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Blood, 15 January 2005, Vol. 105, No. 2, pp. 638-644.
Prepublished online as a Blood First Edition Paper on September 7, 2004; DOI 10.1182/blood-2004-05-2018.


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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

High factor VIII levels in venous thromboembolism show linkage to imprinted loci on chromosomes 5 and 11

Mario Berger, Manuel Mattheisen, Bettina Kulle, Henriette Schmidt, Johannes Oldenburg, Heike Bickeböller, Ulrich Walter, Tom H. Lindner, Konstantin Strauch, and Christian M. Schambeck

From the Medical Department, and the Blood Coagulation Unit and Central Laboratory, Institute of Clinical Biochemistry and Pathobiochemistry, University of Würzburg, Würzburg, Germany; the Institute for Medical Biometry, Informatics, and Epidemiology, University of Bonn, Bonn, Germany; the Department of Genetic Epidemiology, University of Göttingen, Göttingen, Germany; and the Deutsches Rotes Kreuz (DRK) Blood Donor Service Baden-Württemberg-Hessen, Frankfurt, Germany.

High factor VIII (FVIII) levels are known to be a risk factor for deep venous thrombosis, but the mechanisms responsible for high FVIII levels remain unclear. Here, a new phenotype "FVIII level residuum" (FVIII-R) was defined in order to eliminate the impact of common determinants on FVIII levels. We studied 13 families of patients with thrombosis and reproducibly high FVIII levels of unknown origin. Since familial clustering was evident, we looked for a possible genetic basis. A genome scan was performed with 402 evenly spaced microsatellite markers. A quantitative linkage analysis using variance component methods showed suggestive evidence for linkage of FVIII-R with a locus on chromosome 8 (logarithm of odds [LOD] = 2.1). In addition, we performed parametric exploratory linkage analysis of dichotomized FVIII-R, taking a parent-of-origin effect into account. Single-trait-locus MOD-score analysis showed suggestive evidence for linkage under an imprinting model at chromosomes 5 and 11. Furthermore, a 2-trait-locus analysis under a multiplicative model for the loci of chromosomes 5 and 11 yielded a remarkable LOD of 4.44. It confirmed the finding of paternal imprinting, obtained by single-trait-locus analysis, at both loci. Our results suggest that high FVIII levels in venous thromboembolism represent a complex trait caused by several genetic factors.


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