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Updated: Jun 8, 2025

Quantification of Atherosclerosis in Mice
Published on: June 12, 2019
Apolipoprotein E Gene ε4 Allele is Associated with Atherosclerosis in Multiple Vascular Beds
Youni Lin1, Min Yang1, Qifeng Liu1
1Center for Cardiovascular Diseases, Meizhou People's Hospital, Meizhou, People's Republic of China.
Insights
The Apolipoprotein E (APOE) ε4 allele is linked to atherosclerosis affecting multiple vascular beds. This finding helps understand risk factors for this systemic vascular disease.
Area of Science:
- Genetics
- Cardiovascular Disease
- Molecular Biology
Background:
- Atherosclerosis is a systemic disease impacting various blood vessels.
- Risk factors for atherosclerosis across multiple vascular beds are not well understood.
- Apolipoprotein E (APOE) plays a role in inflammation and lipid deposition during atherosclerosis.
Purpose of the Study:
- To investigate the association between Apolipoprotein E (APOE) gene polymorphisms and atherosclerosis in multiple vascular beds.
- To identify potential genetic markers for predicting the extent of vascular involvement in atherosclerosis.
Main Methods:
- Compared APOE genotypes in 416 patients with single vascular bed atherosclerosis and 658 patients with multiple vascular bed atherosclerosis.
- Utilized logistic regression analysis to determine the relationship between APOE genotypes and multi-vascular bed atherosclerosis.
- Analyzed differences in APOE genotype frequencies between patient groups.
Main Results:
- The APOE E3/E4 genotype frequency was significantly lower in patients with multiple vascular bed atherosclerosis (11.4%) compared to single vascular bed atherosclerosis (17.8%; P=0.004).
- Logistic regression revealed that the APOE E3/E4 genotype (OR 0.598, P=0.005) and the APOE ε4 allele (OR 0.630, P=0.010) were associated with a reduced risk of atherosclerosis in multiple vascular beds.
- No significant differences were observed in demographic factors or traditional risk factors (hypertension, diabetes, smoking) between the groups or across different APOE alleles.
Conclusions:
- The APOE ε4 allele is associated with atherosclerosis affecting multiple vascular beds.
- Findings suggest a protective role of the APOE ε4 allele against the development of multi-vascular bed atherosclerosis.
- Further research is warranted to elucidate the mechanisms underlying this association.
Background:
Atherosclerosis is a systemic disease that can involve multiple vascular beds. The risk factors for atherosclerosis in multiple vascular beds remain unclear. Apolipoprotein E (APOE) is involved in inflammation and lipid deposition in the process of atherosclerosis. The objective of this study was to investigate whether APOE polymorphisms are associated with atherosclerosis in multiple vascular beds.
Methods:
A total of 416 patients with atherosclerosis in single vascular bed and 658 patients with atherosclerosis in multiple vascular beds were included. APOE genotypes were detected and the differences of APOE genotypes between the groups were compared. Logistic regression analysis was performed to analyze the relationship between APOE genotypes and atherosclerosis in multiple vascular beds.
Results:
APOE E3/E4 genotype frequency was lower in the patients with atherosclerosis in multiple vascular beds than that of patients with atherosclerosis in single vascular bed (11.4% vs 17.8%, P=0.004). There was no significant difference in age and gender distribution, proportion of history of smoking, alcohol consumption, hypertension, and diabetes mellitus between the two groups (all P>0.05), and among patients with different APOE alleles (all P>0.05). Logistic regression analysis indicated that APOE E3/E4 genotype (E3/E4 vs E3/E3: odds ratio (OR) 0.598, 95% confidence interval (CI): 0.419-0.854, P=0.005), and APOE ε4 allele (ε4 vs ε3: OR 0.630, 95% CI: 0.444-0.895, P=0.010) associated with atherosclerosis in multiple vascular beds.
Conclusion:
APOE ε4 allele is associated with atherosclerosis in multiple vascular beds.
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