang1, Hua-Fang Wang, Xuan Lu
1Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Insights
A common genetic variant in the THBD gene significantly increases the risk of venous thrombosis in the Chinese population. This finding highlights the importance of genetic factors in thrombosis development.
Area of Science:
- Genetics
- Hematology
- Medical Research
Background:
- Venous thrombosis is a significant health issue influenced by genetic and environmental factors.
- The genetic basis of venous thrombosis in the Chinese population is not well understood.
- Previous research has not fully elucidated the genetic predispositions for venous thrombosis.
Purpose of the Study:
- To investigate the genetic factors contributing to venous thrombosis in the Chinese population.
- To identify specific genetic variants associated with an increased risk of venous thrombosis.
- To analyze the role of the THBD gene in the pathogenesis of venous thrombosis.
Main Methods:
- A large-scale case-control study involving 1,304 patients with venous thrombosis and 1,334 healthy controls.
- Resequencing of the THBD gene in a subset of participants.
- Functional assays to assess the impact of genetic variants on gene expression.
- Family-based analysis to evaluate the heritability of the identified risk variant.
Main Results:
- A common variant, THBD c.-151G>T (rs16984852), in the 5' UTR of the THBD gene was identified.
- This variant significantly reduces THBD gene expression and is associated with a predisposition to venous thrombosis.
- Heterozygotes for the variant showed a 2.80-fold increased risk of venous thrombosis.
- Family analysis revealed a 3.42-fold increased risk in first-degree relatives carrying the variant.
Conclusions:
- The THBD c.-151G>T variant is a significant genetic risk factor for venous thrombosis in the Chinese population.
- Genetic factors, particularly variations in the THBD gene, play a crucial role in the development of venous thrombosis.
- Further research on hemostasis genes, including THBD, in diverse populations is warranted.
Abstract:
Venous thrombosis is a major medical disorder caused by both genetic and environmental factors. Little is known about the genetic background of venous thrombosis in the Chinese population. A total of 1,304 individuals diagnosed with a first venous thrombosis and 1,334 age- and sex-matched healthy participants were enrolled in this study. Resequencing of THBD (encoding thrombomodulin) in 60 individuals with venous thrombosis and 60 controls and a functional assay showed that a common variant, c.-151G>T (rs16984852), in the 5' UTR significantly reduced the gene expression and could cause a predisposition to venous thrombosis. Therefore, this variant was genotyped in a case-control study, and results indicated that heterozygotes had a 2.80-fold (95% confidence interval = 1.88-4.29) increased risk of venous thrombosis. The THBD c.-151G>T variant was further investigated in a family analysis involving 176 first-degree relatives from 38 index families. First-degree relatives with this variant had a 3.42-fold increased risk of venous thrombosis, and their probability of remaining thrombosis-free was significantly lower than that of relatives without the variant. In addition, five rare mutations that might be deleterious were also identified in thrombophilic individuals by sequencing. This study is the largest genetic investigation of venous thrombosis in the Chinese population. Further study on genetics of thrombosis should focus on resequencing of THBD and other hemostasis genes in different populations.
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