Heritability of Clot Formation, Morphology, and Lysis: The EuroCLOT Study
OBJECTIVE—The relative balance between clot formation and fibrinolysis is considered to reflect thrombotic potential following vascular injury. The aims of the present study were to (1) to determine the contribution of genetic and environmental factors to variance in measures of clot structure/funct...
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Published in | Arteriosclerosis, thrombosis, and vascular biology Vol. 27; no. 12; pp. 2783 - 2789 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Philadelphia, PA
American Heart Association, Inc
01.12.2007
Hagerstown, MD Lippincott |
Subjects | |
Online Access | Get full text |
ISSN | 1079-5642 1524-4636 1524-4636 |
DOI | 10.1161/ATVBAHA.107.153221 |
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Abstract | OBJECTIVE—The relative balance between clot formation and fibrinolysis is considered to reflect thrombotic potential following vascular injury. The aims of the present study were to (1) to determine the contribution of genetic and environmental factors to variance in measures of clot structure/function in the Leeds Family Study, and (2) to determine the relationship between measures of clot structure/function and cardiovascular risk.
METHODS AND RESULTS—Using high throughput turbidimetric assays, heritabilities of measures of clot formation, clot structure, and clot lysis were ≈0.30. Fibrinogen contributed to variance in all measures and plasminogen activator inhibitor-1 to variance in lysis variables. Subjects at increased cardiovascular risk due to the presence of the metabolic syndrome (MetS) had increased clot density (MaxAbsC0.358 [0.340, 0.375]au) and prolonged lysis times (LysT510 [6569, 7939]s) compared with those without MetS (MaxAbsC0.319 [0.310, 0.328]au, P=0.003; LysT7221 [4884, 5328]s, P<0.001). Furthermore, measures of clot structure/function increased progressively with increasing number of MetS components.
CONCLUSIONS—This study indicates that genetic factors contribute modestly to variance in clot structure/function and that clot structure/function is related to presence of the MetS and number of MetS components. Identification of the genetic and environmental factors influencing clot structure/function may further our understanding of the underlying factors predisposing to cardiovascular disease. |
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AbstractList | The relative balance between clot formation and fibrinolysis is considered to reflect thrombotic potential following vascular injury. The aims of the present study were to (1) to determine the contribution of genetic and environmental factors to variance in measures of clot structure/function in the Leeds Family Study, and (2) to determine the relationship between measures of clot structure/function and cardiovascular risk.
Using high throughput turbidimetric assays, heritabilities of measures of clot formation, clot structure, and clot lysis were approximately 0.30. Fibrinogen contributed to variance in all measures and plasminogen activator inhibitor-1 to variance in lysis variables. Subjects at increased cardiovascular risk due to the presence of the metabolic syndrome (MetS) had increased clot density (MaxAbs(C): 0.358 [0.340, 0.375]au) and prolonged lysis times (Lys(T): 510 [6569, 7939]s) compared with those without MetS (MaxAbs(C): 0.319 [0.310, 0.328]au, P=0.003; Lys(T): 7221 [4884, 5328]s, P<0.001). Furthermore, measures of clot structure/function increased progressively with increasing number of MetS components.
This study indicates that genetic factors contribute modestly to variance in clot structure/function and that clot structure/function is related to presence of the MetS and number of MetS components. Identification of the genetic and environmental factors influencing clot structure/function may further our understanding of the underlying factors predisposing to cardiovascular disease. The relative balance between clot formation and fibrinolysis is considered to reflect thrombotic potential following vascular injury. The aims of the present study were to (1) to determine the contribution of genetic and environmental factors to variance in measures of clot structure/function in the Leeds Family Study, and (2) to determine the relationship between measures of clot structure/function and cardiovascular risk.OBJECTIVEThe relative balance between clot formation and fibrinolysis is considered to reflect thrombotic potential following vascular injury. The aims of the present study were to (1) to determine the contribution of genetic and environmental factors to variance in measures of clot structure/function in the Leeds Family Study, and (2) to determine the relationship between measures of clot structure/function and cardiovascular risk.Using high throughput turbidimetric assays, heritabilities of measures of clot formation, clot structure, and clot lysis were approximately 0.30. Fibrinogen contributed to variance in all measures and plasminogen activator inhibitor-1 to variance in lysis variables. Subjects at increased cardiovascular risk due to the presence of the metabolic syndrome (MetS) had increased clot density (MaxAbs(C): 0.358 [0.340, 0.375]au) and prolonged lysis times (Lys(T): 510 [6569, 7939]s) compared with those without MetS (MaxAbs(C): 0.319 [0.310, 0.328]au, P=0.003; Lys(T): 7221 [4884, 5328]s, P<0.001). Furthermore, measures of clot structure/function increased progressively with increasing number of MetS components.METHODS AND RESULTSUsing high throughput turbidimetric assays, heritabilities of measures of clot formation, clot structure, and clot lysis were approximately 0.30. Fibrinogen contributed to variance in all measures and plasminogen activator inhibitor-1 to variance in lysis variables. Subjects at increased cardiovascular risk due to the presence of the metabolic syndrome (MetS) had increased clot density (MaxAbs(C): 0.358 [0.340, 0.375]au) and prolonged lysis times (Lys(T): 510 [6569, 7939]s) compared with those without MetS (MaxAbs(C): 0.319 [0.310, 0.328]au, P=0.003; Lys(T): 7221 [4884, 5328]s, P<0.001). Furthermore, measures of clot structure/function increased progressively with increasing number of MetS components.This study indicates that genetic factors contribute modestly to variance in clot structure/function and that clot structure/function is related to presence of the MetS and number of MetS components. Identification of the genetic and environmental factors influencing clot structure/function may further our understanding of the underlying factors predisposing to cardiovascular disease.CONCLUSIONSThis study indicates that genetic factors contribute modestly to variance in clot structure/function and that clot structure/function is related to presence of the MetS and number of MetS components. Identification of the genetic and environmental factors influencing clot structure/function may further our understanding of the underlying factors predisposing to cardiovascular disease. Objective— The relative balance between clot formation and fibrinolysis is considered to reflect thrombotic potential following vascular injury. The aims of the present study were to (1) to determine the contribution of genetic and environmental factors to variance in measures of clot structure/function in the Leeds Family Study, and (2) to determine the relationship between measures of clot structure/function and cardiovascular risk. Methods and Results— Using high throughput turbidimetric assays, heritabilities of measures of clot formation, clot structure, and clot lysis were ≈0.30. Fibrinogen contributed to variance in all measures and plasminogen activator inhibitor-1 to variance in lysis variables. Subjects at increased cardiovascular risk due to the presence of the metabolic syndrome (MetS) had increased clot density (MaxAbs C : 0.358 [0.340, 0.375]au) and prolonged lysis times (Lys T : 510 [6569, 7939]s) compared with those without MetS (MaxAbs C : 0.319 [0.310, 0.328]au, P =0.003; Lys T : 7221 [4884, 5328]s, P <0.001). Furthermore, measures of clot structure/function increased progressively with increasing number of MetS components. Conclusions— This study indicates that genetic factors contribute modestly to variance in clot structure/function and that clot structure/function is related to presence of the MetS and number of MetS components. Identification of the genetic and environmental factors influencing clot structure/function may further our understanding of the underlying factors predisposing to cardiovascular disease. Heritabilities of turbidimetric measures of structure/function were ≈0.30 in the Leeds Family Study. Clot structure/function was related to presence of the metabolic syndrome and number of metabolic syndrome components. Identification of the genetic and environmental factors influencing clot structure/function may further our understanding of factors predisposing to cardiovascular disease. OBJECTIVE—The relative balance between clot formation and fibrinolysis is considered to reflect thrombotic potential following vascular injury. The aims of the present study were to (1) to determine the contribution of genetic and environmental factors to variance in measures of clot structure/function in the Leeds Family Study, and (2) to determine the relationship between measures of clot structure/function and cardiovascular risk. METHODS AND RESULTS—Using high throughput turbidimetric assays, heritabilities of measures of clot formation, clot structure, and clot lysis were ≈0.30. Fibrinogen contributed to variance in all measures and plasminogen activator inhibitor-1 to variance in lysis variables. Subjects at increased cardiovascular risk due to the presence of the metabolic syndrome (MetS) had increased clot density (MaxAbsC0.358 [0.340, 0.375]au) and prolonged lysis times (LysT510 [6569, 7939]s) compared with those without MetS (MaxAbsC0.319 [0.310, 0.328]au, P=0.003; LysT7221 [4884, 5328]s, P<0.001). Furthermore, measures of clot structure/function increased progressively with increasing number of MetS components. CONCLUSIONS—This study indicates that genetic factors contribute modestly to variance in clot structure/function and that clot structure/function is related to presence of the MetS and number of MetS components. Identification of the genetic and environmental factors influencing clot structure/function may further our understanding of the underlying factors predisposing to cardiovascular disease. |
Author | Grant, Peter J. Cymbalista, Charlotte M. Carter, Angela M. Spector, Tim D. |
AuthorAffiliation | From the Academic Unit of Molecular Vascular Medicine (A.M.C., C.M.C., P.J.G.), The LIGHT Laboratories, University of Leeds, UK; and Twin Research & Genetic Epidemiology Unit (T.D.S.), King’s College London, London, UK |
AuthorAffiliation_xml | – name: From the Academic Unit of Molecular Vascular Medicine (A.M.C., C.M.C., P.J.G.), The LIGHT Laboratories, University of Leeds, UK; and Twin Research & Genetic Epidemiology Unit (T.D.S.), King’s College London, London, UK |
Author_xml | – sequence: 1 givenname: Angela surname: Carter middlename: M. fullname: Carter, Angela M. organization: From the Academic Unit of Molecular Vascular Medicine (A.M.C., C.M.C., P.J.G.), The LIGHT Laboratories, University of Leeds, UK; and Twin Research & Genetic Epidemiology Unit (T.D.S.), King’s College London, London, UK – sequence: 2 givenname: Charlotte surname: Cymbalista middlename: M. fullname: Cymbalista, Charlotte M. – sequence: 3 givenname: Tim surname: Spector middlename: D. fullname: Spector, Tim D. – sequence: 4 givenname: Peter surname: Grant middlename: J. fullname: Grant, Peter J. |
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Keywords | Endocrinopathy Vascular disease Atherosclerosis Lysis Metabolic diseases Cardiovascular disease Metabolic syndrome Fibrinolysis coagulation Clot heritability |
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PublicationTitle | Arteriosclerosis, thrombosis, and vascular biology |
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Snippet | OBJECTIVE—The relative balance between clot formation and fibrinolysis is considered to reflect thrombotic potential following vascular injury. The aims of the... Objective— The relative balance between clot formation and fibrinolysis is considered to reflect thrombotic potential following vascular injury. The aims of... The relative balance between clot formation and fibrinolysis is considered to reflect thrombotic potential following vascular injury. The aims of the present... |
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SubjectTerms | Adult Atherosclerosis (general aspects, experimental research) Biological and medical sciences Blood and lymphatic vessels Blood Coagulation - genetics Blood Coagulation Tests - methods Cardiology. Vascular system Cardiovascular Diseases - blood Cardiovascular Diseases - genetics Cardiovascular system Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Europe Female Fibrinogen - metabolism Fibrinolysis - genetics Genetic Predisposition to Disease Genetic Variation Gynecology. Andrology. Obstetrics Humans Male Mammary gland diseases Medical sciences Metabolic Syndrome - blood Metabolic Syndrome - complications Metabolic Syndrome - genetics Middle Aged Nephelometry and Turbidimetry Pedigree Pharmacology. Drug treatments Plasminogen Activator Inhibitor 1 - blood Risk Factors Thrombosis - blood Thrombosis - complications Thrombosis - genetics Time Factors Tumors Vasodilator agents. Cerebral vasodilators |
Title | Heritability of Clot Formation, Morphology, and Lysis: The EuroCLOT Study |
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