The 46CfiT polymorphism in the factor XII gene (F12) and the risk of venous thrombosis The precise role of factor XII (FXII) in the regulation of blood coagulation and fibrinolysis is still undefined. Activation of FXII initiates both the kinin-forming cascade and the intrinsic coagulation and fibrinolytic pathways. Subjects with severe FXII deficiency show a prolonged activated partial thromboplastin time but do not have a bleeding tendency, which suggests a minor role for FXII in the regulation of fibrin formation in vivo. The observation that FXII is also involved in the activation of the fibrinolytic system led to the hypothesis that partial or severe FXII deficiency might result in impaired fibrinolysis and as a consequence in a thrombotic tendency. Indeed, a high frequency (9-15%) of reduced plasma FXII levels was found among patients with (venous) thrombosis [1,2] and women with recurrent miscarriages [3], a condition often associated with a thrombophilic state. However, Koster et al.
R . M . B E R T I N A , * S . R . P O O R T , * H . L . V O S * and F . R . R O S E N D