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Published on: October 12, 2017
[Association between apolipoprotein A1-75 bp gene polymorphisms and risk for dyslipidemia and coronary artery
Xuebiao Wei1, Yaowang Lin1, Xing Yang1
1Graduate School, Southern Medical University, Guangzhou 510080, China.
Insights
The apolipoprotein A1 (ApoA1)-75 bp gene polymorphism is associated with dyslipidemia and coronary artery disease (CAD). This genetic variation acts as an independent protective factor against developing CAD.
Area of Science:
- Cardiovascular Genetics
- Molecular Cardiology
- Lipid Metabolism
Background:
- Dyslipidemia and coronary artery disease (CAD) are significant global health concerns.
- Genetic factors play a crucial role in the pathogenesis of these conditions.
- The apolipoprotein A1 (ApoA1) gene is a key regulator of lipid metabolism and has been implicated in cardiovascular risk.
Purpose of the Study:
- To investigate the association between the apolipoprotein A1 (ApoA1)-75 bp gene polymorphism and the risk of dyslipidemia.
- To determine the relationship between the ApoA1-75 bp gene polymorphism and the prevalence of coronary artery disease (CAD).
- To identify ApoA1-75 bp gene polymorphism as a potential predictive marker for cardiovascular risk.
Main Methods:
- A cohort of 723 patients admitted to Guangdong General Hospital between 2011 and 2013 were analyzed.
- Patients were categorized into coronary artery disease (CAD) and non-CAD groups based on coronary angiography.
- Lipid profiles, ApoA1-75 bp gene polymorphisms, and Gensini scores were assessed to determine correlations.
Main Results:
- Patients with CAD exhibited significantly higher levels of triglycerides, LDL-C, and ApoB, and lower HDL-C compared to the non-CAD group.
- The frequency of the A allele for the ApoA1-75 bp polymorphism was significantly lower in the CAD group.
- ApoA1-75 bp gene polymorphism was significantly correlated with CAD, with the mutation identified as an independent protective factor (OR = 0.649, P = 0.021).
Conclusions:
- The ApoA1-75 bp gene polymorphism is significantly associated with an altered risk profile for dyslipidemia.
- This specific genetic variation in the ApoA1 gene is linked to a reduced risk of developing coronary artery disease (CAD).
- ApoA1-75 bp gene polymorphism may serve as a valuable genetic marker for predicting cardiovascular disease risk.
Objective:
To explore the relationship between the apolipoprotein ApoA1-75 bp polymorphism and risk for dyslipidemia and coronary artery disease (CAD).
Methods:
A total of 723 patients (mean age (62.4 ± 10.2) years old) admitted to Guangdong General Hospital from 2011 to 2013 were enrolled. They were subdivided into CAD group (n = 444) and non-CAD (n = 279) group according to the result of coronary angiography (CAG). Clinical data including the profiles of lipids, -75 bp gene polymorphisms and Gensini scores were analyzed to determine the correlation between -75 bp gene polymorphisms, lipid profile and CAD.
Result:
Frequency of male gender, history of diabetes and smoking, TC, TG, LDL-C and ApoB level were significantly higher and HDL-C level was significantly lower in CAD group than in non-CAD group (all P < 0.05). Frequency of A allele was significantly lower in CAD group than in non-CAD group (43.7% (194/444) vs. 56.6% (158/279) , P = 0.003). The ApoA1-75 bp gene polymorphism was significantly correlated with CAD (P < 0.005). Multivariate logistic regression analysis showed that -75 bp gene polymorphism mutation (OR = 0.649, P = 0.021) is an independent protective factor for coronary heart disease.
Conclusion:
ApoA1-75 bp gene polymorphism is linked with risk of dyslipidemia and CAD.
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