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DOI: 10.1055/s-0038-1648805
Factor VII Antigen Levels in a Healthy Blood Donor Population
Publikationsverlauf
Received: 26. November 1993
Accepted after resubmission07. März 1994
Publikationsdatum:
12. Juli 2018 (online)
Summary
We determined factor VII antigen (FVIIag) levels in 705 healthy blood donors ranging in age from 17 to 79 years using a two-site solid-phase enzyme immunoassay developed in our laboratory. The mean (± SD) FVIIag level for the total population was 102 ± 31%. FVIIag levels for men (n = 375) and women (n = 330) were 101 ± 28% and 103 ± 33%, respectively. A significant increase in FVIIag was observed with age in both men (r = 0.25, p <0.0001) and women (r = 0.35, p <0.0001). FVIIag levels were significantly higher in women > 60 years when compared to men (median women: 125%; median men: 111%; p <0.05). On a subset of the study group (n = 45), FVIIag levels were correlated to total cholesterol (r = 0.27, p = 0.08) and triglyceride (r = 0.41, p <0.01). Assuming the commonly used reference interval of 60-140% for FVII, the frequencies of FVIIag values for <60% and >140% using our assay were 2.1% and 9.2%, respectively. Gender and age-related differences in FVIIag levels must be considered in a reference interval. We further suggest that assay-specific reference ranges be established, which may include values outside the commonly used values of 60-140%.
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References
- 1 Carvalho de Sousa J, Bruckert E, Giral P, Soria C, Truffert J, Mirshahi M, de Gennes J, Caen J. Plasma factor VII, triglyceride concentration and fibrin degradation products in primary hyperlipidemia: a clinical and laboratory study. Haemostasis 1989; 19: 83-90
- 2 Dalaker K, Hjermann I, Prydz H. A novel form of factor VII in plasma from men at risk for cardiovascular disease. Br J Haematol 1985; 61: 315-322
- 3 Dalaker K, Smith P, Amesen H, Prydz H. Factor VH-phospholipid complex in male survivors of acute myocardial infarction. Acta Med Scand 1987; 222: 111-116
- 4 de Sousa J, Azevedo J, Soria C, Barros F, Ribeiro C, Parreira F, Caen J. Factor VII hyperactivity in acute myocardial thrombosis. A relation to the coagulation activation. Thromb Res 1988; 51: 165-173
- 5 Hayes T, Pike J, Tracy R. Factor VII assays. Arch Pathol Lab Med 1993; 117: 52-57
- 6 Hoffman C, Shah A, Sodums M, Hultin M. Factor VII activity state in coronary artery disease. J Lab Clin Med 1988; 111: 475-481
- 7 Hoffman C, Miller R, Lawson W, Hultin M. Elevation of factor VII activity and mass in young adults at risk of ischaemic heart disease. JACC 1989; 14: 941-946
- 8 Mann K. Factor VII assays, plasma triglyceride levels and cardiovascular disease risk. Arteriosclerosis 1989; 9: 783-784
- 9 Orlando M, Leri O, Macioce G, Mattia G, Ferri G. Factor VII in subjects at risk for thromboembolism: activation or increased synthesis. Haemostasis 1987; 17: 340-343
- 10 Tracy R, Psaty B, Bovill E, Fried L, Heiss G, Lee M, Polak J. Savage P, for tCI. Fibrinogen and factor VIII, but not factor VII, are positively associated with prevalent cardiovascular disease in older adults: analyses from the Cardiovascular Health Study. 32nd Annual Conference on Cardiovascular Disease Epidemiology 1992 Abstract #P31
- 11 Meade T, Brozovic M, Chakrabarti R, Haines A, Imeson J, Mellows S, Miller G, North W, Stirling Y, Thompson S. Haemostatic function and ischaemic heart disease: principal results of the Northwick Park Heart Study. Lancet 1986; 533-537
- 12 Meade T. The epidemiology of haemostatic and other variables in coronary artery disease. In: Thrombosis and Haemostasis. Verstraete M, Vermylen J, Lijnen H, Amout J (eds). Leuven: ISTH and Leuven University Press 1987: 37-59
- 13 Kario K, Matsuo T, Nakao K. Factor VII hyperactivity in the elderly. Thromb Haemostas 1991; 65: 25-27
- 14 Meade T, Imeson J, Haines A, Stirling Y, Thompson S. Menopausal status and haemostatic variables. Lancet 1983; 22-24
- 15 Folsom A, Wu K, Davis C, Conlan M, Sorlie P, Szklo M. Population correlates of plasma fibrinogen and factor VII, putative cardiovascular risk factors. Atherosclerosis 1991; 91: 191-205
- 16 Stirling Y, Woolf L, North W, Seghatchian M, Meade T. Haemostasis in normal pregnancy. Thromb Haemost 1984; 52: 176-182
- 17 Dalaker K, Prydz H. Coagulation factor VII in pregnancy. Br J Haematol 1984; 56: 233-241
- 18 Tracy R, Bovill E, Fried L, Heiss G, Lee M, Polak J, Psaty B, Savage P, for tCI. Coagulation factors in men and women over 65 years: Cardiovascular Health Study. 31st Annual Conference of Cardiovascular Disease Epidemiology 1991 Abstract
- 19 Tracy R, Bovill E. Thrombosis and cardiovascular risk in the elderly. Arch Path Lab Med 1992; 116: 1307-1312
- 20 Miller G, Martin J, Webster J, Wilkes H, Miller N, Wilkinson W, Meade T. Association between dietary fat intake and plasma factor VII coagulant activity - a predictor of cardiovascular mortality. Atherosclerosis 1986; 60: 269-277
- 21 Mitropoulos K. Hypercoagulability and factor VII in hypertriglyceridemia. Sem Thromb Hemost 1988; 14: 246-252
- 22 Marckmann P, Sandstrom B, Jespersen J. Effect of total fat content and fatty acid composition in diet on factor VII coagulant activity and blood lipids. Atherosclerosis 1990; 80: 227-233
- 23 Miller G, Martin J, Mitropoulos K, Reeves B, Thompson R, Meade T, Cooper J, Cruickshank J. Plasma factor VII is activated by postprandial triglyceridemia, irrespective of dietary fat composition. Atherosclerosis 1991; 86: 163-171
- 24 Marckmann P, Sandstrom B, Jespersen J. Favorable long-term effect of a low-fat/high-fiber diet on human blood coagulation and fibrinolysis. Arteriosclerosis and Thrombosis 1993; 13: 505-511
- 25 Bruckert E, Carvalho de SousaJ, Giral P, Soria C, Chapman M, Caen J, de Gennes J-L. Interrelationship of plasma triglyceride and coagulant factor VII levels in normotriglyceridemic hypercholesterolemia. Atherosclerosis 1989; 75: 129-134
- 26 Skartlien A, Lyberg-Beckmann S, Holme I, Hjermenn I, Prydz H. Effect of alteration in triglyceride levels on factor VH-phospholipid complexes in plasma. Arteriosclerosis 1989; 9: 798-801
- 27 Tracy R, Losito R, Williams S, Fried L, Furberg C, Kuller L, Robbins J. Plasma levels of coagulation factors II, IX and X, in addition to factor VII, are associated with plasma levels of cholesterol and triglyceride. New York: XlVth Meeting, ISTH 1993
- 28 Hoffman C, Miller R, Hultin M. Correlation of factor VII activity and antigen with cholesterol and triglycerides in healthy young adults. Arteriosclerosis Thrombosis 1992; 12: 267-270
- 29 Nakane P, Kawaoi A. Peroxidase-labelled antibody. A new method of conjugation. J Histochem Cytochem 1974; 22: 1084-1091
- 30 Litwiller R, Jenny R, Katzmann J, Miller R, Mann K. Monoclonal antibodies to human vitamin K-dependent proteins. Blood 1986; 67: 1583-1590
- 31 Barrowcliffe T. Standardization of factors II, VII, IX, X in plasma and concentrates. Thromb Haemost 1988; 59: 334
- 32 Anonymous. Case records of the Massachusetts General Hospital. Weekly clinicopatholgoical exercises. Normal reference laboratory values. N Engl J Med 1992 327. 718-724
- 33 Sasse E, Harris E, Krishnamurthy S, Lee H, Ruland A, Seamonds B. How to define, determine, and utilize reference intervals in the clinical laboratory. NCCLS Documents (C28-P) 1992; 12: 1-47
- 34 Tracy R, Andrianarivo A, Riggs B, Mann K. Comparison of monoclonal and polyclonal antibody-based immunoassays for osteocalcin: a study of sources of variation in assay results. J Bone Min Res 1990; 5: 451-461
- 35 Delmas P, Christiansen C, Mann K, Price P. Bone Gla protein (osteocalcin) assay standardization report. J Bone Min Res 1990; 5: 5-11
- 36 Fried L, Borhani N, Enright P, Furberg C, Gardin J, Kronmal R, Kuller L, Manolio T, Mittelmark M, Newman A, O’Leary D, Psaty B, Rautaharju P, Tracy R, Weiler P, Group CR. The Cardiovascular Health Study: design and rationale. Ann Epidemiol 1991; 1: 263-276
- 37 Mariani G, Mazzucconi M. Factor VII congenital deficiency. Haemostasis 1983; 13: 169-177
- 38 Miletich J, Sherman L, Broze G. Absence of thrombosis in subjects with heterozygous protein C deficiency. N Engl J Med 1987; 317: 991-996
- 39 Bovill E, Bauer K, Dickerman J, Callas P, West B. The clinical spectrum of heterozygous protein C deficiency in a large New England kindred. Blood 1989; 73: 712-717
- 40 Tracy R, Bovill E, Fried L, Heiss G, Lee M, Polak J, Psaty B, Savage P. The distribution of coagulation factors VII, VIII and fibrinogen in adults over the age of 65 years: results from the Cardiovascular Health Study. Ann Epidemiol 1992; 2: 509-519
- 41 Scarabin P, Van Dreden P, Bonithon-Kop C, Orssauad G, Bara L, Conard J, Samama M. Age-related changes in factor VII activation in healthy women. Clin Sci 1988; 75: 341-343
- 42 Scarabin P, Bonithon-Kopp C, Bara L, Malmejac A, Guize L, Samama M. Factor VII activation and menopausal status. Thromb Res 1990; 57: 227-234
- 43 Balleisen L, Bailey J, Epping P-H, Schulte H, van de Loo J. Epidemiological study on factor VII, factor VIII and fibrinogen in an industrial population: I. Baseline data on the relation to age, gender, body-weight, smoking, alcohol, pill-using, and menopause. Thromb Haemost 1985; 54: 475-479
- 44 Boyer C, Wolf M, Rothchild C, Migaud M, Amiral J, Mannucci P, Meyer D, Larrieu M. An enzyme immunoassay (ELISA) for the quantitation of human factor VII. Thromb Haemost 1986; 56: 250-255
- 45 Fair D. Quantitation of factor VII in the plasma of normal and warfarin-treated individuals by radioimmunoassay. Blood 1983; 62: 784-791
- 46 Mikami S, Tuddenham E. Studies on an immunological assay of vitamin K-dependent factors. Measurement of factor VII antigen by radioimmunoassay. Brit J Haematol 1986; 62: 171-181