Journals / Turkish Journal of Gastroenterology / 2004 / Cilt: 15 - Sayı: 4

İnflamatuvar barsak hastalıklarında Faktör V Leiden, protrombin G20210A ve MTFHR gen mutasyon prevelansı

Factor V Leiden, prothrombin G20210A and MTHFR gene mutations in inflammatory bowel disease

Pages
250–252
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusions: Genetic mutations that could increase the thrombosis risk were not found to be different in IBD versus the normal population in our study.

📌 3 Key Takeaways

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Objective & Hypothesis:Background/aims: Thromboembolic events are more common in patients with inflammatory bowel disease than in the normal population; however, the reason for the increased prevalence is not clear.
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Key Findings & Data:The aim of this study was to evaluate the prevalence of factor V Leiden, prothrombin G20210A and methylene tetrahydrofolate reductase (MTHFR) gene mutations in IBD patients followed in our outpatient clinic.
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Conclusion & Impact:Conclusions: Genetic mutations that could increase the thrombosis risk were not found to be different in IBD versus the normal population in our study.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Enflamatuvar bağırsak hastalıkları · Nokta mutasyonu · Inflammatory Bowel Diseases

Abstract

Background/aims: Thromboembolic events are more common in patients with inflammatory bowel disease than in the normal population; however, the reason for the increased prevalence is not clear. The aim of this study was to evaluate the prevalence of factor V Leiden, prothrombin G20210A and methylene tetrahydrofolate reductase (MTHFR) gene mutations in IBD patients followed in our outpatient clinic. Methods: Thirty-four patients with ulcerative colitis and 28 patients with Crohn’s disease and 80 healthy controls were included in the study. No patient had a history of previous thromboembolism. Factor V Leiden, prothrombin G20210A and MTHFR gene mutations were studied. Results: Heterozygote factor V Leiden mutation was found in five (6.25%) control patients and in two (3.2%) IBD patients. Heterozygote MTHFR mutation was obtained in seven (11.3%) IBD patients and in five (6.25%) controls. Heterozygote prothrombin G20210A mutation was found in two (2.5%) and homozygote MTHFR mutation in one (1.25%) control patient. There was no statistical difference between the IBD group and healthy controls. Conclusions: Genetic mutations that could increase the thrombosis risk were not found to be different in IBD versus the normal population in our study.

Özet

Amaç: İnflammatuvar barsak hastalıklarında normal popülasyona oranla daha sık tromboembolik olaylara rastlanılmaktadır. Bu artmış sıklığın nedeni tam olarak açıklığa kavuşmamıştır. İnflamatuvar barsak hastalıkları polikliniğimizde takip edilen, daha önce tromboembolik olay hikayesi olmayan ulseratif kolit/Crohn hastalarında Faktör V Leiden, protrombin G20210A ve MTHFR mutasyonlarının görülme sıklığını ortaya koymaktadır. Yöntem: Çalışmaya 62 hasta dahil edildi (ülseratif kolit: 34, Crohn hastalığı: 28). Hastaların hiçbirisinde trombolik olay hikayesi mevcut değildi. Hastalardan alınan kan örneklerinde Faktör V Leiden, protrombin G20210A ve MTHFR mutasyonları çalışıldı. kontrol grubu olarak 80 adet sağlıklı kontrol hastası alındı ve aynı mutasyonlar bakıldı. Bulgular: Sağlıklı kontrol grubunda 5 hastada (%6.25) heterozigot olarak Faktör V Leiden mutasyonu, 2 hastada (%2.5) heterozigot olarak protrombin G20210A mutasyonu, 5 hastada (%6.25) heterozigot olarak MTHFR mutasyonu ve 1 hastada (%1.25) homozigot olarak MTHFR mutasyonu tespit edildi. Hasta grubunda ise 7 hastada (%11.3) heterozigot olarak MTHFR mutasyonu, 2 hastada (%3.2) ise heterozigot olarak Faktör V Leiden mutasyonu saptandı. hasta grubundaki ve sağlıklı kontrollerde görülen mutasyon sıklığı arasında bir farklılık yoktu. Sonuç: İnflamatuvar barsak hastalıklarında tromboz riskini arttıran genetik mutasyonların sıklığında normal populasyona göre bir artış söz konusu değildir.

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Cite This Article

TÖRÜNER, M., ERKAN, Ö., SOYKAN, İ., BOZDAYI, M., ÇETİNKAYA, H., YURDAYDIN, C., UZUNALİMOĞLU, Ö., ÖZDEN, A. (2004). İnflamatuvar barsak hastalıklarında Faktör V Leiden, protrombin G20210A ve MTFHR gen mutasyon prevelansı. Turkish Journal of Gastroenterology, Cilt: 15 - Sayı: 4, 250–252. https://ajindex.com/articles/410415

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References (14)

  1. Talbot RW, Heppell J, Dozois RR, et al. Vascular complications of inflammatory bowel disease. Mayo Clin Proc 1986
  2. 61(2): 140-5. 2.Bernstein CN, Blanchard JF, Houston DS et al. The incidence of deep venous thrombosis and pulmonary embolism among patients with inflammatory bowel disease: a population-based cohort study. Thromb Haemost 2001
  3. 85(3): 430-4. 3.Grip O, Svensson PJ, Lindgren S. Inflammatory bowel disease promotes venous thrombosis earlier in life. Scand J Gastroenterol 2000
  4. 35(6): 619-23. 4.DeMaria AN. Relative risk of cardiovascular events in patients with rheumatoid arthritis. Am J Cardiol 2002
  5. 89(6A): 33D-38D. 5.Gabrielli M, Santoliquido A, Gasbarrini G, et al. Latent coeliac disease, hyperhomocysteinemia and pulmonary thromboembolism: a close link? Thromb Haemost 2003
  6. 89(1): 203-4. 6.Liebman HA, Kashani N, Sutherland D, et al. The factor V Leiden mutation increases the risk of venous thrombosis in patients with inflammatory bowel disease. Gastroenterology 1998
  7. 115(4): 830-4. 7.Wong T, Nightingale J, Winter M, et al. Spontaneous venous thrombosis in inflammatory bowel disease: relevance of factor V Leiden and the prothrombin gene mutation. J Thromb Haemost 2003
  8. 1(6): 1326-8. 8.Kader HA, Berman WF, Al-Seraihy AS, et al. Prevalence of factor V G1691A (Leiden), prothrombin G20210A, and methylene tetrahydrofolate reductase C677T thrombophilic mutations in children with inflammatory bowel disease. J Pediatr Gastroenterol Nutr 2002
  9. 35(5): 629-35. 9.Vecchi M, Sacchi E, Şaibeni S, et al. Inflammatory bowel diseases are not associated with major hereditary conditions predisposing to thrombosis. Dig Dis Sci 2000
  10. 45(7): 1465-9. 10.Turri D, Roselli M, Simioni P, et al. Factor V Leiden and prothrombin gene mutation in inflammatory bowel disease in a Mediterranean area. Dig Liver Dis 2001
  11. 33(7): 559-62. 11.Arruda VR, von Zuben PM, Chiparini LC, et al. The mutation Ala677->Val in the methylene tetrahydrofolate reductase gene: a risk factor for arterial disease and venous thrombosis. Thromb Haemost 1997
  12. 77(5): 818-21. 12.Ho CH. Prevalence of prothrombin 20210A allele and ethylenetetrahydrofolate reductase C677T genetic mutations in the Chinese population. Ann Hematol 2000
  13. 79(5): 239-42. 13.Antoniadi T, Hatzis T, Kroupis C, et al. Prevalence of factor V Leiden, prothrombin G20210A, and MTHFR C677T mutations in a Greek population of blood donors. Am J Hematol 1999
  14. 61(4): 265-7. 14.Canataroglu A, Tanriverdi K, inal T, et al. Methylenetetrahydrofolat