PMID- 35671883 OWN - NLM STAT- MEDLINE DCOM- 20220621 LR - 20220623 IS - 1879-0038 (Electronic) IS - 0378-1119 (Linking) VI - 834 DP - 2022 Aug 5 TI - Factor XIII-A Val34Leu and Tyr204Phe variants influence clot kinetics in a cohort of South African type 2 diabetes mellitus patients. PG - 146637 LID - S0378-1119(22)00456-5 [pii] LID - 10.1016/j.gene.2022.146637 [doi] AB - Factor XIII, a transglutaminase that plays a crucial role in clot formation, consists of subunits A and B. Single nucleotide polymorphisms in Factor XIII-A have been linked to thrombotic risk. In Type 2 Diabetes mellitus (T2DM), a hypercoagulable state is thought to contribute to the high mortality rate associated with thrombotic diseases. Due to the lack of prevalence data of FXIII-A single nucleotide polymorphisms (SNPs) in T2DM in a South African cohort, this study assessed the prevalence FXIII-A Val34Leu (rs5985) and Tyr204Phe (rs3024477) SNP's and the effect on clot kinetics in T2DM. MATERIALS AND METHODS: A cohort of T2DM patients (n = 100) and race, age and gender matched healthy controls (n = 101) were recruited following ethical approval. Thromboelastography(R) (TEG(R)) was used to assess the viscoelastic properties in platelet poor plasma (PPP) in controls (n = 91) and T2DM patients (n = 91) younger than 50 years old. Genomic DNA was isolated from whole blood using the Quick-DNA Miniprep Plus Kit and PCR-RFLP was used to genotype each sample for FXIII-A rs5985 and rs3024477 SNPs. RESULTS: TEG(R) analyses indicated a longer R-time (p < 0.0001) and higher TMRTG (p < 0.0001) in PPP of T2DM patients. Control and T2DM genotype distribution conformed to Hardy-Weinberg equilibrium (p > 0.05). There was a higher prevalence of the wildtype genotype of FXIII-A Tyr204Phe (rs3024477) SNP in T2DM (OR = 0.23, 95% CI = 0.12-0.42, p < 0.0001). The 204Phe variant was more frequent in the Caucasians (OR = 0.39, 95% CI = 0.05-0.33, p < 0.0001). The presence of the 204Phe variant in T2DM affected TMRTG (p = 0.0207). The variant affected R time (p = 0.0432) and TMRTG (p = 0.0209 and p = 0.0207) in controls and T2DM, respectively. CONCLUSION: An inverse association with T2DM and FXIII-A Tyr204Phe was found. A hypo coagulable PPP clot profile was observed in T2DM. A shorter reaction time was observed and but faster rate at which the clot reached maximum strength in both controls and T2DM in the presence of the 204Phe variant. CI - Copyright (c) 2022 Elsevier B.V. All rights reserved. FAU - Phasha, M N AU - Phasha MN AD - Department of Physiology, School of Medicine, Faculty of Health Sciences, University of Pretoria, Gauteng, South Africa. FAU - Soma, P AU - Soma P AD - Department of Anatomy, School of Medicine, Faculty of Health Sciences, University of Pretoria, Gauteng, South Africa. FAU - Bester, J AU - Bester J AD - Department of Physiology, School of Medicine, Faculty of Health Sciences, University of Pretoria, Gauteng, South Africa. FAU - Pretorius, E AU - Pretorius E AD - Department of Physiological Sciences, School of Medicine, Faculty of Health Sciences, Stellenbosch University, Western Cape, South Africa. FAU - Phulukdaree, A AU - Phulukdaree A AD - Department of Physiology, School of Medicine, Faculty of Health Sciences, University of Pretoria, Gauteng, South Africa. Electronic address: alisa.phulukdaree@up.ac.za. LA - eng PT - Journal Article DEP - 20220604 PL - Netherlands TA - Gene JT - Gene JID - 7706761 RN - 839MOZ74GK (F8 protein, human) RN - 9001-27-8 (Factor VIII) RN - 9013-56-3 (Factor XIII) RN - EC 2.3.2.13 (Factor XIIIa) SB - IM MH - *Diabetes Mellitus, Type 2/genetics MH - Factor VIII/*genetics MH - Factor XIII/genetics MH - Factor XIIIa/genetics MH - Humans MH - Kinetics MH - Middle Aged MH - South Africa MH - *Thrombosis/genetics OTO - NOTNLM OT - Coagulation OT - Factor XIII OT - Polymorphism OT - Type 2 Diabetes Mellitus EDAT- 2022/06/08 06:00 MHDA- 2022/06/22 06:00 CRDT- 2022/06/07 19:25 PHST- 2021/12/01 00:00 [received] PHST- 2022/05/10 00:00 [revised] PHST- 2022/06/02 00:00 [accepted] PHST- 2022/06/08 06:00 [pubmed] PHST- 2022/06/22 06:00 [medline] PHST- 2022/06/07 19:25 [entrez] AID - S0378-1119(22)00456-5 [pii] AID - 10.1016/j.gene.2022.146637 [doi] PST - ppublish SO - Gene. 2022 Aug 5;834:146637. doi: 10.1016/j.gene.2022.146637. Epub 2022 Jun 4.