CETP gene polymorphisms and risk of coronary atherosclerosis in a Chinese population

Jun Wang, Li Jun Wang, Yong Zhong

  • 1Departments of Cardiology, School of Medicine, Nanjing University, Jinling Hospital/Nanjing General Hospital of Nanjing Military Command, 305 Zhongshan East Road, Nanjing, Jiangsu Province 210002, China. zero991127@hotmail.com.

Insights

Genetic variations in the cholesteryl ester transfer protein (CETP) gene, specifically rs708272, were linked to a reduced risk of coronary atherosclerosis. Another variation, rs1800775, influenced high-density lipoprotein cholesterol (HDL-C) levels in healthy Chinese individuals.

Area of Science:

  • Cardiovascular Genetics
  • Molecular Cardiology
  • Atherosclerosis Research

Background:

  • Coronary atherosclerosis involves lipid accumulation in coronary arteries, a key aspect of coronary artery disease (CAD).
  • High-density lipoprotein cholesterol (HDL-C) plays a causal role in the development of coronary atherosclerosis.
  • Cholesteryl ester transfer protein (CETP) regulates plasma HDL-C levels, and its gene mutations are linked to HDL-C variations.

Purpose of the Study:

  • To investigate the association between HDL-C-related CETP gene polymorphisms and the risk of coronary atherosclerosis.
  • To evaluate the impact of specific CETP single nucleotide polymorphisms (SNPs) on HDL-C levels.

Main Methods:

  • A case-control study was conducted in China involving 420 patients with coronary atherosclerosis and 424 healthy controls.
  • Seven single nucleotide polymorphisms (SNPs) in the CETP gene were genotyped using TaqMan allelic discrimination assay.
  • Serum lipid levels were measured using standard laboratory methods, and associations were analyzed.

Main Results:

  • Carriers of rs708272 genotypes AA and GA+AA showed significantly lower risks of coronary atherosclerosis compared to the GG genotype (OR=0.55, P=0.003; OR=0.67, P=0.007).
  • These associations remained significant after adjusting for confounding factors like age, smoking, diabetes, and hypertension.
  • The rs1800775 polymorphism was significantly associated with serum HDL-C levels in healthy controls (P=0.04), and rs708272 was in linkage disequilibrium with rs1800775.

Conclusions:

  • The CETP rs708272 polymorphism may be associated with altered risk of coronary atherosclerosis.
  • The CETP rs1800775 polymorphism may influence serum HDL-C levels in healthy Chinese individuals.
  • These findings highlight the role of CETP gene variations in cardiovascular health.
Abstract

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