Thrombophilia F2 (testing for 1 variant in the F2 gene)
Identification of mutations in the Prothrombin (F2) gene in the patient's genetic material.
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Thrombophilia – Prothrombin (F2) Gene Mutations
Thrombophilia refers to a predisposition to developing thrombosis, a pathological process in which a blood clot forms within a blood vessel. When the clot forms in an artery, it is called arterial thrombosis; when it forms in a vein, it is known as venous thrombosis. The most common sites for venous thrombosis are the veins of the lower limbs and pelvis. Clots in the coronary artery can lead to heart attacks. Thrombosis may be either inherited or acquired.
Causes of Acquired Thrombophilia:
- Antiphospholipid syndrome
- Systemic lupus erythematosus
- Rheumatoid arthritis
- Dermatomyositis
- Infections and inflammatory conditions: ulcerative colitis, Crohn's disease
- Cancers and chemotherapy: leukemia, lymphoma, colorectal cancer, lung cancer
Causes of Inherited Thrombophilia:
- Factor V (F5) gene mutations
- Prothrombin (F2) gene mutations
- Deficiency of coagulation inhibitors caused by gene mutations: antithrombin (SERPINC1 gene mutation), protein C (PROC gene mutation), and protein S (PROS1 gene mutation). Antithrombin (AT), protein C (PC), and protein S (PS) are endogenous inhibitors of the coagulation process
- Polymorphisms in the MTHFR (methylenetetrahydrofolate reductase) gene
- Polymorphisms in the PAI-1 (plasminogen activator inhibitor-1) gene
Common Symptoms of Thrombosis:
- Asymmetrically swollen limbs
- Cyanosis of the feet and lower legs
- Pain while walking
- Pain and redness at the site of swelling
- Dilated blood vessels
- Rapid heartbeat
- Chest pain
Purpose of the Test:
- Identification of mutations in the Prothrombin (F2) gene in the patient's genetic material.
This Mutation:
- Is the second most common cause of inherited thrombophilia
- Increases prothrombin levels in the blood plasma by up to 20%
- More than doubles the risk of recurrent miscarriages
- Negatively affects placental function
- Triples the risk of venous thrombosis
Indications for Testing:
- Symptoms of thromboembolic disease
- Family history of thrombophilia
- Previous thrombotic episodes
- Surgical procedures requiring prolonged immobilization
- Recurrent miscarriages or stillbirths
- Use of hormonal contraception
- Hormone replacement therapy
- Thrombocytopenia
- Cancer
- Sedentary lifestyle
- Obesity
Method:
Real-time PCR
High sensitivity of the test – 99%
Sample for Testing:
EDTA blood or oral swab