Increased plasma prothrombin concentration in cirrhotic patients with portal vein thrombosis and prothrombin G20210A mutation
Lucio Amitrano1 , Maria Anna Guardascione1 , Paul R. J. Ames 4 , Maurizio Margaglione3 , Luigi Iannaccone2 ,Vincenzo Brancaccio2 , Antonio Balzno
1 Gastroenterology and 2 Coagulation Units, A. Cardarelli Hospital, Naples, Italy; 3 Genetics Unit, University of Foggia, Foggia, Italy 4 Department of Hematology, Inverclyde Royal Hospital, Greenock, Scotland, UK
Summary
It was the aim of the present study to investigate factor II levelsin liver cirrhosis (LC) patients with portal vein thrombosis(PVT) carrying the heterozygous G20210A prothrombin (PT)mutation. Plasma concentrations of factor II,VII, X,V, protein C(PC) total protein S (tPS) antithrombin (AT) and D-dimers (DD)were measured in 13 LC patients with PVT heterozygous for PTG20210A, in 13 LC patients with PVT without PT G20210A and in 13 LC controls matched by age, sex and Child-Pugh score.Crude factor II and factor II/DD ratio were highest in LC patientswith PVT heterozygous for PT G20210A (p=0.03 andp=0.02 respectively).The factor II/PC ratio, expression of a procoagulant/anticoagulant imbalance was highest in the samegroup (p=0.0008). Plasma factor II levels are elevated in LCpatients heterozygous for PT G20210A and may favour PVT. Keywords
liver cirrhosis, portal vein thrombosis, prothrombin
DOI
http://dx.doi.org/10.1160/TH05-08-0555