Impacts of ABCG2 loss of function variant (p. Gln141Lys, c.421 C > A, rs2231142) on lipid levels and statin efficiency: a systematic review and meta-analysis

Abstract Background The latest evidence indicates that ATP-binding cassette superfamily G member 2 (ABCG2) is critical in regulating lipid metabolism and mediating statin or cholesterol efflux. This study investigates whether the function variant loss within ABCG2 (rs2231142) impacts lipid levels an...

Full description

Bibliographic Details
Main Authors: Yang Liu, Yuan Chen, Baozhu Wei, Hang Li, Yuanyuan Peng, Zhi Luo
Format: Article
Language:English
Published: BMC 2024-04-01
Series:BMC Cardiovascular Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12872-024-03821-2
_version_ 1827284487779647488
author Yang Liu
Yuan Chen
Baozhu Wei
Hang Li
Yuanyuan Peng
Zhi Luo
author_facet Yang Liu
Yuan Chen
Baozhu Wei
Hang Li
Yuanyuan Peng
Zhi Luo
author_sort Yang Liu
collection DOAJ
description Abstract Background The latest evidence indicates that ATP-binding cassette superfamily G member 2 (ABCG2) is critical in regulating lipid metabolism and mediating statin or cholesterol efflux. This study investigates whether the function variant loss within ABCG2 (rs2231142) impacts lipid levels and statin efficiency. Methods PubMed, Cochrane Library, Central, CINAHL, and ClinicalTrials.gov were searched until November 18, 2023. Results Fifteen studies (34,150 individuals) were included in the analysis. The A allele [Glu141Lys amino acid substitution was formed by a transversion from cytosine (C) to adenine (A)] of rs2231142 was linked to lower levels of high-density lipoprotein cholesterol (HDL-C), and higher levels of low-density lipoprotein cholesterol (LDL-C) and total cholesterol (TC). In addition, the A allele of rs2231142 substantially increased the lipid-lowering efficiency of rosuvastatin in Asian individuals with dyslipidemia. Subgroup analysis indicated that the impacts of rs2231142 on lipid levels and statin response were primarily in Asian individuals. Conclusions The ABCG2 rs2231142 loss of function variant significantly impacts lipid levels and statin efficiency. Preventive use of rosuvastatin may prevent the onset of coronary artery disease (CAD) in Asian individuals with dyslipidemia.
first_indexed 2024-04-24T09:56:01Z
format Article
id doaj.art-06dbe264636040fc80d80e175a11685e
institution Directory Open Access Journal
issn 1471-2261
language English
last_indexed 2024-04-24T09:56:01Z
publishDate 2024-04-01
publisher BMC
record_format Article
series BMC Cardiovascular Disorders
spelling doaj.art-06dbe264636040fc80d80e175a11685e2024-04-14T11:07:17ZengBMCBMC Cardiovascular Disorders1471-22612024-04-012411810.1186/s12872-024-03821-2Impacts of ABCG2 loss of function variant (p. Gln141Lys, c.421 C > A, rs2231142) on lipid levels and statin efficiency: a systematic review and meta-analysisYang Liu0Yuan Chen1Baozhu Wei2Hang Li3Yuanyuan Peng4Zhi Luo5Department of Endocrinology, China Resources and WISCO General HospitalDepartment of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Cardiology, Zhongnan Hospital of Wuhan University, Wuhan UniversityDepartment of Geratology, Zhongnan Hospital of Wuhan University, Wuhan UniversityDepartment of Cardiology, Zhongnan Hospital of Wuhan University, Wuhan UniversityDepartment of Cardiology, Suining Central HospitalAbstract Background The latest evidence indicates that ATP-binding cassette superfamily G member 2 (ABCG2) is critical in regulating lipid metabolism and mediating statin or cholesterol efflux. This study investigates whether the function variant loss within ABCG2 (rs2231142) impacts lipid levels and statin efficiency. Methods PubMed, Cochrane Library, Central, CINAHL, and ClinicalTrials.gov were searched until November 18, 2023. Results Fifteen studies (34,150 individuals) were included in the analysis. The A allele [Glu141Lys amino acid substitution was formed by a transversion from cytosine (C) to adenine (A)] of rs2231142 was linked to lower levels of high-density lipoprotein cholesterol (HDL-C), and higher levels of low-density lipoprotein cholesterol (LDL-C) and total cholesterol (TC). In addition, the A allele of rs2231142 substantially increased the lipid-lowering efficiency of rosuvastatin in Asian individuals with dyslipidemia. Subgroup analysis indicated that the impacts of rs2231142 on lipid levels and statin response were primarily in Asian individuals. Conclusions The ABCG2 rs2231142 loss of function variant significantly impacts lipid levels and statin efficiency. Preventive use of rosuvastatin may prevent the onset of coronary artery disease (CAD) in Asian individuals with dyslipidemia.https://doi.org/10.1186/s12872-024-03821-2ABCG2rs2231142DyslipidemiaStatinCoronary artery disease
spellingShingle Yang Liu
Yuan Chen
Baozhu Wei
Hang Li
Yuanyuan Peng
Zhi Luo
Impacts of ABCG2 loss of function variant (p. Gln141Lys, c.421 C > A, rs2231142) on lipid levels and statin efficiency: a systematic review and meta-analysis
BMC Cardiovascular Disorders
ABCG2
rs2231142
Dyslipidemia
Statin
Coronary artery disease
title Impacts of ABCG2 loss of function variant (p. Gln141Lys, c.421 C > A, rs2231142) on lipid levels and statin efficiency: a systematic review and meta-analysis
title_full Impacts of ABCG2 loss of function variant (p. Gln141Lys, c.421 C > A, rs2231142) on lipid levels and statin efficiency: a systematic review and meta-analysis
title_fullStr Impacts of ABCG2 loss of function variant (p. Gln141Lys, c.421 C > A, rs2231142) on lipid levels and statin efficiency: a systematic review and meta-analysis
title_full_unstemmed Impacts of ABCG2 loss of function variant (p. Gln141Lys, c.421 C > A, rs2231142) on lipid levels and statin efficiency: a systematic review and meta-analysis
title_short Impacts of ABCG2 loss of function variant (p. Gln141Lys, c.421 C > A, rs2231142) on lipid levels and statin efficiency: a systematic review and meta-analysis
title_sort impacts of abcg2 loss of function variant p gln141lys c 421 c a rs2231142 on lipid levels and statin efficiency a systematic review and meta analysis
topic ABCG2
rs2231142
Dyslipidemia
Statin
Coronary artery disease
url https://doi.org/10.1186/s12872-024-03821-2
work_keys_str_mv AT yangliu impactsofabcg2lossoffunctionvariantpgln141lysc421cars2231142onlipidlevelsandstatinefficiencyasystematicreviewandmetaanalysis
AT yuanchen impactsofabcg2lossoffunctionvariantpgln141lysc421cars2231142onlipidlevelsandstatinefficiencyasystematicreviewandmetaanalysis
AT baozhuwei impactsofabcg2lossoffunctionvariantpgln141lysc421cars2231142onlipidlevelsandstatinefficiencyasystematicreviewandmetaanalysis
AT hangli impactsofabcg2lossoffunctionvariantpgln141lysc421cars2231142onlipidlevelsandstatinefficiencyasystematicreviewandmetaanalysis
AT yuanyuanpeng impactsofabcg2lossoffunctionvariantpgln141lysc421cars2231142onlipidlevelsandstatinefficiencyasystematicreviewandmetaanalysis
AT zhiluo impactsofabcg2lossoffunctionvariantpgln141lysc421cars2231142onlipidlevelsandstatinefficiencyasystematicreviewandmetaanalysis