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dc.contributor.authorMoreira Neto, F. [UNIFESP]
dc.contributor.authorLourenco, Dayse Maria [UNIFESP]
dc.contributor.authorNoguti, Maria Aparecida Eiko [UNIFESP]
dc.contributor.authorMorelli, V.m. [UNIFESP]
dc.contributor.authorGil, I.c.p. [UNIFESP]
dc.contributor.authorBeltrão, A.c.s. [UNIFESP]
dc.contributor.authorFigueiredo, Maria Stella [UNIFESP]
dc.identifier.citationBrazilian Journal of Medical and Biological Research. Associação Brasileira de Divulgação Científica, v. 39, n. 10, p. 1291-1295, 2006.
dc.description.abstractSickle cell disease (SCD) is one of the most common inherited diseases in the world and the patients present notorious clinical heterogeneity. It is known that patients with SCD present activation of the blood coagulation and fibrinolytic systems, especially during vaso-occlusive crises, but also during the steady state of the disease. We determined if the presence of the factor V gene G1691A mutation (factor V Leiden), the prothrombin gene G20210A variant, and methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism may be risk factors for vascular complications in individuals with SCD. We studied 53 patients with SCD (60% being women), 29 with SS (sickle cell anemia; 28 years, range: 13-52 years) and 24 with SC (sickle-hemoglobin C disease; 38.5 years, range: 17-72 years) hemoglobinopathy. Factor V Leiden, MTHFR C677T polymorphism, and prothrombin G20210A variant were identified by PCR followed by further digestion of the PCR product with specific endonucleases. The following vascular complications were recorded: stroke, retinopathy, acute thoracic syndrome, and X-ray-documented avascular necrosis. Only one patient was heterozygous for factor V Leiden (1.8%) and there was no prothrombin G20210A variant. MTHFR 677TT polymorphism was detected in 1 patient (1.8%) and the heterozygous form 677TC was observed in 18 patients (34%, 9 with SS and 9 with SC disease), a prevalence similar to that reported by others. No association was detected between the presence of the MTHFR 677T allele and other genetic modulation factors, such as alpha-thalassemia, ß-globin gene haplotype and fetal hemoglobin. The presence of the MTHFR 677T allele was associated with the occurrence of vascular complications in SCD, although this association was not significant when each complication was considered separately. In conclusion, MTHFR C677T polymorphism might be a risk factor for vascular complications in SCD.en
dc.publisherAssociação Brasileira de Divulgação Científica
dc.relation.ispartofBrazilian Journal of Medical and Biological Research
dc.rightsAcesso aberto
dc.subjectSickle cell diseaseen
dc.subjectSC hemoglobinopathyen
dc.subjectSickle hemoglobinopathiesen
dc.subjectInherited hypercoagulation statesen
dc.subjectMTHFR polymorphismen
dc.titleThe clinical impact of MTHFR polymorphism on the vascular complications of sickle cell diseaseen
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.description.affiliationUniversidade Federal de São Paulo (UNIFESP) Paulista de Medicina Disciplina de Hematologia e Hemoterapia
dc.description.affiliationUnifespUNIFESP, Paulista de Medicina Disciplina de Hematologia e Hemoterapia
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