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Published on: February 10, 2023
Epidemiology and Genetics of Venous Thromboembolism and Chronic Venous Disease
Richard A Baylis1, Nicholas L Smith2,3,4, Derek Klarin5,6
1Department of Surgery, Division of Vascular Surgery, Stanford University School of Medicine, CA (R.A.B., E.F.).
Insights
Genetic factors significantly contribute to venous diseases, including venous thromboembolism and chronic venous disease. Research is advancing our understanding of these genetic links and their impact on disease development.
Area of Science:
- Medical Genetics
- Vascular Biology
- Epidemiology
Background:
- Venous diseases encompass venous thromboembolism (VTE) and chronic venous disease (CVD).
- VTE stems from hemostasis/thrombosis imbalance; CVD arises from venous hypertension and tissue damage.
- Both conditions are prevalent, causing significant mortality (VTE) and morbidity (CVD), representing a substantial healthcare burden.
Purpose of the Study:
- To review the current understanding of venous disease epidemiology and genetics.
- To highlight advancements in genetic research for VTE and CVD.
- To identify future research directions in the field.
Main Methods:
- Review of existing epidemiological data.
- Analysis of findings from familial and genome-wide association studies (GWAS).
- Synthesis of current knowledge on genetic risk factors for venous diseases.
Main Results:
- Family history is a recognized risk factor for both VTE and CVD.
- Numerous genetic risk loci have been identified through large-scale genetic studies.
- Genetic studies have expanded the understanding of venous disease pathogenesis.
Conclusions:
- Genetics plays a crucial role in the risk of developing venous diseases.
- Continued genetic research is essential for unraveling the complex etiology of VTE and CVD.
- Integrating genetic insights may lead to improved prevention and treatment strategies.
Abstract:
Venous disease is a term that broadly covers both venous thromboembolic disease and chronic venous disease. The basic pathophysiology of venous thromboembolism and chronic venous disease differ as venous thromboembolism results from an imbalance of hemostasis and thrombosis while chronic venous disease occurs in the setting of tissue damage because of prolonged venous hypertension. Both diseases are common and account for significant mortality and morbidity, respectively, and collectively make up a large health care burden. Despite both diseases having well-characterized environmental components, it has been known for decades that family history is an important risk factor, implicating a genetic element to a patient's risk. Our understanding of the pathogenesis of these diseases has greatly benefited from an expansion of population genetic studies from pioneering familial studies to large genome-wide association studies; we now have multiple risk loci for each venous disease. In this review, we will highlight the current state of knowledge on the epidemiology and genetics of venous thromboembolism and chronic venous disease and directions for future research.
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