Association of the protein C promoter CG haplotype and the factor II G20210A mutation is a risk factor for cerebral venous thrombosis

Blood Coagul Fibrinolysis. 2005 Oct;16(7):495-500. doi: 10.1097/01.mbc.0000184738.27723.b2.

Abstract

The factor II G20210A mutation and estrogen treatment are described as risk factors for cerebral venous thrombosis (CVT). We evaluated these known risk factors in a population of CVT patients and investigated the role of a combination of two polymorphisms in the promoter of the protein C gene (PC promoter CG haplotype), newly described as risk factors for deep venous thrombosis. A retrospective population of 26 CVT patients was compared with a control group of 84 healthy volunteers. After a multivariate analysis, we confirmed that the factor II G20210A mutation is an independent risk factor for CVT with odds ratio 4.7 (95% confidence interval, 2.83--75.3). We demonstrated that the CVT risk is increased when this mutation is associated either with the PC promoter CG haplotype (odds ratio=19.8; 95% confidence interval, 2.1--186.5) or, in females, with an estrogen treatment (odds ratio=24; 95% confidence interval, 2.26--127.3). In this work, the association of the factor II G20210A mutation and the PC promoter CG haplotype or estrogen treatment seems to be a particular risk for CVT.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Case-Control Studies
  • Child
  • Child, Preschool
  • Female
  • Genetic Predisposition to Disease
  • Haplotypes
  • Humans
  • Intracranial Thrombosis / blood
  • Intracranial Thrombosis / genetics*
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Mutation*
  • Polymorphism, Genetic
  • Promoter Regions, Genetic
  • Protein C / genetics*
  • Prothrombin / genetics*
  • Retrospective Studies

Substances

  • Protein C
  • Prothrombin