The relations between habitual physical activity (PA), fibrinogen gene polymorphisms and plasma fibrinogen were investigated in 191 postmenopausal women. Subjects who reported PA at least 4 times/ week had lower fibrinogen level (3.19 g/1; 95% Cl 3.10; 3.27) than women reporting PA 2-3 times/week (3.43 g/1; 3.29; 3.58) or sedentary subjects (3.64 g/1; 3.33; 3.94). There were no differences in plasma fibrinogen across the α-fibrinogen (Rsal, TaqI) or (β-fibrinogen (Mnll, Bell, Hindlll) genotypes, the frequencies of which were in a Hardy- Weinberg equilibrium. An interaction between Rsal, which was in complete linkage disequilibrium with TaqI, and PA on plasma fibrinogen was observed, even after adjustments for BMI, smoking and medication (p = 0.024). Among women homozygous for the common Rsal allele, the physically most active had lower fibrinogen level (p <0.001) compared to the physically less active subjects. These results suggest that, in postmenopausal women, the relation between physical activity and plasma fibrinogen is modulated by genetic variation in the α-fibrinogen gene.
References
1
Kannel WB,
Wolf PA,
Castelli WP,
D’Agostino RB.
Fibrinogen and risk of cardiovascular disease. The Framingham Study. JAMA 1987; 258: 1183-1186
2
Wilhelmsen L,
Svärdsudd K,
Korsan-Bengtsen K,
Larsson B,
Welin L,
Tibblin G.
Fibrinogen as a risk factor for stroke and myocardial infarction. N Engl J Med 1984; 311: 501-505
3
Meade TW,
Mellows S,
Brozovic M,
Miller GJ,
Chakrabarti RR,
North WRS,
Haines AP,
Stirling Y,
Imeson JD,
Thompson SG.
Haemostatic function and ischaemic heart disease: principal results of the Northwick Park Heart Study. Lancet 1986; 02: 533-537
4
Heinrich J,
Balleisen L,
Schulte H,
Assmann G,
van deLoo J.
Fibrinogen and factor VII in the prediction of coronary risk. Results from the PROCAM study in healthy men. Arterioscler Thromb 1994; 14: 54-59
8
Bini A,
Fenoglio Jr JJ,
Mesa-Tejada R,
Kudryk B,
Kaplan KL.
Identification and distribution of fibrinogen, fibrin, and fibrin(ogen) degradation products in atherosclerosis. Use of monoclonal antibodies. Arteriosclerosis 1989; 09: 109-121
9
Levenson J,
Giral P,
Razavian M,
Gariepy J,
Simon A.
Fibrinogen and silent atherosclerosis in subjects with cardiovascular risk factors. Arterio’scler Thromb Vase Biol 1995; 15: 1263-1268
10
Benderly M,
Graff E,
Reicher-Reiss H,
Behar S,
Brunner D,
Goldbourt U.
for the
Bezafibrate Infarction Prevention (BIP) Study Group.
Fibrinogen is a predictor of mortality in coronary heart disease patients. Arterioscler Thromb Vase Biol 1996; 16: 351-356
11
Kant JA,
Fomace Jr AJ,
Saxe D,
Simon MI,
McBride OW,
Crabtree GR.
Evolution and organisation of the fibrinogen locus on chromosome 4: gene duplication accompanied by transposition and inversion. Proc Natl Acad SciUSA 1985; 82: 2344-2348
16
Humphries SE,
Cook M,
Dubowitz M,
Stirling Y,
Meade TW.
Role of genetic variation at the fibrinogen locus in determination of plasma fibrinogen concentrations. Lancet 1987; 01: 1452-1455
18
Green F,
Hamsten A,
Blombäck M,
Humphries S.
The role of β-fibrinogen genotype in determining plasma fibrinogen levels in young survivors of myocardial infarction and healthy controls from Sweden. Thromb Haemo-stas 1993; 70: 915-920
19
Humphries SE,
Ye S,
Talmud P,
Bara L,
Wilhelmsen L,
Tiret L.
European Atherosclerosis Research Study: Genotype at the fibrinogen locus (G455-A β-gene) is associated with differences in plasma fibrinogen levels in young men and women from different regions in Europe. Evidence for gender-genotype-environment interaction. Arterioscler Thromb Vase Biol 1995; 15: 96-104
20
Iso H,
Folsom AR,
Winkelmann JC,
Koike K,
Harada S,
Greenberg B,
Sato S,
Shimamoto T,
Iida M,
Komachi Y.
Polymorphisms of the beta fibrinogen gene and plasma fibrinogen concentration in Caucasian and Japanese population samples. Thromb Haemost 1995; 73: 106-111
23
Puska P,
Salonen JT,
Nissinen A,
Tuomilehto J,
Vartiainen E,
Korhonen H,
Tanskanen A,
Rönnqvist P,
Koskela K,
Huttunen J.
Change in risk factors for coronary heart disease during 10 years of a community intervention programme (North Karelia project). BMJ 1983; 287: 1840-1844
25
Baumann RE,
Henschen AH.
Linkage disequilibrium relationships among four polymorphisms within the human fibrinogen gene cluster. Hum Genet 1994; 94: 165-170
26
Thomas A,
Lamlum H,
Humphries S,
Green F.
Linkage disequilibrium across the fibrinogen locus as shown by five genetic polymorphisms, G/A455(Haelll), C/T148(Hindlll/Alul), T/G+1689(Avail), and Bell (p-fibrinogen) and TaqI (α-fibrinogen), and their detection by PCR. Human Mutation 1994; 03: 79-81
30
Stefanick ML,
Legault C,
Tracy RP,
Howard G,
Kessler CM,
Lucas DL,
Bush TL.
Distribution and correlates of plasma fibrinogen in middle-aged women. Initial findings of the postmenopausal estrogen/progestin interventions (PEPI) study. Arterioscler Thromb Vase Biol 1995; 15: 2085-2093
31
Stevenson ET,
Davy KP,
Seals DR.
Hemostatic, metabolic, and androgenic risk factors for coronary heart disease in physically active and less active postmenopausal women. Arterioscler Thromb Vase Biol 1995; 15: 669-677
32
Tonstad S,
de LangeP,
Sivertsen M,
Ose L.
Physical fitness and fibrinogen levels among hypercholesterolemic postmenopausal women. Nutr Metab Cardiovasc Dis 1995; 5: 93-97
33
Behague I,
Poirier O,
Nicaud V,
Evans A,
Arveiler D,
Luc G,
Cambou J-P,
Scarabin P-Y,
Bara L,
Green F,
Cambien F.
β fibrinogen gene polymorphisms are associated with plasma fibrinogen and coronary artery disease in patients with myocardial infarction. The ECTIM study. Circulation 1996; 93: 440-449
34
Heinrich J,
Funke H,
Rust S,
Schulte H,
Schonfeld R,
Kohler E,
Assmann G.
Impact of polymorphisms in the alpha-and beta-fibrinogen gene on plasma fibrinogen concentrations of coronary heart disease patients. Thromb Res 1995; 77: 209-215
35
de MaatMPM,
de BartACW,
Hennis BC,
Meijer P,
Havelaar AC,
Mulder PGH,
Kluft C.
Interindividual and intraindividual variability in plasma fibrinogen, TPA antigen, PAI activity, and CRP in healthy, young volunteers and patients with angina pectoris. Arterioscler Thromb Vase Biol 1996; 16: 1156-1162
36
Thomas AE,
Green FR,
Lamlum H,
Humphries SE.
The association of combined a and p fibrinogen genotype on plasma fibrinogen levels in smokers and non-smokers. J Med Genet 1995; 32: 585-589
38
Friedlander Y,
Elkana Y,
Sinnreich R,
Kark JD.
Genetic and environmental sources of fibrinogen variability in Israeli families: The Kibbutzim family Study. Am J Hum Genet 1995; 56: 1194-206
40
Montgomery HE,
Clarkson P,
Nwose OM,
Mikailidis DP,
Jagroop IA,
Dollery C,
Moult J,
Benhizia F,
Deanfield J,
Jubb M,
World M,
McEwan JR,
Winder A,
Humphries S.
The acute rise in plasma fibrinogen concentration with exercise is influenced by the G-453-A polymorphism of the P-fibrinogen gene. Arterioscler Thromb Vase Biol 1996; 16: 386-391
41
Roy SN,
Mukhopadhyay G,
Redman CM.
Regulation of fibrinogen assembly. Transfection of Hep G2 cells with Bβ cDNA specifically enhances synthesis of the three component chains of fibrinogen. J Biol Chem 1990; 265: 6389-6393
42
Roy S,
Overton O,
Redman C.
Overexpression of any fibrinogen chain by Hep G2 cells specifically elevates the expression of the other two chains. J Biol Chem 1994; 269: 691-695
43
Collen D,
Semeraro N,
Tricot JP,
Vermylen J.
Turnover of fibrinogen, plasminogen, and prothrombin during exercise in man. J Appl Physiol 1977; 42: 865-873