Factor V Leiden, Factor II, Protein C, Protein S, and Antithrombin and Ischemic Strokes in Young Adults: A Meta-Analysis

Ischemic strokes are one of the leading causes of death worldwide. The aim of this meta-analysis is to elaborate on the role of inherited predisposition to thrombophilia in the etiology of ischemic strokes in young adults. The keywords factor V Leiden (FVL), factor II, prothrombin (PT), protein C (P...

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Main Authors: Mihael Tsalta-Mladenov, Mariya Levkova, Silva Andonova
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Genes
Subjects:
Online Access:https://www.mdpi.com/2073-4425/13/11/2081
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author Mihael Tsalta-Mladenov
Mariya Levkova
Silva Andonova
author_facet Mihael Tsalta-Mladenov
Mariya Levkova
Silva Andonova
author_sort Mihael Tsalta-Mladenov
collection DOAJ
description Ischemic strokes are one of the leading causes of death worldwide. The aim of this meta-analysis is to elaborate on the role of inherited predisposition to thrombophilia in the etiology of ischemic strokes in young adults. The keywords factor V Leiden (FVL), factor II, prothrombin (PT), protein C (PC), protein S (PS), antithrombin (AT), ischemic stroke, and young were used to search different databases. We selected studies with participants who were between 18 and 65 years. A total of 104 studies were eligible for inclusion in the meta-analysis. All the studied genetic markers were risk factors for ischemic stroke according to our results (FVL OR = 1.74; PT OR = 1.95; PC OR = 10.20; PS OR = 1.74; AT OR = 3.47; <i>p</i> < 0.05). There was moderate heterogeneity for most of the results, and subgroup analyses were conducted by dividing the studies according to the geographic location, gender ratio, and selection criteria of the performed study. There were no significant differences between the groups, but different geographic location was a probable source of heterogeneity. All of the studied markers—FVL, prothrombin, PC, PS, and AT—were significantly associated with increased risk of ischemic stroke in young adults and, if tested, could improve the quality of care.
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spelling doaj.art-fcdb4f258e674dc487d3a86b035c62782023-11-24T04:49:27ZengMDPI AGGenes2073-44252022-11-011311208110.3390/genes13112081Factor V Leiden, Factor II, Protein C, Protein S, and Antithrombin and Ischemic Strokes in Young Adults: A Meta-AnalysisMihael Tsalta-Mladenov0Mariya Levkova1Silva Andonova2Department of Neurology and Neuroscience, Medical University “Prof. Paraskev Stoyanov”, Marin Drinov St. 55, 9000 Varna, BulgariaDepartment of Medical Genetics, Medical University “Prof. Paraskev Stoyanov”, Marin Drinov St. 55, 9000 Varna, BulgariaDepartment of Neurology and Neuroscience, Medical University “Prof. Paraskev Stoyanov”, Marin Drinov St. 55, 9000 Varna, BulgariaIschemic strokes are one of the leading causes of death worldwide. The aim of this meta-analysis is to elaborate on the role of inherited predisposition to thrombophilia in the etiology of ischemic strokes in young adults. The keywords factor V Leiden (FVL), factor II, prothrombin (PT), protein C (PC), protein S (PS), antithrombin (AT), ischemic stroke, and young were used to search different databases. We selected studies with participants who were between 18 and 65 years. A total of 104 studies were eligible for inclusion in the meta-analysis. All the studied genetic markers were risk factors for ischemic stroke according to our results (FVL OR = 1.74; PT OR = 1.95; PC OR = 10.20; PS OR = 1.74; AT OR = 3.47; <i>p</i> < 0.05). There was moderate heterogeneity for most of the results, and subgroup analyses were conducted by dividing the studies according to the geographic location, gender ratio, and selection criteria of the performed study. There were no significant differences between the groups, but different geographic location was a probable source of heterogeneity. All of the studied markers—FVL, prothrombin, PC, PS, and AT—were significantly associated with increased risk of ischemic stroke in young adults and, if tested, could improve the quality of care.https://www.mdpi.com/2073-4425/13/11/2081strokeyoungthrombophiliafactor V Leidenprothrombinprotein C
spellingShingle Mihael Tsalta-Mladenov
Mariya Levkova
Silva Andonova
Factor V Leiden, Factor II, Protein C, Protein S, and Antithrombin and Ischemic Strokes in Young Adults: A Meta-Analysis
Genes
stroke
young
thrombophilia
factor V Leiden
prothrombin
protein C
title Factor V Leiden, Factor II, Protein C, Protein S, and Antithrombin and Ischemic Strokes in Young Adults: A Meta-Analysis
title_full Factor V Leiden, Factor II, Protein C, Protein S, and Antithrombin and Ischemic Strokes in Young Adults: A Meta-Analysis
title_fullStr Factor V Leiden, Factor II, Protein C, Protein S, and Antithrombin and Ischemic Strokes in Young Adults: A Meta-Analysis
title_full_unstemmed Factor V Leiden, Factor II, Protein C, Protein S, and Antithrombin and Ischemic Strokes in Young Adults: A Meta-Analysis
title_short Factor V Leiden, Factor II, Protein C, Protein S, and Antithrombin and Ischemic Strokes in Young Adults: A Meta-Analysis
title_sort factor v leiden factor ii protein c protein s and antithrombin and ischemic strokes in young adults a meta analysis
topic stroke
young
thrombophilia
factor V Leiden
prothrombin
protein C
url https://www.mdpi.com/2073-4425/13/11/2081
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