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Polymorphisms of apolipoprotein B gene in relation to coronary heart disease in Chinese Han nationality

P Ye1, B S Chen, S W Wang

  • 1Chinese PLA General Hospital, Beijing.

Chinese Medical Journal
|January 1, 1994
PubMed

Insights

Genetic variations in the apolipoprotein B (apoB) gene, specifically at the XbaI site, are linked to coronary heart disease (CHD) risk. The X+ allele was more common in CHD patients and associated with lower HDL-C levels.

Area of Science:

  • Genetics
  • Cardiovascular Disease
  • Lipid Metabolism

Background:

  • Coronary heart disease (CHD) is a leading cause of mortality worldwide.
  • Apolipoprotein B (apoB) gene polymorphisms have been implicated in CHD risk.
  • Understanding genetic factors influencing lipid metabolism is crucial for CHD prevention.

Purpose of the Study:

  • To investigate the association between apolipoprotein B (apoB) gene polymorphisms (XbaI and EcoRI sites) and coronary heart disease (CHD) in a Chinese Han population.
  • To examine the impact of these polymorphisms on lipid metabolism parameters.

Main Methods:

  • Case-control study involving 80 CHD patients and 60 healthy controls from the Chinese Han population.
  • Analysis of allele frequencies for XbaI and EcoRI restriction fragment length polymorphisms (RFLPs) in the apoB gene.
  • Comparison of lipid and lipoprotein levels between different genotypes within the CHD patient group.

Main Results:

  • The X+ allele (presence of XbaI cutting site) was significantly more frequent in CHD patients (0.10) compared to controls (0.01, P < 0.001).
  • The E- allele (lack of EcoRI cutting site) showed a trend towards higher frequency in CHD patients (0.11) versus controls (0.05), but this was not statistically significant (P < 0.1).
  • In CHD patients, the X+ allele was associated with lower levels of high-density lipoprotein cholesterol (HDL-C) and apolipoprotein AI (apoAI), but not other lipid parameters. EcoRI polymorphism showed no significant influence on lipid levels.

Conclusions:

  • Genetic variation at the XbaI site of the apoB gene may contribute to the determination of plasma HDL-C levels.
  • This variation might play a role in the development of CHD in the Chinese Han population.
  • The EcoRI polymorphism of the apoB gene does not appear to significantly influence lipid levels or CHD risk in this population.

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