Semin Thromb Hemost. 2016 Nov;42(8):808-820. doi: 10.1055/s-0036-1592333. Epub 2016 Oct 20.
Environmental and Genetic Risk Factors Associated with Venous Thromboembolism.
Seminars in thrombosis and hemostasis
Marta Crous-Bou, Laura B Harrington, Christopher Kabrhel
Affiliations
Affiliations
- Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
- Department of Nutrition, Harvard T. H. Chan School of Public Health, Boston, Massachusetts.
- Department of Emergency Medicine, Center for Vascular Emergencies, Massachusetts General Hospital, Boston, Massachusetts.
PMID: 27764878
PMCID: PMC5146955 DOI: 10.1055/s-0036-1592333
Abstract
Venous thromboembolism (VTE) includes deep vein thrombosis and pulmonary embolism, and a combination of environmental and genetic risk factors contributes to VTE risk. Within environmental risk factors, some are provoking (e.g., cancer, surgery, trauma or fracture, immobilization, pregnancy and the postpartum period, long-distance travel, hospitalization, catheterization, and acute infection) and others are nonprovoking (e.g., age, sex, race/ethnicity, body mass index and obesity, oral contraceptive or hormone therapy use, corticosteroid use, statin use, diet, physical activity, sedentary time, and air pollution). Additionally, VTE has a strong genetic basis, with approximately 50 to 60% of the variance in VTE incidence attributed to genetic effects. Some genetic susceptibility variants that contribute to risk have been identified in candidate genes, mostly related to the clotting system and responsible for inherited hypercoagulable states (e.g., factor V Leiden, prothrombin, fibrinogen gamma, or blood group non-O). Other susceptibility single-nucleotide polymorphisms have been identified from genome-wide association studies, such as the two new loci in
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