Evidence map›Paper›PMID 38498041›Full record

ArticleBlood2024

Thrombosis risk in single- and double-heterozygous carriers of factor V Leiden and prothrombin G20210A in FinnGen and the UK Biobank.

Justine Ryu, Joel T Rämö, Sean J Jurgens, Teemu Niiranen, Simone Sanna-Cherchi, Kenneth A Bauer, Amelia Haj, Seung Hoan Choi, Aarno Palotie, Mark Daly and 2 more

Open access · greenAbstract read
In one paragraph

Article in Blood, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
10.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. RResearch and practice in thrombosis and haemostasis · 2025
    Review
  14. Development and validation of a genetic probability for venous thromboembolism.Research and practice in thrombosis and haemostasis · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 3 countries.

Justine RyuDepartment of Medicine, Section of Hematology, Yale School of Medicine, New Haven, CT.
Joel T RämöCardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, MA.ORCID 0000-0002-6429-5149
Sean J JurgensCardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, MA.ORCID 0000-0002-1605-9782
Teemu NiiranenDepartment of Internal Medicine, University of Turku, Turku, Finland.ORCID 0000-0002-7394-7487
Simone Sanna-CherchiDivision of Nephrology, Columbia University Irving Medical Center, New York, NY.ORCID 0000-0002-6185-948X
Kenneth A BauerHarvard Medical School, Boston, MA.
Amelia HajCardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, MA.ORCID 0000-0002-1453-341X
Seung Hoan ChoiCardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, MA.ORCID 0000-0002-2797-3190
Aarno PalotieCardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, MA.
Mark DalyCardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, MA.
Patrick T EllinorCardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, MA.ORCID 0000-0002-2067-0533
Pavan K BendapudiCardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, MA.ORCID 0000-0002-0754-7688
Broad Institute · USBeth Israel Deaconess Medical Center · USColumbia University Irving Medical Center · USUniversity of Turku · FI

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
IDENTIFICATION OF COMMON GENETIC VARIANTS FOR ATRIAL FIBRILLATION AND PR INTERVALR01HL092577 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI BENJAMIN, EMELIA J., ELLINOR, PATRICK THOMAS · 2009 to 2025
$20.6M
Genomics of Cardiac ArrhythmiasR01HL139731 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ELLINOR, PATRICK THOMAS · 2018 to 2022
$3.3M
Using Electrocardiogram Genetics to Inform Arrhythmia RiskR01HL157635 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ELLINOR, PATRICK THOMAS, MIRSHAHI, TOORAJ · 2022 to 2025
$2.9M
Coagulation Factor XII Recruitment and Activation During Thrombus FormationR01HL166246 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Pavan Bendapudi · 2023 to 2026
$2.8M
Mechanisms of Coagulation Factor XII Recruitment and Activation at the Platelet SurfaceR03HL162761 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI BENDAPUDI, PAVAN · 2022 to 2023
$173k
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS R01 HL092577NHLBI NIH HHS R01 HL139731NHLBI NIH HHS R01 HL157635NHLBI NIH HHS R01 HL166246NHLBI NIH HHS R03 HL162761
6 · The paper itself

Abstract

abstractThe factor V Leiden (FVL; rs6025) and prothrombin G20210A (PTGM; rs1799963) polymorphisms are 2 of the most well-studied genetic risk factors for venous thromboembolism (VTE). However, double heterozygosity (DH) for FVL and PTGM remains poorly understood, with previous studies showing marked disagreement regarding thrombosis risk conferred by the DH genotype. Using multidimensional data from the UK Biobank (UKB) and FinnGen biorepositories, we evaluated the clinical impact of DH carrier status across 937 939 individuals. We found that 662 participants (0.07%) were DH carriers. After adjustment for age, sex, and ancestry, DH individuals experienced a markedly elevated risk of VTE compared with wild-type individuals (odds ratio [OR] = 5.24; 95% confidence interval [CI], 4.01-6.84; P = 4.8 × 10-34), which approximated the risk conferred by FVL homozygosity. A secondary analysis restricted to UKB participants (N = 445 144) found that effect size estimates for the DH genotype remained largely unchanged (OR = 4.53; 95% CI, 3.42-5.90; P < 1 × 10-16) after adjustment for commonly cited VTE risk factors, such as body mass index, blood type, and markers of inflammation. In contrast, the DH genotype was not associated with a significantly higher risk of any arterial thrombosis phenotype, including stroke, myocardial infarction, and peripheral artery disease. In summary, we leveraged population-scale genomic data sets to conduct, to our knowledge, the largest study to date on the DH genotype and were able to establish far more precise effect size estimates than previously possible. Our findings indicate that the DH genotype may occur as frequently as FVL homozygosity and may confer a similarly increased risk of VTE.

Indexed as

Biological Specimen BanksFactor VHeterozygoteProthrombinAdultAgedFemaleGenetic Predisposition to DiseaseGenotypeHumansMaleMiddle AgedPolymorphism, Single NucleotideRisk FactorsThrombosisUK BiobankFactor Vfactor V LeidenProthrombin

Identifiers

PMID38498041
PMCPMC11830983
OpenAlexW4392909257

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.