Abstract

The 1691G>A FV variant has been described as a common genetic risk factor in venous thromboembolism. The purpose of this study was to provide a further frequency value for 1691G>A FV in Poland and to collate summary data from Central (Poland, Czech, Slovakia), Eastern (Russia, Belarus, Ukraine) and South-Eastern (Slovenia, Croatia, Bosnia and Herzegovina, Serbia, Montenegro, Macedonia, Bulgaria) European countries. For this purpose in 2007 the 1691G>A FV variant was analyzed by polymerase chain reaction-restriction fragment length polymorphism from DNA collected in 2005-2006. We studied 650 subjects: 400 newborns and 250 older individuals (mean age 46.1 y) from Poland and compared results with reports from other countries, as well as with the frequency trend of 845G>A HFE across South-Eastern European countries using centroid cities. From our 1691G>A FV study we identified 626 GG homozygotes, 23 GA heterozygotes, and 1 AA homozygote (n = 650), giving an A allele frequency of 1.9%, and a summed frequency value for Poland of 2.0% (n = 1588); the frequency in Central European countries was 3.9% (n = 4559), mostly due to the high value in the Czech Republic: 5.1% (n = 2819); the South-Eastern European countries had 2.5% (n = 2410). Among the Eastern European countries the 1691G>A FV allele frequency was 1.9% (n=791), between the South-Eastern and Eastern European countries there was no significant difference (p=0.17). We confirm that the 1691G>A FV allele frequency in Poland, as well as other countries compared, is significantly lower than that in Czech.

Highlights

  • Synthesized in the liver, blood coagulation Factor V (FV) is a multidomain glycoprotein encoded by a gene consisting of exons, located on chromosome q

  • We studied subjects: newborns and older individuals from Poland and compared results with reports from other countries, as well as with the frequency trend of G>A HFE across South-Eastern European countries using centroid cities

  • From our G>A FV study we identified GG homozygotes, GA heterozygotes, and AA homozygote (n = ), giving an A allele frequency of . , and a summed frequency value for Poland of . (n = ); the frequency in Central European countries was . (n = ), mostly due to the high value in the Czech Republic: . (n = ); the South-Eastern European countries had . (n = )

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Summary

Introduction

Synthesized in the liver, blood coagulation Factor V (FV) is a multidomain glycoprotein encoded by a gene consisting of exons, located on chromosome q. The G>A FV transition in exon of factor causes an arginine to glutamine substitution (R Q) known as Factor V Leiden. This genetic disorder is characterized by poor anticoagulant response to activated protein C and is the most common risk factor for thromboembolic disease [ ]. One objective of this research was to give a larger sample size with a subjects from the West Pomeranian province of Poland. This value is compared to previous groups of Poles and values from other countries. A second objective was to present summary data: to our knowledge summary data for G>A FV from Central (Poland, Czech, Slovakia), Eastern (Russia, Belarus, Ukraine) and South-Eastern

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