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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.
Background:
The highest mortality and morbidity worldwide is associated with atherosclerotic cardiovascular disease (ASCVD), which has in background both environmental and genetic risk factors. Apolipoprotein L1 (APOL1) variability influences the risk of ASCVD in Africans, but little is known about the APOL1 and ASCVD in other ethnic groups.
Methods:
To investigate the role of APOL1 and ASCVD, we have genotyped four (rs13056427, rs136147, rs10854688 and rs9610473) APOL1 polymorphisms in a group of 1541 male patients with acute coronary syndrome (ACS) and 1338 male controls.
Results:
Individual APOL1 polymorphisms were not associated with traditional CVD risk factors such as smoking, hypertension or diabetes prevalence, with BMI values or plasma lipid levels. Neither individual polymorphisms nor haplotypes were associated with an increased risk of ACS nor did they predict total or cardiovascular mortality over the 10.2 ± 3.9 years of follow-up.
Conclusions:
We conclude that APOL1 genetic variability has no major effect on risk of ACS in Caucasians.
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