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Blood, 15 February 2005, Vol. 105, No. 4, pp. 1549-1551.
Prepublished online as a Blood First Edition Paper on October 14, 2004; DOI 10.1182/blood-2004-08-3328.


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Submitted August 27, 2004
Accepted October 13, 2004

Marburg I polymorphism of factor VII-activating protease is associated with idiopathic venous thromboembolism

Berthold Hoppe*, Farzaneh Tolou, Hartmut Radtke, Holger Kiesewetter, Thomas Dorner, and Abdulgabar Salama

Institute of Transfusion Medicine, Campus Virchow-Klinikum, Charite - Universitats Medizin Berlin, Berlin, Germany

* Corresponding author; email: berthold.hoppe{at}charite.de.

The factor VII-activating protease (FSAP) variant Marburg I is known to attenuate the profibrinolytic system in vitro and it was recently shown to be a significant predictor for the evolution and progression of carotid stenosis. The objective of this case-control study was to assess its role in the occurrence of venous thromboembolism (VTE). The frequency of FSAP Marburg I was significantly increased in patients with a history of VTE (17 of 213 patients, 8.0%, P = 0.014) or idiopathic VTE (12 of 103 patients, 11.7%, P = 0.002) compared to healthy controls (5 of 213 controls, 2.3%). Logistic regression analysis confirmed FSAP Marburg I to be an independent risk factor for VTE (odds ratio: 3.5, 95% confidence interval [CI]: 1.2 - 10.0) and idiopathic VTE (odds ratio: 6.2, 95% CI: 2.0 - 18.9).


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