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Blood, 1 May 2007, Vol. 109, No. 9, pp. 3713-3724. Prepublished online as a Blood First Edition Paper on January 5, 2007; DOI 10.1182/blood-2006-06-026104.
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY A sequence variation scan of the coagulation factor VIII (FVIII) structural gene and associations with plasma FVIII activity levels1 Department of Pathology and Laboratory Medicine and 2 Department of Epidemiology, Emory University, Atlanta, GA; 3 Department of Genetics, Southwest Foundation for Biomedical Research, San Antonio, TX; 4 Unitat d Hemostàsia i Trombosi, Departament d Hematologia, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; 5 Centro de Investigacion en Biologia Celular y Molecular, Universidad de Costa Rica, San José, Costa Rica; 6 Geospiza, Seattle, WA; and 7 Department of Human Genetics, Emory University, Atlanta, GA Plasma factor VIII coagulant activity (FVIII:C) level is a highly heritable quantitative trait that is strongly correlated with thrombosis risk. Polymorphisms within only 1 gene, the ABO blood-group locus, have been unequivocally demonstrated to contribute to the broad population variability observed for this trait. Because less than 2.5% of the structural FVIII gene (F8) has been examined previously, we resequenced all known functional regions in 222 potentially distinct alleles from 137 unrelated nonhemophilic individuals representing 7 racial groups. Eighteen of the 47 variants identified, including 17 single-nucleotide polymorphisms (SNPs), were previously unknown. As the degree of linkage disequilibrium across F8 was weak overall, we used measured-genotype association analysis to evaluate the influence of each polymorphism on the FVIII:C levels in 398 subjects from 21 pedigrees known as the Genetic Analysis of Idiopathic Thrombophilia project (GAIT). Our results suggested that 92714C>G, a nonsynonymous SNP encoding the B-domain substitution D1241E, was significantly associated with FVIII:C level. After accounting for important covariates, including age and ABO genotype, the association persisted with each C-allele additively increasing the FVIII:C level by 14.3 IU dL1 (P = .016). Nevertheless, because the alleles of 56010G>A, a SNP within the 3' splice junction of intron 7, are strongly associated with 92714C>G in GAIT, additional studies are required to determine whether D1241E is itself a functional variant.
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| Copyright © 2007 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||||