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Classic thrombophilic gene variants.

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Summary

Thrombophilia, a hypercoagulable state leading to venous thromboembolism (VTE), is influenced by inherited factors. Key genetic determinants include mutations in anticoagulant proteins and specific gene polymorphisms, alongside non-O blood groups.

Keywords:
ABO blood groupInherited thrombophiliafactor V Leidennatural anticoagulantsprothrombin mutation

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Area of Science:

  • Hematology
  • Genetics
  • Vascular Medicine

Background:

  • Thrombophilia is a hypercoagulable state predisposing to venous thromboembolism (VTE).
  • Advances in understanding VTE pathogenesis reveal both acquired and inherited factors contribute to thrombophilic states.
  • Inherited thrombophilia significantly increases the risk of VTE development.

Purpose of the Study:

  • To review the pathogenesis of VTE.
  • To discuss the role of inherited thrombophilia markers in VTE.
  • To elucidate the mechanism of inherited thrombophilia markers.

Main Methods:

  • This is a narrative review.
  • Literature search on thrombophilia and VTE.
  • Discussion of genetic and non-genetic inherited risk factors.

Main Results:

  • Inherited thrombophilia is determined by genetic factors such as loss-of-function mutations in protein C, protein S, and antithrombin genes.
  • Gain-of-function polymorphisms, including Factor V Leiden and prothrombin G20210A, are common genetic determinants.
  • Non-O blood groups are frequently identified as inherited markers associated with increased VTE risk.

Conclusions:

  • Inherited thrombophilia encompasses genetic mutations and polymorphisms affecting coagulation.
  • Non-O blood groups represent a common inherited risk factor for VTE.
  • Understanding these inherited markers is crucial for VTE risk assessment and management.