检验医学 ›› 2022, Vol. 37 ›› Issue (4): 396-399.DOI: 10.3969/j.issn.1673-8640.2022.04.019

• 综述与讲座·论著 • 上一篇    下一篇

凝血因子Ⅴ与出血和血栓的相关性研究进展

李可可1, 肖扬2()   

  1. 1.东莞东华医院,广东 东莞 523129
    2.深圳市前海蛇口自贸区医院,深圳 518067
  • 收稿日期:2021-03-26 修回日期:2021-07-23 出版日期:2022-04-30 发布日期:2022-06-07
  • 通讯作者: 肖扬
  • 作者简介:肖 扬,E-mail: jdxiao111@163.com
    李可可,女,1994年生,硕士,医师,主要从事遗传性凝血因子Ⅴ缺乏分子基础研究。

Research progress of coagulation factor Ⅴ and its association with hemorrhage and thrombosis

LI Keke1, XIAO Yang2()   

  1. 1. Dongguan Tungwah Hospital,Dongguan,523129,Guangdong,China
    2. Shenzhen Qianhai Shekou Free Trade Zone Hospital,Shenzhen 518067,Guangdong,China
  • Received:2021-03-26 Revised:2021-07-23 Online:2022-04-30 Published:2022-06-07
  • Contact: XIAO Yang

摘要:

凝血因子(F)Ⅴ是调控并参与凝血初始反应的必需因子,对凝血酶的生成有极其重要的影响。最新研究发现FⅤ还具有抗凝特性。FⅤ基因(F5)的不同突变导致了出血或者血栓的形成。F5功能缺陷型突变常导致出血,如遗传性凝血因子Ⅴ缺陷症(FⅤD)患者多表现为不同程度的出血;但F5功能获得性突变则易形成血栓,如FⅤLeiden突变是高加索人群静脉血栓形成最常见的遗传危险因素。文章对FⅤ与出血和血栓相关性的研究进展进行综述。

关键词: 凝血因子Ⅴ, F5突变, 凝血因子Ⅴ缺陷症, 表型, 基因型

Abstract:

Coagulation factor(F) Ⅴ is an essential factor to participate in the initial phase of coagulation,which plays a role in the production of thrombin. It is recently suggested that FⅤ also harbors anticoagulant properties. Different mutations in the FⅤ gene(F5) cause bleeding or thrombosis. F5 dysfunction mutations often lead to bleeding. For example,patients with hereditary coagulation factor Ⅴ deficiency(FⅤD) often show different degrees of bleeding. However,F5 gain-of-function mutations are prone to thrombosis. FLeiden mutation is the most common genetic risk factor for venous thrombosis in Caucasians. This review mainly focuses on the research progress of the association of FⅤ with hemorrhage and thrombosis.

Key words: Coagulation factor Ⅴ, F5 mutation, Coagulation factor Ⅴ deficiency, Phenotype, Genotype

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