Related Experiment Video
Updated: Jul 11, 2026

Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
Paraoxonase activity and coronary heart disease risk in healthy middle-aged males: the PRIME study
J A Troughton1, J V Woodside, J W G Yarnell
1Faculty of Medicine, Queen's University Belfast, Belfast, Northern Ireland, UK.
Insights
Neither paraoxonase activity nor PON55 genotype appears to influence coronary heart disease (CHD) risk in middle-aged males, according to the PRIME study. Further research is needed to understand CHD incidence variations.
Area of Science:
- Cardiovascular Epidemiology
- Biochemistry
- Genetics
Background:
- Coronary heart disease (CHD) incidence shows significant geographical variation, unexplained by traditional risk factors.
- The Prospective Epidemiological Study of Myocardial Infarction (PRIME) investigated novel risk factors in populations with differing CHD rates.
Purpose of the Study:
- To investigate the association between paraoxonase activity and CHD risk.
- To examine the relationship between the PON55 LL genotype and CHD risk.
Main Methods:
- Paraoxonase activity was measured in male myocardial infarction cases and matched controls.
- Genotyping for the PON55 polymorphism was performed on available DNA samples from cases and controls.
Main Results:
- No significant difference in paraoxonase activity was observed between CHD cases and controls.
- Paraoxonase activity levels did not correlate with CHD risk, even after adjusting for classical risk factors.
- The PON55 genotype (LL, LM, MM) showed no significant association with CHD risk.
Conclusions:
- Paraoxonase activity is not associated with CHD risk in middle-aged males within the PRIME study cohort.
- The PON55 genotype does not appear to be a significant risk factor for CHD in this population.
Objective:
Classic coronary heart disease (CHD) risk factors fail to explain the large gradient in CHD incidence between Northern Ireland and France. The Prospective Epidemiological Study of Myocardial Infarction (PRIME) study, a multicentre prospective study of 10,593 middle-aged males, investigated novel risk factors in these populations. We tested the hypotheses that (1) higher paraoxonase activity is associated with decreased CHD risk and (2) PON55 LL genotype is associated with increased CHD risk.
Methods:
Paraoxonase activity was measured in 299 men who had developed CHD at 5-year follow-up and in 576 matched controls. DNA was available from 247 cases and 433 controls for genotyping for the PON55 polymorphism.
Results:
There was no significant difference in paraoxonase activity between cases and controls (geometric means 73.8 and 74.2U/l; p=0.81). There was no significant difference in CHD risk between fifths of paraoxonase activity either before (p=0.55) or after adjustment for classical risk factors (p=0.58). There was no significant association between genotype and CHD risk; relative to the LL genotype, the OR (95% CI) for the LM and MM genotypes were 0.92 (0.66-1.29) and 0.83 (0.50-1.36), respectively. The frequency of the L allele in cases (66.6%) and controls (64.5%) did not differ significantly, p=0.45.
Conclusions:
These findings suggest that neither paraoxonase activity nor PON55 genotype is associated with CHD risk in males in the PRIME study.
Related Concept Videos
Coronary Artery Disease IV: Preventive Measures
Coronary Artery Disease II: Pathophysiology
Acute Coronary Syndrome III: Diagnostic Studies
Coronary Artery Disease I: Introduction
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
Coronary Artery Disease III: Clinical Manifestations