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Previous Article | Table of Contents | Next Article 
A common genetic variation in the 3'-untranslated region of the prothrombin
gene is associated with elevated plasma prothrombin levels and an increase
in venous thrombosis
SR Poort, FR Rosendaal, PH Reitsma and RM Bertina
Hemostasis and Thrombosis Research Center, Leiden University Hospital, The
Netherlands.
We have examined the prothrombin gene as a candidate gene for venous
thrombosis in selected patients with a documented familial history of
venous thrombophilia. All the exons and the 5'- and 3'-UT region of the
prothrombin gene were analyzed by polymerase chain reaction and direct
sequencing in 28 probands. Except for known polymorphic sites, no
deviations were found in the coding regions and the 5'-UT region. Only one
nucleotide change (a G to A transition) at position 20210 was identified in
the sequence of the 3'-UT region. Eighteen percent of the patients had the
20210 AG genotype, as compared with 1% of a group of healthy controls (100
subjects). In a population-based case-control study, the 20210 A allele was
identified as a common allele (allele frequency, 1.2%; 95% confidence
interval, 0.5% to 1.8%), which increased the risk of venous thrombosis
almost threefold odds ratio, 2.8; 95% confidence interval, 1.4 to 5.6. The
risk of thrombosis increased for all ages and both sexes. An association
was found between the presence of the 20210 A allele and elevated
prothrombin levels. Most individuals (87%) with the 20210 A allele are in
the highest quartile of plasma prothrombin levels (> 1.15 U/mL).
Elevated prothrombin itself also was found to be a risk factor for venous
thrombosis.
Volume 88,
Issue 10,
pp. 3698-3703,
11/15/1996
Copyright © 1996 by The American Society of Hematology

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M. Coppens, M. H. van de Poel, I. Bank, K. Hamulyak, J. van der Meer, N. J. Veeger, M. H. Prins, H. R. Buller, and S. Middeldorp
A prospective cohort study on the absolute incidence of venous thromboembolism and arterial cardiovascular disease in asymptomatic carriers of the prothrombin 20210A mutation
Blood,
October 15, 2006;
108(8):
2604 - 2607.
[Abstract]
[Full Text]
[PDF]
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D. Bosler, J. Mattson, and D. Crisan
Phenotypic Heterogeneity in Patients with Homozygous Prothrombin 20210AA Genotype: A Paper from the 2005 William Beaumont Hospital Symposium on Molecular Pathology
J. Mol. Diagn.,
September 1, 2006;
8(4):
420 - 425.
[Abstract]
[Full Text]
[PDF]
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B. Jilma, F. M. Kovar, G. Hron, G. Endler, C. L. Marsik, S. Eichinger, and P. A. Kyrle
Homozygosity in the Single Nucleotide Polymorphism Ser128Arg in the E-Selectin Gene Associated With Recurrent Venous Thromboembolism.
Arch Intern Med,
August 14, 2006;
166(15):
1655 - 1659.
[Abstract]
[Full Text]
[PDF]
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C. Kuhli, K. Jochmans, I. Scharrer, M. Luchtenberg, and L.-O. Hattenbach
Retinal Vein Occlusion Associated With Antithrombin Deficiency Secondary to a Novel G9840C Missense Mutation.
Arch Ophthalmol,
August 1, 2006;
124(8):
1165 - 1169.
[Abstract]
[Full Text]
[PDF]
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N. Abramson, J. P. Costantino, J. E. Garber, N. Berliner, D. L. Wickerham, and N. Wolmark
Effect of Factor V Leiden and Prothrombin G20210->A Mutations on Thromboembolic Risk in the National Surgical Adjuvant Breast and Bowel Project Breast Cancer Prevention Trial.
J Natl Cancer Inst,
July 5, 2006;
98(13):
904 - 910.
[Abstract]
[Full Text]
[PDF]
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P J D Winyard, T Bharucha, R De Bruyn, M J Dillon, W van't Hoff, R S Trompeter, R Liesner, A Wade, and L Rees
Perinatal renal venous thrombosis: presenting renal length predicts outcome
Arch. Dis. Child. Fetal Neonatal Ed.,
July 1, 2006;
91(4):
F273 - F278.
[Abstract]
[Full Text]
[PDF]
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A. Zivelin, R. Mor-Cohen, V. Kovalsky, N. Kornbrot, J. Conard, F. Peyvandi, P. A. Kyrle, R. Bertina, F. Peyvandi, J. Emmerich, et al.
Prothrombin 20210G>A is an ancestral prothrombotic mutation that occurred in whites approximately 24 000 years ago
Blood,
June 15, 2006;
107(12):
4666 - 4668.
[Abstract]
[Full Text]
[PDF]
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S. Jivraj, R. Rai, J. Underwood, and L. Regan
Genetic thrombophilic mutations among couples with recurrent miscarriage
Hum. Reprod.,
May 1, 2006;
21(5):
1161 - 1165.
[Abstract]
[Full Text]
[PDF]
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R. L. Bick
Hereditary and Acquired Thrombophilic Disorders
Clinical and Applied Thrombosis/Hemostasis,
April 1, 2006;
12(2):
125 - 135.
[PDF]
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L. A. Hindorff, B. M. Psaty, C. S. Carlson, S. R. Heckbert, T. Lumley, N. L. Smith, R. N. Lemaitre, M. J. Rieder, D. A. Nickerson, and A. P. Reiner
Common Genetic Variation in the Prothrombin Gene, Hormone Therapy, and Incident Nonfatal Myocardial Infarction in Postmenopausal Women
Am. J. Epidemiol.,
April 1, 2006;
163(7):
600 - 607.
[Abstract]
[Full Text]
[PDF]
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N. Hezard, L. Bouaziz-Borgi, M.-G. Remy, and P. Nguyen
Utility of Thrombin-Generation Assay in the Screening of Factor V G1691A (Leiden) and Prothrombin G20210A Mutations and Protein S Deficiency
Clin. Chem.,
April 1, 2006;
52(4):
665 - 670.
[Abstract]
[Full Text]
[PDF]
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F. Dentali, M. Crowther, and W. Ageno
Thrombophilic abnormalities, oral contraceptives, and risk of cerebral vein thrombosis: a meta-analysis
Blood,
April 1, 2006;
107(7):
2766 - 2773.
[Abstract]
[Full Text]
[PDF]
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R. L. Sacco, R. Adams, G. Albers, M. J. Alberts, O. Benavente, K. Furie, L. B. Goldstein, P. Gorelick, J. Halperin, R. Harbaugh, et al.
Guidelines for Prevention of Stroke in Patients With Ischemic Stroke or Transient Ischemic Attack: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Council on Stroke: Co-Sponsored by the Council on Cardiovascular Radiology and Intervention: The American Academy of Neurology affirms the value of this guideline.
Circulation,
March 14, 2006;
113(10):
e409 - e449.
[Abstract]
[Full Text]
[PDF]
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S. Kalkanli, O. Ayyildiz, N. Tiftik, S. Batun, A. Isikdogan, H. Ince, S. Tekes, and E. Muftuoglu
Factor V Leiden Mutation in Venous Thrombosis in Southeast Turkey
Angiology,
March 1, 2006;
57(2):
193 - 196.
[Abstract]
[PDF]
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R. L. Sacco, R. Adams, G. Albers, M. J. Alberts, O. Benavente, K. Furie, L. B. Goldstein, P. Gorelick, J. Halperin, R. Harbaugh, et al.
Guidelines for Prevention of Stroke in Patients With Ischemic Stroke or Transient Ischemic Attack: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Council on Stroke: Co-Sponsored by the Council on Cardiovascular Radiology and Intervention: The American Academy of Neurology affirms the value of this guideline.
Stroke,
February 1, 2006;
37(2):
577 - 617.
[Abstract]
[Full Text]
[PDF]
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D. M. Monroe and M. Hoffman
What Does It Take to Make the Perfect Clot?
Arterioscler Thromb Vasc Biol,
January 1, 2006;
26(1):
41 - 48.
[Abstract]
[Full Text]
[PDF]
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R. Schneppenheim and J. Greiner
Thrombosis in Infants and Children
Hematology,
January 1, 2006;
2006(1):
86 - 96.
[Abstract]
[Full Text]
[PDF]
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S. Uitte de Willige, M. C. H. de Visser, J. J. Houwing-Duistermaat, F. R. Rosendaal, H. L. Vos, and R. M. Bertina
Genetic variation in the fibrinogen gamma gene increases the risk for deep venous thrombosis by reducing plasma fibrinogen {gamma}' levels
Blood,
December 15, 2005;
106(13):
4176 - 4183.
[Abstract]
[Full Text]
[PDF]
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G. Mello, E. Parretti, L. Marozio, C. Pizzi, A. Lojacono, T. Frusca, F. Facchinetti, and C. Benedetto
Thrombophilia Is Significantly Associated With Severe Preeclampsia: Results of a Large-Scale, Case-Controlled Study
Hypertension,
December 1, 2005;
46(6):
1270 - 1274.
[Abstract]
[Full Text]
[PDF]
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C. G. Tag, M.-C. Schifflers, M. Mohnen, A. M. Gressner, and R. Weiskirchen
Atypical Melting Curve Resulting from Genetic Variation in the 3' Untranslated Region at Position 20218 in the Prothrombin Gene Analyzed with the LightCycler Factor II (Prothrombin) G20210A Assay
Clin. Chem.,
August 1, 2005;
51(8):
1560 - 1561.
[Full Text]
[PDF]
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J. K. Lynch, C. J. Han, L. E. Nee, and K. B. Nelson
Prothrombotic Factors in Children With Stroke or Porencephaly
Pediatrics,
August 1, 2005;
116(2):
447 - 453.
[Abstract]
[Full Text]
[PDF]
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A. C.M. Jansen, E. S. van Aalst-Cohen, M. W.T. Tanck, S. Cheng, M. R. Fontecha, J. Li, J. C. Defesche, and J. J.P. Kastelein
Genetic Determinants of Cardiovascular Disease Risk in Familial Hypercholesterolemia
Arterioscler Thromb Vasc Biol,
July 1, 2005;
25(7):
1475 - 1481.
[Abstract]
[Full Text]
[PDF]
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M. Tzoufi, S. Giotopoulou, P. Papadimitriou, E. Dokou, N. I. Kolaitis, A. Siamopoulou, and G. Vartholomatos
Genetic Risk Factors Associated With Thrombosis in Children With Congenital Neurologic Disorders
J Child Neurol,
June 1, 2005;
20(6):
509 - 512.
[Abstract]
[PDF]
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M. Tzoufi, S. Giotopoulou, P. Papadimitriou, E. Dokou, N. I. Kolaitis, A. Siamopoulou, and G. Vartholomatos
Genetic Risk Factors Associated With Thrombosis in Children With Congenital Neurologic Disorders
J Child Neurol,
June 1, 2005;
20(6):
509 - 512.
[Abstract]
[PDF]
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S. C. Christiansen, S. C. Cannegieter, T. Koster, J. P. Vandenbroucke, and F. R. Rosendaal
Thrombophilia, Clinical Factors, and Recurrent Venous Thrombotic Events
JAMA,
May 18, 2005;
293(19):
2352 - 2361.
[Abstract]
[Full Text]
[PDF]
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S. R. Lentz
Another Lesson From the Factor V Leiden Mouse: Thrombin Generation Drives Arterial Disease
Circulation,
April 12, 2005;
111(14):
1733 - 1734.
[Full Text]
[PDF]
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H. Stanley-Christian, A. Ghidini, R. Sacher, and M. Shemirani
Fetal Genotype for Specific Inherited Thrombophilias Is Not Associated With Severe Preeclampsia
Reproductive Sciences,
April 1, 2005;
12(3):
198 - 201.
[Abstract]
[PDF]
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K. Saxena, M. Ranalli, N. Khan, C. Blanchong, and S. B. Kahwash
Fatal Stroke in a Child with Severe Iron Deficiency Anemia and Multiple Hereditary Risk Factors for Thrombosis
Clinical Pediatrics,
March 1, 2005;
44(2):
175 - 180.
[PDF]
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C. M. Johnson, L. Mureebe, and D. Silver
Hypercoagulable States: A Review
Vascular and Endovascular Surgery,
March 1, 2005;
39(2):
123 - 133.
[Abstract]
[PDF]
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M. Sachchithananthan, S. J. Stasinopoulos, J. Wilusz, and R. L. Medcalf
The relationship between the prothrombin upstream sequence element and the G20210A polymorphism: the influence of a competitive environment for mRNA 3'-end formation
Nucleic Acids Res.,
February 17, 2005;
33(3):
1010 - 1020.
[Abstract]
[Full Text]
[PDF]
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J. W. Blom, C. J. M. Doggen, S. Osanto, and F. R. Rosendaal
Malignancies, Prothrombotic Mutations, and the Risk of Venous Thrombosis
JAMA,
February 9, 2005;
293(6):
715 - 722.
[Abstract]
[Full Text]
[PDF]
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T. Lisman, P. G. de Groot, J. C.M. Meijers, and F. R. Rosendaal
Reduced plasma fibrinolytic potential is a risk factor for venous thrombosis
Blood,
February 1, 2005;
105(3):
1102 - 1105.
[Abstract]
[Full Text]
[PDF]
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R. L. Bick and D. Hoppensteadt
Recurrent Miscarriage Syndrome and Infertility Due to Blood Coagulation Protein/Platelet Defects: A Review and Update
Clinical and Applied Thrombosis/Hemostasis,
January 1, 2005;
11(1):
1 - 13.
[Abstract]
[PDF]
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F. R. Rosendaal
Venous Thrombosis: The Role of Genes, Environment, and Behavior
Hematology,
January 1, 2005;
2005(1):
1 - 12.
[Abstract]
[Full Text]
[PDF]
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V. V. Balasa, R. A. Gruppo, C. J. Glueck, P. Wang, D. R. Roy, E. J. Wall, C. T. Mehlman, and A. H. Crawford
Legg-Calve-Perthes Disease and Thrombophilia
J. Bone Joint Surg. Am.,
December 1, 2004;
86(12):
2642 - 2647.
[Abstract]
[Full Text]
[PDF]
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A. Tripodi, V. Chantarangkul, I. Martinelli, P. Bucciarelli, and P. M. Mannucci
A shortened activated partial thromboplastin time is associated with the risk of venous thromboembolism
Blood,
December 1, 2004;
104(12):
3631 - 3634.
[Abstract]
[Full Text]
[PDF]
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S. Bortolin, M. Black, H. Modi, I. Boszko, D. Kobler, D. Fieldhouse, E. Lopes, J.-M. Lacroix, R. Grimwood, P. Wells, et al.
Analytical Validation of the Tag-It High-Throughput Microsphere-Based Universal Array Genotyping Platform: Application to the Multiplex Detection of a Panel of Thrombophilia-Associated Single-Nucleotide Polymorphisms
Clin. Chem.,
November 1, 2004;
50(11):
2028 - 2036.
[Abstract]
[Full Text]
[PDF]
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D Saadoun, D Cazals-Hatem, M-H Denninger, L Boudaoud, B-N Pham, V Mallet, B Condat, J Briere, and D Valla
Association of idiopathic hepatic sinusoidal dilatation with the immunological features of the antiphospholipid syndrome
Gut,
October 1, 2004;
53(10):
1516 - 1519.
[Abstract]
[Full Text]
[PDF]
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I. Bank, E. J. Libourel, S. Middeldorp, E. C. M. van Pampus, M. M. W. Koopman, K. Hamulyak, M. H. Prins, J. van der Meer, and H. R. Buller
Prothrombin 20210A Mutation: A Mild Risk Factor for Venous Thromboembolism but Not for Arterial Thrombotic Disease and Pregnancy-Related Complications in a Family Study
Arch Intern Med,
September 27, 2004;
164(17):
1932 - 1937.
[Abstract]
[Full Text]
[PDF]
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E. M. Scott, R. A.S. Ariens, and P. J. Grant
Genetic and Environmental Determinants of Fibrin Structure and Function: Relevance to Clinical Disease
Arterioscler Thromb Vasc Biol,
September 1, 2004;
24(9):
1558 - 1566.
[Abstract]
[Full Text]
[PDF]
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P. Monagle, A. Chan, P. Massicotte, E. Chalmers, and A. D. Michelson
Antithrombotic Therapy in Children*: The Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy
Chest,
September 1, 2004;
126(3_suppl):
645S - 687S.
[Abstract]
[Full Text]
[PDF]
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