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Blood Coagulation Disorders Among the Iranian Population: a Systematic Review
Insights
Blood coagulation disorders, particularly Factor XIII (FXIII) deficiency, are prevalent in Iran. The c.562T>C mutation is the most frequent genetic cause identified in this population.
Area of Science:
- Hematology
- Genetics
- Public Health
Background:
- Blood coagulation disorders represent a significant cause of mortality, necessitating focused research.
- Investigating the prevalence and genetic basis of these disorders in specific populations, like Iran, is crucial for understanding disease burden.
Approach:
- A systematic review adhering to PRISMA guidelines was conducted, analyzing data from 1990 to 2019.
- Searches encompassed major databases (Web of Science, PubMed, Scopus, etc.), including diverse study designs (cross-sectional, cohort, experimental, case-control) without language or gender restrictions.
Key Points:
- Factor XIII (FXIII) deficiency is the most common coagulation disorder identified in Southern Iran (599/1,165 individuals).
- The c.559T>C and c.562T>C mutations were the most frequent genetic variants associated with FXIII deficiency.
- Factor V (FV) Leiden was the second most common disorder (396/1,165), with the c.1691G>A mutation being its most prevalent genetic cause.
Conclusions:
- FXIII deficiency is the most critical coagulation disorder within the Iranian population.
- The c.562T>C mutation is identified as the most common genetic mutation contributing to coagulation disorders in Iran.
Background:
Blood coagulation disorders are one of the causes of mortality. Therefore, the study of coagulation disorders is also important. This systematic review was conducted to investigate blood coagulation disorders in the Iranian population.
Methods:
Searches in electronic databases such as Web of Science, PubMed, Scopus, SID, ProQuest, and Magiran from May 10, 1990 to May 10, 2019 were performed according to PRISMA guidelines. Cross-sectional, cohort, experimental, and case-control studies were included according to the inclusion criteria without gender and language restrictions.
Results:
After screening and selection, 14 studies were selected for data extraction. Accordingly, the most common blood coagulation disorder in the south of Iran was a defect in FXIII (599 of 1,165). C.559T>C (27 of 189) and c.562T>C (20 of 189) mutations had the highest frequency. The most common FXIII polymorphism among the Iranian Azerbaijanis was Val34Leu (203 of 410). The second most common coagulation disorder was FV Leiden (396 of 1,165). Then, c.1691G>A (151 of 396) was the most common mutation.
Conclusions:
This study shows that the most critical coagulation disorder among the Iranian population is FXIII deficiency and the most common mutation is c.562T>C.
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