Summary
We determined factor VII antigen (FVIIag) levels in 705 healthy blood donors ranging
in age from 17 to 79 years using a two-site solid-phase enzyme immunoassay developed
in our laboratory. The mean (± SD) FVIIag level for the total population was 102 ±
31%. FVIIag levels for men (n = 375) and women (n = 330) were 101 ± 28% and 103 ±
33%, respectively. A significant increase in FVIIag was observed with age in both
men (r = 0.25, p <0.0001) and women (r = 0.35, p <0.0001). FVIIag levels were significantly
higher in women > 60 years when compared to men (median women: 125%; median men: 111%;
p <0.05). On a subset of the study group (n = 45), FVIIag levels were correlated to
total cholesterol (r = 0.27, p = 0.08) and triglyceride (r = 0.41, p <0.01). Assuming
the commonly used reference interval of 60-140% for FVII, the frequencies of FVIIag
values for <60% and >140% using our assay were 2.1% and 9.2%, respectively. Gender
and age-related differences in FVIIag levels must be considered in a reference interval.
We further suggest that assay-specific reference ranges be established, which may
include values outside the commonly used values of 60-140%.