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Blood, Vol. 92 No. 4 (August 15), 1998: pp. 1119-1124

RAPID COMMUNICATION


A Single Genetic Origin for the Common Prothrombotic G20210A Polymorphism in the Prothrombin Gene

Ariella Zivelin, Nurit Rosenberg, Shlomit Faier, Nurit Kornbrot, Hava Peretz, Christine Mannhalter, Marie Helene Horellou, and Uri Seligsohn

From the Institute of Thrombosis and Hemostasis, Department of Hematology, Sheba Medical Center, Tel Aviv University, Tel Aviv, Israel; the Department of Laboratory Medicine, University of Vienna, Vienna, Austria; and The Central Laboratory of Hematology, Hotel-Dieu Hospital, Paris, France.

The polymorphism G20210A in the 3' untranslated region of the prothrombin gene is associated with an increased level of factor II activity and confers a twofold to fivefold increase in the risk for venous thromboembolism. Among Caucasian populations, the prevalence of factor II G20210A heterozygotes is 1% to 6%, whereas in non-Caucasian populations it is very rare or absent. The aim of the present study was to discern whether factor II G20210A originated from a single or recurrent mutational events. Allele frequencies of four dimorphisms spanning 16 of 21 kb of the factor II gene were determined in 133 unrelated Caucasian subjects of Jewish, Austrian, and French origins who bore factor II G20210A (10 homozygotes and 123 heterozygotes) and 110 Caucasian controls. Remarkable differences in the allele frequencies for each dimorphism were observed between the study groups (P = .0007 or less), indicating strong linkage disequilibrium and suggesting a founder effect. Indeed, a founder haplotype was present in 68% of 20210A mutant alleles and only in 34% of 20210G normal alleles (P < .0001). These data strongly support a single origin for factor II G20210A that probably occurred after the divergence of Africans from non-Africans and of Caucasoid from Mongoloid subpopulations.

© 1998 by The American Society of Hematology.


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