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Letters to the Editor |
1 Department of Pathology, College of Medicine, and 2 Department of Molecular Biology, College of Science, University of Baghdad, Baghdad, Iraq
aAuthor for correspondence: Department of Pathology, College of Medicine, University of Baghdad, Bab-Almuaddem, Baghdad, Iraq. E-mail nallawi@yahoo.com; secondary e-mail nasirallawi@hotmail.com.
| The first 20% of the full text of this article appears below. |
To the Editor:
Human coagulation factor V is a 330-kDa single-chain glycoprotein that plays an important role in the coagulation pathway. After its activation by thrombin and factor Xa, activated factor V (Va) forms an essential part of the prothrombinase complex, which catalyzes the conversion of prothrombin to thrombin in the presence of calcium and a phospholipid membrane (1). Activated protein C (APC) inactivates factor Va and requires factor V as a cofactor in the APC-mediated inactivation of factor VIII (1)(2). Resistance to APC action leads to increased risk of thrombosis and is mostly attributable to a single point mutation in the factor V gene (factor V Leiden) with a G-to-A substitution at nucleotide 1691 (3).
Several studies have demonstrated the high prevalence of factor V Leiden in some Middle Eastern countries,
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