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.

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