A common variant in the Von Willebrand factor gene is associated with multiple functional consequences

Am J Hematol. 2010 Dec;85(12):971-3. doi: 10.1002/ajh.21859.

Abstract

Von Willebrand Factor (vWF) is a plasma protein involved in thrombosis and hemostasis [1]. We examined whether common single nucleotide polymorphisms (SNPs) in the vWF gene were associated with vWF levels and platelet aggregation-related functional consequences in1230 Whites and 837 African Americans in a cross-sectional family based genetic study of platelet function. From a high-density scan, 28 SNPs with a minor allele frequency > 5% in both races were tested for association using age and sex adjusted variance components analysis in MERLIN. SNP rs216321, with the strongest association with vWF levels in biracial metaanalysis (p=9.5×10−6, Whites–p=8.1×10−4, African Americans–p=3.6×10−3), encoding a R852Q substitution in the D’D3 protein domain, demonstrated negative association with plasma vWF. The R852Q variant was recessively associated with 15.5% lower collagen-induced platelet aggregation adjusting for dose-response relationship (p=0.010, vWF-level adjusted p=0.003). Each copy of the R852Q variant was additively associated with 31% higher FVIII levels (p=0.039, vWF-adjusted p=0.033). In conclusion, this common missense polymorphism appears to have pleiotropic functional consequences.

Publication types

  • Meta-Analysis

MeSH terms

  • Adult
  • Black or African American
  • Codon, Nonsense
  • Cross-Sectional Studies
  • Family
  • Female
  • Genetic Variation*
  • Genome-Wide Association Study
  • Humans
  • Male
  • Middle Aged
  • Platelet Aggregation / genetics
  • Polymorphism, Single Nucleotide
  • White People
  • von Willebrand Factor / analysis
  • von Willebrand Factor / genetics*

Substances

  • Codon, Nonsense
  • von Willebrand Factor