rs6025
mixedMag 7.5This is a protein-altering variant in the F5 gene.
Key Literature Trait Associations
Venous Thromboembolism
Factor V Leiden is caused by a single missense change (Arg506Gln) in the Factor V coagulation protein. The substitution removes the cleavage site used by activated protein C (APC) to switch off clotting, so blood coagulation remains active longer than normal. Heterozygous carriers have roughly a 4-fold higher lifetime risk of deep-vein thrombosis or pulmonary embolism compared to non-carriers; homozygotes face a risk roughly 11-fold above baseline. It is the most common inherited thrombophilia in people of European descent, found in ~2-7% of that population.
Oral contraceptive-associated venous thromboembolism
The combination of Factor V Leiden (rs6025-T) with combined oral contraceptive (COC) use represents a well-characterized gene-environment interaction. A 2016 systematic review and meta-analysis (15 studies) found that COC use in women with mild thrombophilia including FVL elevated VTE risk approximately 6-fold (rate ratio 5.89, 95% CI 4.21–8.23) relative to non-users without thrombophilia. ClinVar designates this variant as a drug-response allele for hormonal contraceptives (expert panel reviewed). Current guidelines generally recommend considering alternative contraception in confirmed FVL heterozygotes and strongly advise against COCs in homozygotes.
Ischemic stroke
Factor V Leiden (rs6025-T) is associated with ischemic stroke, particularly in children and young adults. A 2022 meta-analysis of 104 studies found FVL associated with OR 1.74 for ischemic stroke in young adults (p<0.05). An earlier meta-analysis of 18 case-control studies (2,045 cases) yielded an overall OR of 2.00 (95% CI 1.59–2.51), though the association was substantially weaker in unselected consecutive-referral populations (OR 1.40, 95% CI 1.00–1.95), suggesting ascertainment bias in earlier studies. The thrombotic mechanism (paradoxical embolism or cerebral venous sinus thrombosis) likely explains FVL's greater relevance in younger patients compared to older adults where atherosclerosis dominates.
Heavy menstrual bleeding
In a counterintuitive finding consistent with FVL's procoagulant mechanism, the rs6025-T allele is strongly protective against heavy menstrual bleeding (HMB). A 2025 genome-wide meta-analysis of up to 84,633 HMB cases and 598,195 controls identified rs6025-T with OR 0.75 (p=6.8×10⁻³³), making it one of the strongest signals in the study. The biological rationale is clear: the impaired APC-mediated anticoagulation in FVL carriers promotes more effective hemostasis during menstruation, reducing blood loss. This association has potential clinical relevance, as FVL carrier status may modulate menstrual phenotype alongside its thrombotic risks.
Preeclampsia
Factor V Leiden (rs6025-T) is associated with elevated preeclampsia risk, predominantly in European-ancestry populations. A HuGE review meta-analysis (57 studies; 5,049 cases, 16,989 controls) found OR 1.90 (95% CI 1.42–2.54) for severe preeclampsia. An updated meta-analysis across 95 studies (16,646 PE patients) reported OR 1.53 (95% CI 1.07–2.20) overall, with the signal significant only in Caucasian women. The mechanism likely involves placental microthrombi impairing uteroplacental blood flow. However, some large cohort meta-analyses have found weaker or non-significant associations, and the effect may be confined to severe rather than mild preeclampsia.
▶GWAS Catalog Trait Associations (15)
Genome-wide significant associations (p < 5×10⁻⁸) from the NHGRI-EBI GWAS Catalog.
GWAS Catalog Trait Associations (15)
Genome-wide significant associations (p < 5×10⁻⁸) from the NHGRI-EBI GWAS Catalog.
▶ClinVar annotation
Ischemic stroke; Budd-Chiari syndrome, susceptibility to; Pregnancy loss, recurrent, susceptibility to, 1; Factor V deficiency; Thrombophilia due to activated protein C resistance; not specified; Thrombophilia due to activated protein C resistance;Factor V deficiency; Susceptibility to severe coronavirus disease (COVID-19) due to an impaired coagulation process; Inborn genetic diseases; hormonal contraceptives for systemic use response - Toxicity; not provided; Congenital factor V deficiency; Pregnancy loss, recurrent, susceptibility to, 1;Budd-Chiari syndrome;Congenital factor V deficiency;Thrombophilia due to activated protein C resistance;Ischemic stroke
View on ClinVar →▶Research that mentions this SNP (12)
▶Myocardial infarction, prothrombotic genotypes, and venous thrombosis risk: The Tromsø StudyAssociationN=2,402Joakim K. Sejrup et al.(2020)· Research and Practice in Thrombosis and Haemostasis
Prospective case-cohort study examining whether 5 prothrombotic SNPs explain the increased venous thromboembolism (VTE) risk after myocardial infarction (MI). Patients with MI had a 1.4-fold increased VTE risk (HR 1.44, 95% CI 1.07-1.96), but adjustment for rs8176719 (ABO), rs6025 (F5), rs1799963 (F2), rs2066865 (FGG), and rs2036914 (F11) did not attenuate this relationship (adjusted HR 1.52). Individual SNPs associated with VTE in non-MI subjects (F5 HR 2.20, ABO HR 1.44), but their combination with MI did not yield excess VTE risk.
▶Genetic variants conferring susceptibility to gastroschisis: a phenomenon restricted to the interaction with the environment?Meta-analysisN=434Victor M. Salinas-Torres et al.(2018)· Pediatric Surgery International
This systematic review analyzed genetic associations with gastroschisis from 1980-2017, identifying 14 SNPs from 10 genes associated with crude risk and 30 SNPs from 14 genes with stratified risk. Four SNPs showed significant associations: rs4961 (ADD1, p=0.023), rs5443 (GNB3, p=0.002), rs1042713 (ADRB2, p=0.007), and rs1042714 (ADRB2, p=0.006). The findings suggest genetic susceptibility in gastroschisis is not restricted to gene-environment interactions, with blood pressure regulation genes playing a significant role in vascular disruption pathogenesis.
▶Assessing the causal relationship between obesity and venous thromboembolism through a Mendelian Randomization studyMeta-analysisN=60,139Sara Lindström et al.(2017)· Human Genetics
Mendelian Randomization study examining the causal relationship between obesity (BMI) and venous thromboembolism using 95 BMI-associated SNPs in 7,507 VTE cases and 52,632 European ancestry controls. FTO rs1558902 showed the strongest individual association with VTE (OR 1.07, P = 0.005), and genetically predicted high BMI was significantly associated with increased VTE risk (OR 1.59 per SD increase in BMI, P = 5.8 × 10^-6), providing evidence for a causal relationship between obesity and VTE.
▶Disease variants in genomes of 44 centenariansCase reportN=44Yun Freudenberg‐Hua et al.(2014)· Molecular Genetics & Genomic Medicine
Whole genome sequencing of 44 Ashkenazi Jewish centenarians identified 216 coding variants annotated as pathogenic or likely pathogenic in ClinVar. The study found 130 rare variants (MAF <5%) reported to cause degenerative, neoplastic, and cardiac diseases with various inheritance patterns. Notably, several carriers had no clinical manifestations despite carrying variants linked to serious diseases (e.g., an APOE ε4 homozygote without Alzheimer's disease, a UBQLN2 P525S carrier without ALS). These findings suggest incomplete penetrance and reduced clinical significance for many reported disease mutations.
▶A Genome‐Wide Association Study for Venous Thromboembolism: The Extended Cohorts for Heart and Aging Research in Genomic Epidemiology (CHARGE) ConsortiumAssociationN=11,615Weihong Tang et al.(2013)· Genetic Epidemiology
A large genome-wide association study of venous thromboembolism (VTE) in 9 European ancestry cohorts (4,849 cases total) identified genome-wide significant associations at F5, ABO, F11, and FGG loci. The FGG locus (rs6536024, RR=0.80, p<5.0×10⁻¹³) and F11 locus (rs4253399, RR=1.24, p<5.0×10⁻¹³) showed novel associations with reduced and increased VTE risk respectively. Additional borderline associations (p<5.0×10⁻⁶) were identified near SUSD1 and OTUD7A, representing new candidate genes for VTE.
▶Vascular endothelial growth factor (VEGF) gene polymorphisms may influence the efficacy of thalidomide in multiple myelomaAssociationN=237Niels F. Andersen et al.(2012)· International Journal of Cancer
This case-control association study examined genetic polymorphisms in 237 Russian women to identify variants associated with early reproductive loss and recurrent miscarriage. The study found that DNMT3B rs2424913 (OR=4.44-4.78), DNMT1 rs2228611 (OR=3.0-3.94), and DNMT1 rs8101626 (OR=2.5-3.1) were significantly associated with increased risk of sporadic and recurrent early pregnancy loss, while SYCP3 rs769825641 heterozygotes showed elevated risk of sporadic miscarriage.
▶Multiple loci influencing hippocampal degeneration identified by genome scanAssociationN=2,592Scott A. Melville et al.(2012)· Annals of Neurology
A two-stage genome-wide association study identified loci influencing hippocampal volume (HV), total cerebral volume (TCV), and white matter hyperintensities (WMH) in Alzheimer disease-related endophenotypes. Novel genome-wide significant associations (p<5.0×10⁻⁸) were found for HV with SNPs in APOE (p=5.23×10⁻³¹), F5/SELP (p=5.53×10⁻⁹), LHFP, and GCFC2 gene regions in Caucasian discovery cohorts, with replication support in African Americans. Significant associations with different SNPs in the same gene were observed for PICALM (p<1×10⁻⁵ in Caucasians) with HV, SYNPR with TCV, and TTC27 with WMH.
▶Evaluation of genes involved in limb development, angiogenesis, and coagulation as risk factors for congenital limb deficienciesAssociationN=1,369Marilyn L. Browne et al.(2012)· American Journal of Medical Genetics Part A
Population-based case-control study of 389 infants with congenital limb deficiencies and 980 controls examining 132 SNPs in 20 candidate genes involved in limb development, angiogenesis, and coagulation. Among non-Hispanic white infants, SNPs in FGF10 (rs10805683: OR=1.99, 95% CI=1.43-2.77; rs13170645: OR=2.37, 95% CI=1.48-3.78) showed significant associations with limb deficiencies after multiple testing correction, with supportive evidence for genes including EN1, WNT7A, CYP26B1, SHH, and TBX5.
▶Genetic Predictors of Response to Photodynamic TherapyReviewFrancesco Parmeggiani et al.(2011)· Molecular Diagnosis & Therapy
Comprehensive review evaluating SNPs as genetic predictors of choroidal neovascularization (CNV) response to photodynamic therapy with verteporfin (PDT-V). The paper examines pharmacogenetic correlations for thrombo-coagulative pathway variants (MTHFR rs1801133, F5 rs6025, F2 rs1799963, F13A1 rs5985), complement/inflammatory variants (CFH, HTRA1, CRP, ARMS2), and VEGFA variants (rs699947, rs2146323), concluding that specific SNPs show clinical plausibility as markers to optimize PDT-V efficacy and guide therapeutic approaches in neovascular macular degeneration.
▶Risk variants for atrial fibrillation on chromosome 4q25 associate with ischemic strokeReviewGretarsdottir S. et al.(2008)· Annals of Neurology
This review examines 15 years of ischemic stroke susceptibility gene research, organized into three periods: early candidate gene studies (1985-1995) testing variants in hemostasis and homocysteine metabolism genes; expansion period with functional variants discovered from other diseases tested on larger stroke cohorts; and current GWAS-driven large-scale genotyping studies. Key findings include identification of susceptibility loci in CELSR1 (rs6007897, rs4044210 in Japanese populations), PITX2 (rs2200733, rs10033464), and other genes involved in lipid metabolism (APOA5, APOCIII, MLXIPL) and signal transduction (PDE4D, ALOX5AP), with evidence that alleles are often shared across diseases and that careful clinical stratification is critical.
▶Association of warfarin dose with genes involved in its action and metabolismAssociationN=201Mia Wadelius et al.(2007)· Human Genetics
An association study of 201 warfarin-treated patients found that polymorphisms in VKORC1, CYP2C9, CYP2C18, CYP2C19, PROC, and APOE were significantly associated with warfarin dose requirement (P < 0.000175 for VKORC1 and CYP2C9). A multiple regression model incorporating VKORC1, CYP2C9, PROC, and non-genetic factors (age, bodyweight, drug interactions, treatment indication) accounted for 62% of the variance in warfarin dose.
▶Role of Toll-like Receptor 4 in Acute Myocardial Infarction and LongevityReviewBalistreri CR et al.(2004)· JAMA
A review article examining the genetic basis of COVID-19 susceptibility and protection from a longevity model perspective. The authors propose that genetic variants in the renin-angiotensin system (ACE, ACE2, AT1R, ANGIOTENSINOGEN), innate immunity genes (TLR4, CCR5, Connexin37), inflammatory cytokines (IL-6, IL-10, TNF-α, IFN-γ), and coagulation factors (PAI-1, Factor V) may influence COVID-19 outcomes, with long-lived individuals (nonagenarians/centenarians) serving as a model for identifying protective genetic profiles.
Gene information from NCBI Gene. Variant classifications from ClinVar.
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