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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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