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Polymorphisms in the apolipoprotein E gene regulatory region in relation to coronary heart disease and their effect
R M Corbo1, R Scacchi, T Vilardo
1Department of Genetics and Molecular Biology, La Sapienza University, Rome, Italy. Corbo@axcasp.caspur.it
Insights
The APOE*4 allele is linked to coronary heart disease (CHD). A specific variant, -427*C, may increase CHD risk in individuals without the APOE*4 allele, but does not affect apoE levels.
Area of Science:
- Cardiovascular Genetics
- Molecular Biology
- Human Genetics
Background:
- Previous studies linked apolipoprotein E (APOE) genotypes, particularly APOE*4, to coronary heart disease (CHD) risk and altered apoE plasma levels.
- The APOE gene's promoter region contains polymorphisms (-491A/T and -427T/C) that may influence apoE expression levels.
Purpose of the Study:
- To investigate the association of APOE promoter polymorphisms (-491A/T and -427T/C) with CHD in a male patient cohort.
- To determine if these polymorphisms affect apoE plasma concentrations in CHD patients and controls.
Main Methods:
- Genotyping of APOE promoter polymorphisms (-491A/T and -427T/C) in male CHD patients and controls.
- Analysis of allele and genotype frequencies between cases and controls.
- Stratification analysis based on the presence or absence of the APOE*4 allele.
Main Results:
- No significant difference in -491A/T polymorphism distribution was found between CHD patients and controls.
- A marginally significant excess of the -427*C allele and its genotypes was observed in CHD patients compared to controls.
- The excess of the -427*C allele was primarily observed in CHD patients lacking the APOE*4 allele, suggesting a potential risk in specific genetic contexts.
- Neither -491A/T nor -427T/C polymorphisms showed an apparent effect on apoE plasma concentration in this cohort.
Conclusions:
- The -427*C polymorphism in the APOE promoter may represent an independent risk factor for CHD in individuals without the APOE*4 allele.
- These promoter variations do not appear to influence apoE plasma levels in the context of CHD.
- Further research is needed to elucidate the precise mechanisms by which -427*C influences CHD risk.
Abstract:
In a previous study which examined the distribution of apolipoprotein E genotypes and plasma levels in a sample of male coronary heart disease (CHD) patients and controls, we found a significant excess of the genotypes carrying APOE*4 allele in CHD men (18.2%) vs. controls (9.6%) and an association between the APOE*4 allele and the lowest concentrations of apoE. In the present investigation, we re-examined in the same samples two recently identified polymorphisms in the promoter region of APOE, -491A/T and -427T/C, which may alter the level of apoE expression. No differences in the distributions of the -491A/T genotypes and alleles were observed between cases and controls (-491*A = 0.760 and 0.757 respectively). Polymorphism -427T/C showed in CHD patients an excess of -427*C allele (patients vs. controls = 0.123 vs. 0.074) and corresponding genotypes that was marginally significant. Stratification of the samples according to the presence/absence of APOE*4 showed that the excess of the -427*C allele concerned only CHD patients not carrying APOE*4 allele (patients vs. controls = 0.133 vs. 0.061; p=0.017). This result suggests that the presence of -427*C allele could represent a risk for developing CHD in subjects with E2/E2, E3/E2, and E3/E3 genotypes. Studies carried out on patients with Alzheimer's disease demonstrated that -491A/T and -427T/C polymorphisms affect the level of plasma apoE. In the present study, carried out on CHD patients and controls, the genetic variation at -427 and -491 sites of the APOE regulatory region had no apparent effect on apoE plasma concentration.
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