ForThePeople
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- Jul 30, 2004
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Originally posted by: rahvin
Originally posted by: ForThePeople
Your numbers are wrong. It is 80-140x more likely for DVT as a homo and 8-10x as a hetero. It is beneficial because it overclots where other disorders underclot, it persists in those same populations.
It's bad that you need warfarin but if you had Factor VIII deficiency you would love your Leiden, I promise you.
And yes, I am a medical student. If you want much more info on it you can see my earlier post on the other evolution thread.
As far as the numbers, they change them every year, my numbers were accurate for 2001.
It persists because (before medical intradiction) the condition often doesn't have symptoms until well after puberty is reached often allowing a person to have offspring before it kills them. It also doesn't propagate further (beyond the 2% that have it) because it causes blood clots in the placenta of women with the condition often making it nearly impossible for them to have children. (It's a standard test in infertility exams). I'm well aware that other blood mutations are far more dangerous but to use that as an excuse to call Factor V beneficial is just inconcievable. As opposed to other mutations it may be less bad, but as opposed to normal clotting, Factor V is a dissadvantage in most cases and as a result a bad mutation. And myself and the thousands of other people that are on warfarin as a result of the mutation are testament to that.
I'm doing a study right now to really nail down that number. We're testing everyone who comes to our service with a DVT for Leiden.
And when I say "persist" I don't mean that it concerns one person - I mean it persists in the gene pool, that it is a heritable variation that had been passed down. It is very unusual for single point mutations to persist in a gene pool, basically because there is an extra copy of a perfectly correct one right next door. The easiest types of mutations to correct are single point mutations. So if one sticks around there is a reason.
It is about 5% of the US population that is either heterozygous or homozygous, the vast majority are hetero and have no symptoms for any of their life. It is in the homozygous, the rare minority, that we find lots of problems.
Factor V most decidedly is a good mutation. The carriers (heterozygotes) suffer no ill effects and only the homozygous bear the brunt of it's bad effects. For populations that have clotting problems a heterozygous condition will likely compensate for their other problems, making it very beneficial.
So it sucks to be one of the rare minority homozygous for a defect. But if 1 / 10,000 people suffer so that 500 / 10,000 benefit it is clearly beneficial.
That's evolution for you - it's about survival of the fittest and life sucks if you happen to not be one of the fittest.