Thromb Haemost 2004; 92(05): 986-992
DOI: 10.1160/TH04-05-0275
Blood Coagulation, Fibrinolysis and Cellular Haemostasis
Schattauer GmbH

The factor VII activating protease G511E (Marburg) variant and cardiovascular risk

Helen Ireland
1   Division of Cardiovascular Genetics, Department of Medicine, British Heart Foundation Laboratories, Royal Free and University College Medical School, London, UK
,
George J. Miller
2   Medical Research Council Cardiovascular Group, Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, London, UK
,
Karen E.Webb
1   Division of Cardiovascular Genetics, Department of Medicine, British Heart Foundation Laboratories, Royal Free and University College Medical School, London, UK
,
Jackie A. Cooper
1   Division of Cardiovascular Genetics, Department of Medicine, British Heart Foundation Laboratories, Royal Free and University College Medical School, London, UK
,
Steve E. Humphries
1   Division of Cardiovascular Genetics, Department of Medicine, British Heart Foundation Laboratories, Royal Free and University College Medical School, London, UK
› Author Affiliations
Financial support: NPHSII was supported by the British Medical Research Council, the US National Institute of Health (grant NHLBI 33014) and Du Pont Pharma, Wilmington, USA. PJT, SEH, EH and KSR are supported by the British Heart Foundation (PG2000/015;RG 98/011). HI is part-supported by the Coronary Thrombosis Trust.
Further Information

Publication History

Received 05 May 2004

Accepted after resubmission 19 August 2004

Publication Date:
04 December 2017 (online)

Summary

A previous study had shown a strong relationship between a variant in factor VII activating protease (FSAP G511E) and advanced carotid atheroma. In-vitro, the variant has reduced fibrinolytic but normal pro-coagulant activity, which may constitute a prothrombotic state. The current study has addressed risk for coronary heart disease in a prospective study of cardio-vascular disorders (Northwick Park Heart Study II). An interactive effect upon risk was found between the 511E allele and elevated levels of cholesterol and triglyceride. Fibrinogen could substitute for triglyceride levels in this risk-interaction analysis. The findings support the proposal that the FSAP 511E allele exacerbates atherosclerosis or its clinical sequelae.

 
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