Thromb Haemost 2002; 88(05): 763-767
DOI: 10.1055/s-0037-1613299
Review Article
Schattauer GmbH

Polymorphic Changes in the 5’ Flanking Region of Factor VII Have a Combined Effect on Promoter Strength

Rama Kudaravalli
1   The Children’s Hospital of Philadelphia and the Department of Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
,
Theresa Tidd
1   The Children’s Hospital of Philadelphia and the Department of Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
,
Mirko Pinotti
2   Dipartimento di Biochimica e Biologia Molecolare, University of Ferrara, Ferrara, Italy
,
Antonia Ratti
1   The Children’s Hospital of Philadelphia and the Department of Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
3   Ospedale Maggiore Policlinico, Dipartimento di Science Neurologiche, University of Milan, Italy
,
Rosa Santacroce
1   The Children’s Hospital of Philadelphia and the Department of Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
4   Unita’ di Ricerca in Aterosclerosi e Trombosi, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy
,
Maurizio Margaglione
4   Unita’ di Ricerca in Aterosclerosi e Trombosi, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy
,
Bruno Dallapiccola
4   Unita’ di Ricerca in Aterosclerosi e Trombosi, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy
5   Instituto C. S. S. Mendel, Dipartimento di Medicina Sperimentale e Patologia, University La Sapienza – Roma, Italy
,
Francesco Bernardi
2   Dipartimento di Biochimica e Biologia Molecolare, University of Ferrara, Ferrara, Italy
,
Paolo Fortina
1   The Children’s Hospital of Philadelphia and the Department of Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
,
Marcella Devoto
6   Department of Research, Nemours Children’s Clinic, Wilmington, DE and Department of Oncology, Biology, and Genetics, University of Genoa, Genoa, Italy
,
Eleanor S. Pollak
1   The Children’s Hospital of Philadelphia and the Department of Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
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Publikationsverlauf

Received 04. April 2002

Accepted after revision 20. Juni 2002

Publikationsdatum:
08. Dezember 2017 (online)

Summary

Polymorphic differences in the 5’ flanking region of the gene encoding procoagulant protein Factor VII (FVII) are associated with variations in FVII coagulant activity (FVII:C) and FVII antigen (FVII:Ag) levels. A decanucleotide insert polymorphism (CCTATATCCT) at 323 bp upstream of the start site of translation correlates with a decrease of approximately 20% FVII:C levels per allele containing this insert. However, linkage disequilibrium of the decanucleotide polymorphism with two single nucleotide polymorphisms (SNPs) at –122 and –401 have made it difficult to pinpoint the functional role, if any, of these genetic changes in lowering FVII levels. In vitro reporter gene studies in HepG2 cells analyzing the 8 possible combinations of polymorphic sites at –401, –323, and –122 reveal the necessity of the presence of the three concurrent polymorphic changes to maximally decrease promoter strength. In addition, these in vitro results are supported by in vivo studies in 89 individuals of African heritage, 34% of whom display a new haplotype that shows the polymorphic changes at -323 and -401 but lacks the change at -122.

 
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