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[Correlation between polymorphisms in the coagulation factor VII gene hypervariable region 4 site and the risk of
Li-li Wang1, Bin Ma2, Dun Qian1
1The Fist School of Clinical Medicine.
Insights
Polymorphisms in the coagulation factor VII (F VII) gene hypervariable region 4 (HVR4) show varied associations with coronary heart disease (CHD) risk across ethnicities. The H7 allele and H7H7 genotype may protect against CHD, while the H6 allele increases risk.
Area of Science:
- Genetics
- Cardiovascular Disease Epidemiology
- Molecular Biology
Context:
- Coronary heart disease (CHD) is a leading cause of mortality globally.
- Genetic factors play a significant role in CHD susceptibility.
- The coagulation factor VII (F VII) gene is implicated in hemostasis and thrombosis, relevant to cardiovascular health.
Purpose:
- To investigate the association between polymorphisms in the F VII gene hypervariable region 4 (HVR4) and CHD risk.
- To analyze these associations across diverse ethnic populations, with a focus on Asian populations.
Summary:
- A meta-analysis of 15 case-control studies (3167 CHD cases, 3168 controls) examined F VII gene HVR4 polymorphisms and CHD risk.
- The H7 allele and H7H7 genotype were associated with a protective effect against CHD.
- The H6 allele showed a correlation with increased CHD risk, whereas the H5 allele did not demonstrate a significant association.
Impact:
- Identifies specific F VII gene HVR4 polymorphisms (H7, H6) as potential biomarkers for CHD risk stratification.
- Provides insights into ethnic variations in genetic susceptibility to CHD.
- Informs future research on F VII gene's role in cardiovascular disease pathogenesis.
Objective:
To assess the correlation between polymorphisms in the coagulation factor VII (F VII)gene hypervariable region 4 (HVR4)site and risk related to coronary heart disease (CHD)in different ethnic populations, especially the Asian populations.
Methods:
Publications up to April 2013, from CBM, CNKI, Wanfang Database,VIP, PubMed, Cochrane Library and Embase were searched to collect data from case-control studies related to F VII gene HVR4 site and CHD in populations from different ethnicities. Quality of studies was evaluated, available data extracted and both RevMan 5.1 and Stata 11.0 softwares were used for Meta-analysis.
Results:
Fifteen case-control studies were included, involving 3167 cases with CHD group and 3168 cases in the control group.
Results:
on this Meta-analysis showed that:a)polymorphism of the F VII gene HVR4 site H7/H6+H5 and CHD, b)H7H7/H6H6 + H7H6 and CHD were both slightly correlated between people with different ethnic backgrounds. However, the H6 allele versus H7+H5 allele and CHD showed different results-a high correlation seen in different ethnic groups. H5 allele versus H6+H7 allele and CHD did not appear significant difference(OR = 1.20, 95%CI:0.76-1.90, P = 0.43).
Conclusion:
Both F VII gene HVR4 polymorphisms H7 allele and the H7H7 genotype might have served as protective factors for CHD in different ethnic groups, H6 allele might serve as a risk factor for CHD, but H5 allele was likely not to be associated with CHD in different ethnic groups.
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