2002
DOI: 10.1055/s-0037-1613148
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Association of γA/γ’ Fibrinogen Levels and Coronary Artery Disease

Abstract: SummaryγA/γ’ fibrinogen is a fibrinogen isoform that constitutes about 15% of total plasma fibrinogen. This isoform contains an additional binding site for zymogen factor XIII and for active thrombin, and forms fibrin clots that are resistant to fibrinolysis in vitro. Little is known about the variability of γA/γ’ fibrinogen levels in human populations, whereas total fibrinogen levels are known to increase with age and are higher in women than in men. In this report, evidence is presented that, in contrast to … Show more

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Cited by 105 publications
(127 citation statements)
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“…The gamma prime isoform comprises approximately 8% of the total gamma-chain population in plasma and is derived by alternative spicing of the carboxyl terminus of the gamma chain in which the common sequence (AGDV) is replaced by a new C-terminus (VRPEHPAETEYDSLYPEDDL). The gamma prime extended C-terminus may be prothrombotic by serving as a binding site for factor XIII (19,20). Alternatively, the gamma variant may also have a role in suppressing thrombin generation by binding to thrombin, a role that was historically referred to as "antithrombin-I" (20).…”
Section: Roles Of Factor Xiiia In Hemostasis and Thrombosismentioning
confidence: 99%
“…The gamma prime isoform comprises approximately 8% of the total gamma-chain population in plasma and is derived by alternative spicing of the carboxyl terminus of the gamma chain in which the common sequence (AGDV) is replaced by a new C-terminus (VRPEHPAETEYDSLYPEDDL). The gamma prime extended C-terminus may be prothrombotic by serving as a binding site for factor XIII (19,20). Alternatively, the gamma variant may also have a role in suppressing thrombin generation by binding to thrombin, a role that was historically referred to as "antithrombin-I" (20).…”
Section: Roles Of Factor Xiiia In Hemostasis and Thrombosismentioning
confidence: 99%
“…45 This seems clinically relevant because similar fibrin structures have previously been related to an increased risk of thrombosis, 13,21,46 and patients with coronary artery disease have higher ␥A/␥Ј fibrinogen levels, which is an effect that is independent of total fibrinogen levels. 47 …”
Section: Variations In the Splicing Of Fibrinogen Gene Transcriptsmentioning
confidence: 99%
“…69 This may be one reason why associations between the clinical disease phenotype and single genetic polymorphisms in coagulation factors are inconsistent. 49 [42][43][44][45] Increases risk for MI 47 Fibrinogen A␣ E C Unknown None?…”
Section: Genetic and Environmental Interaction On Fibrinogen Levelsmentioning
confidence: 99%
“…The elongated ␥ chain, termed ␥Ј, mainly heterodimerizes in the fibrinogen molecule with the more abundant ␥A chain, thus generating the ␥A/␥Ј dimers (6). This fibrinogen, also called ␥A/␥Ј fibrinogen, shows a high inter-individual variability in the ratio to the total fibrinogen ␥ chain (7). The different expression of ␥Ј chain has been variably associated with thrombotic disorders both in venous and arterial circulation.…”
mentioning
confidence: 99%
“…At variance with venous thromboembolism, the significance of altered expression of ␥Ј chain on arterial thrombosis remains largely elusive (6,7,12,13). Platelets are major players of arterial thrombus formation, as also demonstrated by the clinical efficacy of anti-platelet agents in cardiovascular prevention.…”
mentioning
confidence: 99%