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Updated: Jun 8, 2026

Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
Published on: January 16, 2019
Common genetic variation in multiple metabolic pathways influences susceptibility to low HDL-cholesterol and coronary
Gina M Peloso1, Serkalem Demissie, Dorothea Collins
1Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA.
Insights
This study identified genetic variants linked to low HDL cholesterol and coronary heart disease risk. Novel susceptibility alleles were found in CUBN and RXRA genes, with SELP variation potentially impacting HDL
Area of Science:
- Genetics and Cardiovascular Disease
- Lipid Metabolism and Atherosclerosis
Background:
- Low high-density lipoprotein cholesterol (HDL-C) is a prevalent lipid abnormality in men with established coronary heart disease (CHD).
- Identifying genetic factors influencing HDL-C levels and CHD susceptibility is crucial for understanding disease mechanisms.
Purpose of the Study:
- To identify allelic variants associated with susceptibility to low HDL-C and CHD.
- To investigate the roles of candidate genes in HDL metabolism, insulin resistance, and inflammation.
Main Methods:
- Examined 60 candidate genes involved in HDL metabolism, insulin resistance, and inflammation.
- Utilized genetic data from the Veterans Affairs HDL Intervention Trial (VA-HIT) and the Framingham Offspring Study (FOS).
- Employed single-nucleotide polymorphism (SNP) analysis with adjustments for multiple testing.
Main Results:
- Significant SNPs associated with case status were identified in LIPC, CETP, RXRA, ABCA1, ABCC6, CUBN, APOA2, SELP, and APOC4 genes.
- Novel susceptibility alleles for low HDL-C/CHD risk were found in the CUBN and RXRA genes.
- Genetic variation in SELP was observed to potentially influence CHD risk via its effects on HDL.
Conclusions:
- Genetic variations in multiple genes, including novel associations in CUBN and RXRA, contribute to low HDL-C and CHD risk.
- SELP gene variation represents a potential new pathway through which HDL influences CHD risk.
- These findings enhance our understanding of the genetic underpinnings of dyslipidemia and cardiovascular disease.
Abstract:
A low level of HDL-C is the most common plasma lipid abnormality observed in men with established coronary heart disease (CHD). To identify allelic variants associated with susceptibility to low HDL-C and CHD, we examined 60 candidate genes with key roles in HDL metabolism, insulin resistance, and inflammation using samples from the Veterans Affairs HDL Intervention Trial (VA-HIT; cases, n = 699) and the Framingham Offspring Study (FOS; controls, n = 705). VA-HIT was designed to examine the benefits of HDL-raising with gemfibrozil in men with low HDL-C (≤40 mg/dl) and established CHD. After adjustment for multiple testing within each gene, single-nucleotide polymorphisms (SNP) significantly associated with case status were identified in the genes encoding LIPC (rs4775065, P < 0.0001); CETP (rs5882, P = 0.0002); RXRA (rs11185660, P = 0.0021); ABCA1 (rs2249891, P = 0.0126); ABCC6 (rs150468, P = 0.0206; rs212077, P = 0.0443); CUBN (rs7893395, P = 0.0246); APOA2 (rs3813627, P = 0.0324); SELP (rs732314, P = 0.0376); and APOC4 (rs10413089, P = 0.0425). Included among the novel findings of this study are the identification of susceptibility alleles for low HDL-C/CHD risk in the genes encoding CUBN and RXRA, and the observation that genetic variation in SELP may influence CHD risk through its effects on HDL.
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