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Updated: Jul 18, 2026

Candidate Gene Testing in Clinical Cohort Studies with Multiplexed Genotyping and Mass Spectrometry
Published on: June 21, 2018
High-density genotyping and functional SNP localization in the CETP gene
John F Thompson1, Linda S Wood, Eve H Pickering
1Pharmacogenomics, Pfizer Global Research and Development, Groton, CT 06340, USA. john.f.thompson@pfizer.com
Genetic variations in the cholesteryl ester transfer protein gene (CETP) influence high-density lipoprotein-cholesterol (HDL-C) levels. Dense genotyping identified novel functional single nucleotide polymorphisms (SNPs) impacting HDL-C across diverse ethnic groups.
Area of Science:
- Genetics
- Molecular Biology
- Cardiovascular Research
Background:
- Cholesteryl ester transfer protein gene (CETP) genetic analyses often focus on limited polymorphisms within single ethnic groups.
- The regulatory regions of CETP influencing gene expression are not fully understood.
Purpose of the Study:
- To investigate natural variations in CETP and their impact on high-density lipoprotein-cholesterol (HDL-C) levels.
- To define the extent of regulatory DNA influencing CETP expression through dense genotyping.
Main Methods:
- Dense genotyping of CETP and flanking regions (15 kb upstream and downstream) in over 2,000 individuals.
- Analysis of linkage disequilibrium (LD) patterns and association of single nucleotide polymorphisms (SNPs) with HDL-C levels.
- Comparison of SNP associations across different ethnic groups to identify functional variants.
Main Results:
- Complex, non-linear linkage disequilibrium patterns were observed across large regions of the CETP gene.
- Known functional SNPs were associated with HDL-C, with evidence for previously uncharacterized functional SNPs.
- A promoter SNP at position -4,502, altering a transcription factor binding site, was strongly associated with HDL-C and likely functional.
Conclusions:
- Dense genotyping of CETP and its regulatory regions reveals complex genetic architecture influencing HDL-C.
- Identification of novel functional SNPs, particularly a promoter variant, refines understanding of CETP's role in lipid metabolism.
- Cross-ethnic comparisons are crucial for pinpointing functionally significant CETP variants impacting HDL-C levels.
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