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.
Abstract

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