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Association between apolipoprotein B gene polymorphisms and the risk of coronary heart disease (CHD): an update
Jing-Zhan Zhang1, Ying-Ying Zheng1, Yi-Ning Yang1
1Department of Cardiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, People's Republic of China.
Insights
Genetic variations in apolipoprotein B (apoB) influence coronary heart disease (CHD) risk. This meta-analysis confirms that apoB EcoRI and SpIns/Del polymorphisms are associated with increased CHD risk, while XbaI shows no significant link.
Area of Science:
- Genetics
- Cardiovascular Disease Epidemiology
Background:
- Apolipoprotein B (apoB) gene polymorphisms are implicated in coronary heart disease (CHD) risk.
- Previous studies show conflicting results regarding the association between apoB polymorphisms and CHD.
Purpose of the Study:
- To conduct a meta-analysis to precisely estimate the relationship between apoB genetic polymorphisms and CHD.
- To clarify the conflicting findings on apoB gene variants and their impact on CHD susceptibility.
Main Methods:
- Systematic literature search across multiple databases (PubMed, Web of Science, Google Scholar, etc.) for relevant studies.
- Inclusion of 54 studies encompassing 7236, 10,912, and 14,102 individuals for EcoRI, XbaI, and SpIns/Del polymorphisms, respectively.
- Meta-analysis performed using RevMan 5.0 software to pool data and assess associations.
Main Results:
- Significant association found between apoB EcoRI polymorphism and CHD risk across allelic, dominant, and recessive models (p < 0.05).
- A similar association was observed between apoB SpIns/Del polymorphism and CHD.
- No significant association was detected between apoB XbaI polymorphism and CHD risk.
Conclusions:
- The meta-analysis supports an association between apoB EcoRI and SpIns/Del polymorphisms and an elevated risk of CHD.
- The apoB XbaI polymorphism did not show a significant association with CHD in this comprehensive analysis.
Objective:
Polymorphisms in the apolipoprotein B (apoB) gene have been reported to be associated with coronary heart disease (CHD). However, the results on this topic are conflicting. The present study aims to derive a more precise estimation of the relationship between CHD and apoB genetic polymorphisms by meta-analysis.
Methods:
We identified a total of 54 studies involving 7236, 10,912, and 14,102 individuals, respectively, for EcoRI, XbaI, and SpIns/Del polymorphisms by searching in PubMed, Web of Science, Google Scholar, the Cochrane Library, Wanfang Data, SinoMed, and CNKI. We utilized RevMan 5.0 software to perform the meta-analyses.
Results:
A significant statistical association between apoB EcoRI polymorphism and CHD was observed under an allelic (p = 0.001, odds ratio (OR) = 1.33, 95% confidence interval (CI) = 1.12-1.57), dominant (p = 0.005, OR = 1.22, 95% CI = 1.06-1.40), and recessive (p = 0.04, OR = 1.33, 95% CI = 1.01-1.74) model. We also found similar association of apoB SpIns/Del polymorphism with CHD. However, we did not find association between apoB XbaI polymorphism and CHD.
Conclusion:
The current meta-analysis found an association of EcoRI polymorphism and SpIns/Del polymorphism with an increased risk of CHD. No significant association between apoB XbaI polymorphism and CHD we observed in the present study.
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