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Genetic
Factors May Determine
Blood Clot Risk
NEW
YORK (Reuters Health) - Genetic factors have a major impact on
levels of blood-clotting proteins in the body, study findings
suggest.
Because such
blood-clotting proteins have been linked to an increased risk
of heart disease and stroke, the findings show how important it
is to study the genes that orchestrate the formation of blood
clots, according to Dr. Peter J. Grant, of the University of Leeds
in England, and colleagues.
``Our study
has shown that there is a very significant genetic effect on variability
in levels of coagulation factors,'' Grant told Reuters Health.
In the study, the genetic influence ranged from 41% to 75% depending
on the clotting factor.
``This demonstrates
the importance of genetics in clotting risk in the general population
and gives us the knowledge to search for the genes which cause
this,'' Grant said. ``In the longer term, this knowledge will
allow us to develop novel therapeutic approaches to prevent clotting
disorders such as heart attack and stroke.''
Both heart
attacks and strokes can occur when a blood clot becomes lodged
in a clogged artery leading to either the heart or brain.
While a person's
genetic makeup is known to have an effect on the risk of artery
clogging, very little is known about the influence of genetics
on clotting factors, according to the researchers.
To get a better
idea of how large of an effect heredity has on clotting factors,
Grant's team studied 501 sets of female twins, including 149 identical
pairs and 352 fraternal pairs of twins. The researchers analyzed
the genetics of blood samples taken from the twins.
Writing in
the January 13th issue of The Lancet, the authors report that
genes appeared to have a moderate to large effect on levels of
several types of clotting factors, including fibrinogen, tissue
plasminogen activator, and factors VII and VIII.
The genes
that influence clotting factors may turn out to be no more than
``bit-players in a much bigger picture'' of many genetic factors
that affect the risk of cardiovascular disease, the editorialists
note.
SOURCE:
The Lancet 2001;357:83-84, 101-105.
Reference
Source 89
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