No Association of Plasma Prothrombin Concentration or the G20210A Mutation with Incident Cardiovascular Disease Results from the Cardiovascular Health Study

作者: Adam Smiles , Nancy Jenny , Zhonghua Tang , Alice Arnold , Mary Cushman

DOI: 10.1055/S-0037-1613057

关键词:

摘要: Prothrombin is a key factor in blood clotting, process intimately involved thrombotic disease. We assessed prothrombin levels and G20210A genotype case-control study within the Cardiovascular Health Study. Cases included angina, myocardial infarction, stroke, presence of MRI-detectable infarcts (n ˜250 each). Population-based controls free clinical cardiovascular disease (CVD) ˜500) subset subclinical CVD ˜250) were used for comparison. The 20210 A allele, frequency 2.9%, was associated with higher mean levels: 166.3 vs. 139.5 g/ml (P <0.001). Significant correlates gender, plasma lipids, other vitamin K-dependent proteins, inflammatory markers, but not race, smoking, hypertension, diabetes, measures CVD, or markers procoagulant activity. Compared to controls, neither nor level any case group. conclude that, elderly, either risk factors events. This consistent lack association underlying markers.

参考文章(49)
R D Rosenberg, Chemistry of the hemostatic mechanism and its relationship to the action of heparin. Federation proceedings. ,vol. 36, pp. 10- 18 ,(1977)
Andreas Hillarp, Bengt Zӧller, Peter J Svensson, Bjӧrn Dahlbäck, The 20210 A allele of the prothrombin gene is a common risk factor among Swedish outpatients with verified deep venous thrombosis. Thrombosis and Haemostasis. ,vol. 78, pp. 990- 992 ,(1997) , 10.1055/S-0038-1657674
PJ Declerck, MC Alessi, M Verstreken, EK Kruithof, I Juhan-Vague, D Collen, Measurement of plasminogen activator inhibitor 1 in biologic fluids with a murine monoclonal antibody-based enzyme-linked immunosorbent assay. Blood. ,vol. 71, pp. 220- 225 ,(1988) , 10.1182/BLOOD.V71.1.220.220
F.R. Rosendaal, D.S. Siscovick, S.M. Schwartz, B.M. Psaty, T.E. Raghunathan, H.L. Vos, A Common Prothrombin Variant (20210 G to A) Increases the Risk of Myocardial Infarction in Young Women Blood. ,vol. 90, pp. 1747- 1750 ,(1997) , 10.1182/BLOOD.V90.5.1747
M Cushman, E S Cornell, P R Howard, E G Bovill, R P Tracy, Laboratory methods and quality assurance in the Cardiovascular Health Study. Clinical Chemistry. ,vol. 41, pp. 264- 270 ,(1995) , 10.1093/CLINCHEM/41.2.264
P R Howard, E G Bovill, K G Mann, R P Tracy, A monoclonal-antibody-based radioimmunoassay for measurement of protein C in plasma. Clinical Chemistry. ,vol. 34, pp. 324- 330 ,(1988) , 10.1093/CLINCHEM/34.2.320
E G Bovill, M M Landesman, S A Busch, G R Fregeau, K G Mann, R P Tracy, Studies on the measurement of protein S in plasma. Clinical Chemistry. ,vol. 37, pp. 1708- 1714 ,(1991) , 10.1093/CLINCHEM/37.10.1708
M. Cushman, D. Yanez, B. M. Psaty, L. P. Fried, G. Heiss, M. Lee, J. F. Polak, P. J. Savage, R. P. Tracy, , Association of Fibrinogen and Coagulation Factors Vll and VIII with Cardiovascular Risk Factors in the Elderly The Cardiovascular Health Study American Journal of Epidemiology. ,vol. 143, pp. 665- 676 ,(1996) , 10.1093/OXFORDJOURNALS.AJE.A008799