Abstract
Venous thrombosis affects one in one thousand people each year, and in many countries, it is a major cause of morbidity and death in hospitalised patients. Factor V Leiden and the prothrombin c.20210G>A transition are relatively common in the Western World, and both increase the risk of venous thrombosis. The author describes the detection of t+++hese two genetic variants on the carousel-based Roche LightCycler®. This simple method has high sensitivity for DNA, making it possible to test blood samples without the need for traditional DNA extraction and purification.
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Heit JA, Silverstein MD, Mohr DN, Petterson TM, Lohse CM, O’Fallon WM, Melton III LJ (2001) The epidemiology of venous thromboembolism in the community. Thromb Haemost 86, 452–463
Dahlbäck B, Carlsson M, Svensson PJ (1993) Familial thrombophilia due to a previously unrecognised mechanism characterised by poor anticoagulant response to activated protein C: prediction of a cofactor to activated protein C. Proc Natl Acad Sci U S A 90, 1004–1008
Bertina RM, Koeleman BPC, Koster T, Rosendaal FR, Dirven RJ, de Ronde H, van der Velden PA, Reitsma PH (1994) Mutation in blood coagulation factor V associated with resistance to activated protein C. Nature 369, 64–67
Zivelin A, Griffin JH, Xu X, Pabinger I, Samama M, Conard J, Brenner B, Eldor A, Seligsohn U (1997) A single genetic origin for a common Caucasian risk factor for venous thrombosis. Blood 89, 397–402
Zivelin A, Mor-Cohen R, Kovalsky V, Kornbrot N, Conard J, Peyvandi F, Kyrle PA, Bertina R, Peyvandi F, Emmerich J, Seligsohn U (2006) Prothrombin 20210G>A is an ancestral prothrombotic mutation that occurred in whites approximately 24 000 years ago. Blood 107, 4666–4668
Lindqvist PG, Zoller B, Dahlback B (2001) Improved hemoglobin status and reduced menstrual blood loss among female carriers of factor V Leiden – an evolutionary advantage? Thromb Haemost 86, 1122–1123
Poort SR, Rosendaal FR, Reitsma PH, Bertina RM (1996) A common variation in the 3′-untranslated region of the prothrombin gene is associated with elevated plasma prothrombin levels and an increase in venous thrombosis. Blood 88, 3698–3703
Walker ID, Greaves M, Preston FE: Guideline: investigation and management of heritable thrombophilia (2001) Br J Haematol 114, 512–528
Beauchamp NJ, Daly ME, Cooper PC, Preston FE, Peake IR (1994) Rapid two-stage PCR for detecting factor V G1691A mutation. Lancet 334, 694–695
Cooper PC, Cooper SM, Smith JM, Kitchen S, Makris M (2003) Evaluation of the Roche LightCycler: a simple and rapid method for direct detection of factor V Leiden and prothrombin G2010A genotypes from blood samples without the need for DNA extraction. Blood Coagul Fibrinolysis 14, 499–503
Schrijver I, Lay MJ, Zehnder JL (2003) Diagnostic single nucleotide polymorphism analysis of factor V Leiden and prothrombin 20210G>A. A comparison of the Nanogen Electronic Microarray with restriction enzyme digestion and the Roche LightCycler. Am J Clin Pathol 119, 490–496
Nauck M, März W, Wieland H (2000) Rapid homogenous detection of factor V Leiden and prothrombin mutations on the LightCycler. Clin Biochem 33, 213–216
van den Bergh FAJTM, van Oeveren-Dybicz AM, Bon MAM (2000) Rapid single-tube genotyping of the Factor V Leiden and prothrombin mutations by real-time PCR using dual-color detection. Clin Chem 46, 1191–1195
Preston FE, Kitchen S, Jennings I, Woods TAL (1999) A UK national quality assessment scheme (UK NEQAS) for molecular genetic testing for the diagnosis of familial thrombophilia. Thromb Haemost 82, 1556–1557
Tripodi A, Peyvandi F, Chantarangkul V, Menegatti M, Mannucci PM (2002) Relatively poor performance of clinical laboratories for DNA analyses in the detection of two thrombophilic mutations – a cause for concern. Thromb Haemost 88, 690–691
Hertzberg M, Neville S, Favaloro E, McDonald D (2005) External quality assurance of DNA testing for thrombophilia mutations. Am J Clin Pathol 123, 189–193
Williamson D, Brown K, Luddington R, Baglin C, Baglin T (1998) Factor V Cambridge: a new mutation (Arg306Thr) associated with resistance to activated protein C. Blood 91, 1140–1144
ten Cate AJ, van de Hoek YT, Reitsma PH, ten Cate H, Smits P (2001) Mutation screening for thrombophilia: two cases with factor V Cambridge without activated protein C resistance. Thromb Haemost 87, 919–920
Parks SB, Popovich BW, Press RD (2000) Real-time polymerase chain reaction with fluorescent hybridization probes for the detection of prevalent mutations causing common thrombophilic and iron overload phenotypes. Am J Clin Pathol 115, 439–447
Mahadevan MS, Benson PV (2005) Factor V null mutation affecting the Roche LightCycler factor V Leiden assay. Clin Chem 51, 1533–1535
Itakura H, Telen MJ, Hoppe CC, White DAE, Zehnder JL (2005) Characterization of a novel prothrombin variant, prothrombin C20209T, as a modifier of thrombotic risk among African-Americans. Thromb Haemost 3, 2357–2359
Wylenzek M, Geison C, Stapenhorst L, Wielckens K, Klingler KR (2001) A novel point mutation in the 3′ region of the prothrombin gene at position 20221 in a Lebanese/Syrian family. Thromb Haemost 85, 943–944
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Cooper, P.C. (2011). Detection of Factor V Leiden and Prothrombin c.20210G>A Allele by Roche Diagnostics LightCycler® . In: Theophilus, B., Rapley, R. (eds) PCR Mutation Detection Protocols. Methods in Molecular Biology, vol 688. Humana Press. https://doi.org/10.1007/978-1-60761-947-5_16
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DOI: https://doi.org/10.1007/978-1-60761-947-5_16
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