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Published on: April 1, 2019
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.
Background:
Coronary atherosclerosis, the most common form of coronary artery disease (CAD), is characterized by accumulation of lipid in the walls of coronary arteries. Recent data from clinical trials have showed that high-density lipoprotein cholesterol (HDL-C) has causal role in the pathogenesis and development of coronary atherosclerosis. Cholesteryl ester transfer protein (CETP) is an important regulator of plasma HDL-C. Several genetic mutations in the CETP gene were found to be associated with HDL-C levels. The aim of the present study is to evaluate the association of HDL-C-related CETP polymorphisms and risk of coronary atherosclerosis.
Methods:
We investigated the association of seven single nucleotide polymorphisms (SNP) (rs1800775, rs708272, rs5882, rs1532624, rs1864163, rs7499892, and rs9989419) in the CETP gene with the risk of coronary atherosclerosis and levels of HDL-C in a case-control study in China. Included in the study were 420 patients with coronary atherosclerosis and 424 healthy controls. SNP genotyping was performed by TaqMan allelic discrimination assay and serum lipid levels were measured by standard laboratory methods.
Results:
Carriers of the AA and GA + AA genotypes of rs708272 had significant lower risks of coronary atherosclerosis (OR = 0.55, 95% CI: 0.36-0.85, p = 0.003; OR = 0.67, 95% CI: 0.50-0.90, p = 0.007, respectively) compared to those with GG genotype. These relations remained significant after adjustment for confounding effects of age, smoking, diabetes and hypertension. The rs1800775 polymorphism was significantly associated with serum levels of HDL-C in healthy controls (p = 0.04). Besides, rs708272 was in close linkage disequilibrium (LD) with rs1800775 in this study.
Conclusions:
Our findings indicated that CETP rs708272 may be associated with the risk of coronary atherosclerosis and rs1800775 may influence serum HDL-C levels in healthy controls in Chinese.
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