Apolipoprotein E Genotype and Coronary Heart Disease in a Mongolian Cohort: An Exploratory Case-Control Study

Ochgerel Dogsom1, Ariunzul Punsaldulam2, Odonchimeg Dogsom3

  • 1Department of Psychopathology Clinic, National Center Mental Health of Mongolia, Ulaanbaatar, Mongolia.

Insights

The apolipoprotein E (APOE) genotype is linked to coronary heart disease (CHD) risk in Mongolians. Specific APOE genotypes, like ε2/ε3, may reduce CHD odds, independent of cholesterol levels.

Area of Science:

  • Genetics
  • Cardiovascular Medicine
  • Population Health

Background:

  • Investigating the link between apolipoprotein E (APOE) gene variations and coronary heart disease (CHD) risk.
  • Focusing on a specific Mongolian clinical cohort.

Purpose of the Study:

  • To determine the association between APOE gene polymorphisms and CHD risk in a Mongolian population.
  • To explore the role of genetic factors in cardiovascular disease risk assessment.

Main Methods:

  • A hospital-based case-control study involving 63 CHD patients and 61 healthy controls.
  • Assessment of anthropometric measurements, lipid profiles, and APOE genotypes.
  • Multivariable logistic regression analysis to identify risk factors.

Main Results:

  • Significant differences in APOE genotype distribution between CHD cases and controls (P = .009).
  • The APOE ε2/ε3 genotype was associated with significantly lower odds of CHD (OR = 0.29, P = .007).
  • Higher high-density lipoprotein cholesterol and lower total cholesterol observed in the CHD group.

Conclusions:

  • A significant association exists between APOE genotype and CHD in the Mongolian population.
  • APOE polymorphisms may influence CHD risk independently of absolute cholesterol levels.
  • Emphasizes the need for population-specific cardiovascular risk assessment considering genetic factors.
Abstract

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