Gene-centric approach identifies new and known loci for FVIII activity and VWF antigen levels in European Americans and African Americans

Am J Hematol. 2015 Jun;90(6):534-40. doi: 10.1002/ajh.24005. Epub 2015 Apr 1.

Abstract

Coagulation factor VIII and von Willebrand factor (VWF) are key proteins in procoagulant activation. Higher FVIII coagulant activity (FVIII :C) and VWF antigen (VWF :Ag) are risk factors for cardiovascular disease and venous thromboembolism. Beyond associations with ABO blood group, genetic determinants of FVIII and VWF are not well understood, especially in non European-American populations. We performed a genetic association study of FVIII :C and VWF:Ag that assessed 50,000 gene-centric single nucleotide polymorphisms (SNPs) in 18,556 European Americans (EAs) and 5,047 African Americans (AAs) from five population-based cohorts. Previously unreported associations for FVIII :C were identified in both AAs and EAs with KNG1 (most significantly associated SNP rs710446, Ile581Thr, Ile581Thr, P = 5.10 × 10(-7) in EAs and P = 3.88 × 10(-3) in AAs) and VWF rs7962217 (Gly2705Arg,P = 6.30 × 10(-9) in EAs and P = 2.98 × 10(-2) in AAs. Significant associations for FVIII :C were also observed with F8/TMLHE region SNP rs12557310 in EAs (P = 8.02 × 10(-10) ), with VWF rs1800380 in AAs (P = 5.62 × 10(-11) ), and with MAT1A rs2236568 in AAs (P51.69 × 10(-6) ). We replicated previously reported associations of FVIII :C and VWF :Ag with the ABO blood group, VWF rs1063856(Thr789Ala), rs216321 (Ala852Gln), and VWF rs2229446 (Arg2185Gln). Findings from this study expand our understanding of genetic influences for FVIII :C and VWF :Ag in both EAs and AAs.

Publication types

  • Clinical Trial
  • Multicenter Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Aged
  • Black or African American / genetics*
  • Factor VIII* / genetics
  • Factor VIII* / metabolism
  • Female
  • Genetic Loci
  • Genome-Wide Association Study
  • Humans
  • Male
  • Methionine Adenosyltransferase / blood
  • Methionine Adenosyltransferase / genetics
  • Middle Aged
  • Polymorphism, Single Nucleotide*
  • Venous Thromboembolism / blood
  • Venous Thromboembolism / genetics
  • White People / genetics*
  • von Willebrand Factor* / genetics
  • von Willebrand Factor* / metabolism

Substances

  • von Willebrand Factor
  • F8 protein, human
  • Factor VIII
  • MAT1A protein, human
  • Methionine Adenosyltransferase

Grants and funding