APOL1 polymorphisms are not influencing acute coronary syndrome risk in Czech males

Jaroslav A Hubacek1,2, Vera Adamkova3, Vera Lanska4

  • 1Experimental Medicine Centre, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.

Insights

Apolipoprotein L1 (APOL1) genetic variations do not significantly increase the risk of acute coronary syndrome (ACS) in Caucasian men. This study found no association between APOL1 polymorphisms and ACS or cardiovascular mortality.

Area of Science:

  • Genetics
  • Cardiovascular Medicine
  • Epidemiology

Background:

  • Atherosclerotic cardiovascular disease (ASCVD) is a leading global cause of death, influenced by genetic and environmental factors.
  • Apolipoprotein L1 (APOL1) gene variations are linked to ASCVD risk in African populations, but their role in other ethnicities is unclear.

Purpose of the Study:

  • To investigate the association between APOL1 genetic polymorphisms and the risk of acute coronary syndrome (ACS) in a Caucasian male cohort.
  • To determine if APOL1 variability influences traditional cardiovascular disease risk factors or mortality.

Main Methods:

  • Genotyping of four specific APOL1 polymorphisms (rs13056427, rs136147, rs10854688, rs9610473) in 1541 male patients with ACS and 1338 male controls.
  • Analysis of associations with traditional cardiovascular risk factors (smoking, hypertension, diabetes, BMI, lipid levels).
  • Longitudinal follow-up for total and cardiovascular mortality over approximately 10 years.

Main Results:

  • No significant association was found between individual APOL1 polymorphisms and traditional cardiovascular disease risk factors.
  • Neither individual APOL1 polymorphisms nor their haplotypes were linked to an increased risk of ACS.
  • APOL1 variations did not predict total or cardiovascular mortality during the follow-up period.

Conclusions:

  • APOL1 genetic variability does not appear to be a major risk factor for ACS in the studied Caucasian male population.
  • The findings suggest a limited role for APOL1 in ASCVD pathogenesis among Caucasians.
Abstract

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