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Updated: Aug 17, 2026

Isolation and Analysis of Plasma Lipoproteins by Ultracentrifugation
Published on: January 28, 2021
[Polymorphisms in the apolipoprotein A5 gene and apolipoprotein C3 gene in patients with coronary artery disease]
Nan Bi1, Sheng-Kai Yan, Guo-Ping Li
1Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100005, China.
Insights
The APOA5 -1131T/C gene variant is linked to a higher risk of coronary artery disease (CAD) in the Chinese Han population, associated with elevated triglycerides. The APOC3 -482C/T variant showed no such association with CAD risk.
Area of Science:
- Genetics
- Cardiovascular Disease
- Molecular Biology
Background:
- Coronary artery disease (CAD) is a leading cause of mortality worldwide.
- Genetic factors, including polymorphisms in apolipoprotein genes, play a role in CAD susceptibility.
- APOA5 and APOC3 genes are key regulators of triglyceride metabolism and have been implicated in cardiovascular risk.
Purpose of the Study:
- To investigate the association between specific polymorphisms in the APOA5 gene (-1131T/C, 56C/G) and the APOC3 gene (-482C/T) with coronary artery disease (CAD) risk.
- To determine if these genetic variations correlate with serum lipid profiles in a Chinese Han population.
Main Methods:
- Genotyping of APOA5 (-1131T/C, 56C/G) and APOC3 (-482C/T) polymorphisms using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) and polyacrylamide gel electrophoresis (PAGE).
- Analysis of genotype frequencies in 312 CAD patients and 317 healthy controls.
- Biochemical analysis of serum lipid profiles.
Main Results:
- The APOA5 -1131 C allele was significantly more frequent in CAD patients (39.9%) compared to controls (33.3%, P=0.02).
- APOA5 -1131 CC homozygotes exhibited a significantly increased risk of CAD (OR=1.93 unadjusted, OR=1.80 adjusted).
- The APOA5 -1131C allele correlated with elevated plasma triglyceride (TG) levels (P<0.01).
Conclusions:
- The APOA5 -1131T/C polymorphism is associated with an increased risk of CAD in the Chinese population.
- This association is linked to elevated serum TG levels and appears independent of the APOC3 -482C/T variant.
- The APOC3 -482C/T polymorphism did not show a significant association with CAD risk in this cohort.
Objective:
To investigate the association between the -1131T/C and 56C/G polymorphism in the APOA5 gene as well as the -482C/T in the APOC3 gene and susceptibility to coronary artery disease (CAD) in a Chinese Han population.
Methods:
Using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) and polyacrylamide gel electrophoresis (PAGE) methods, we analyzed the genotypes in 312 CAD patients diagnosed by angiography and 317 healthy controls. The levels of serum lipid profiles were also studied by biochemical methods.
Results:
The frequency of the APOA5 -1131 C allele in CAD patients was significantly higher than that of the control group (39.9% vs. 33.3%, P = 0.02). Compared with the wild type TT, CC homozygotes had a significantly increased CAD risk (OR = 1.93 and OR = 1.80 using unadjusted and adjusted logistic regression models, respectively). This association still existed after adjustment for the APOC3-482 variant. The APOA5-1131C allele also showed a correlation with increasing plasma TG levels (P < 0.01).
Conclusions:
The APOA5-1131T/C polymorphism but not APOC3-482C/T might contribute to an increased risk of CAD among Chinese accompanied by an elevation of serum TG levels; this effect was found to be independent of the APOC3-482C/T variant.
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