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Updated: Jul 11, 2026

On-Chip Endothelial Inflammatory Phenotyping
Published on: July 21, 2012
Microsomal triglyceride transfer protein 493-T variant is associated with resistin levels and C-reactive protein
Roberto Gambino1, Simona Bo, Giovanni Musso
1Department of Internal Medicine, University of Torino, 10126 Torino, Italy. roberto.gambino@unito.it
Background:
The microsomal triglyceride transfer protein (MTP) is a heterodimeric lipid transfer protein that consists of a large unique 97-kDA subunit and protein disulfide isomerase. MTP is involved in the assembly of apoB-containing lipoprotein and enables the secretion of VLDLs by the liver and chylomicrons by the intestine. The MTP gene is highly polymorphic. The less common T variant has been associated with the reduction of plasma LDL-cholesterol levels and with an increased risk in coronary heart disease. We hypothesized that MTP polymorphism could be associated to LDL-cholesterol levels and proinflammatory cytokines, such as resistin.
Methods And Results:
The -493G/T MTP gene polymorphism was investigated in 290 subjects. Subjects carrying the TT genotype had lower level of LDL-cholesterol and higher serum resistin levels than individual carrying one or two copies of the -493G allele. After adjustments for age, BMI, waist circumference, alcohol intake and exercise levels, a significant direct association was evident between hs-CRP and resistin levels and the presence of the TT genotype in a multiple regression model.
Conclusion:
This study supports the notion that the rare MTP-493T/T genotype is associated both with higher levels of inflammatory parameters and with low levels of LDL-cholesterol. Prospective data are needed to investigate if the association between CVD and the MTP-493T/T genotype might be due to the increased sub-clinical proinflammatory state associated with this mutation.
Insights
The rare MTP-493T/T genotype is linked to lower LDL-cholesterol and higher resistin levels. This suggests a connection between MTP gene variants, inflammation, and cholesterol in coronary heart disease risk.
Area of Science:
- Genetics and Molecular Biology
- Cardiovascular Disease Research
- Metabolic Syndrome Studies
Background:
- Microsomal triglyceride transfer protein (MTP) facilitates lipoprotein assembly and secretion.
- MTP gene polymorphisms, particularly the T variant, correlate with reduced LDL-cholesterol and increased coronary heart disease (CHD) risk.
- The study investigates the association between MTP gene polymorphism and LDL-cholesterol levels, along with proinflammatory cytokines like resistin.
Purpose of the Study:
- To examine the relationship between the -493G/T MTP gene polymorphism and LDL-cholesterol levels.
- To investigate the association between MTP gene polymorphism and serum resistin levels.
- To explore the link between MTP genotype, LDL-cholesterol, and inflammatory markers such as hs-CRP.
Main Methods:
- Investigated the -493G/T MTP gene polymorphism in 290 subjects.
- Compared LDL-cholesterol and serum resistin levels between TT genotype carriers and those with the G allele.
- Utilized multiple regression analysis, adjusting for age, BMI, waist circumference, alcohol intake, and exercise.
Main Results:
- Subjects with the TT genotype exhibited lower LDL-cholesterol levels and higher serum resistin levels compared to individuals with the G allele.
- A significant direct association was found between high-sensitivity C-reactive protein (hs-CRP) and resistin levels in the presence of the TT genotype, even after adjustments.
- The TT genotype was independently associated with elevated inflammatory parameters and reduced LDL-cholesterol.
Conclusions:
- The rare MTP-493T/T genotype is associated with elevated inflammatory markers and decreased LDL-cholesterol levels.
- Further prospective studies are required to determine if the observed association between the MTP-493T/T genotype and cardiovascular disease (CVD) is mediated by an increased subclinical proinflammatory state.
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