Genetic evidence that apolipoprotein E4 is not a relevant susceptibility factor for cholelithiasis in two high-risk populations

Apolipoprotein E (apoE) isoforms are genetic determinants of interindividual variations in lipid metabolism. To assess whether apoE is a genetic risk factor for cholesterol gallstone disease (GD), we analyzed apoE variants in populations from Chile and Germany, two countries with very high prevalenc...

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Main Authors: Juan G. Mella, Ramin Schirin-Sokhan, Attilio Rigotti, Fernando Pimentel, Luis Villarroel, Hermann E. Wasmuth, Tilman Sauerbruch, Flavio Nervi, Frank Lammert, Juan Francisco Miquel
Format: Article
Language:English
Published: Elsevier 2007-07-01
Series:Journal of Lipid Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S0022227520425660
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author Juan G. Mella
Ramin Schirin-Sokhan
Attilio Rigotti
Fernando Pimentel
Luis Villarroel
Hermann E. Wasmuth
Tilman Sauerbruch
Flavio Nervi
Frank Lammert
Juan Francisco Miquel
author_facet Juan G. Mella
Ramin Schirin-Sokhan
Attilio Rigotti
Fernando Pimentel
Luis Villarroel
Hermann E. Wasmuth
Tilman Sauerbruch
Flavio Nervi
Frank Lammert
Juan Francisco Miquel
author_sort Juan G. Mella
collection DOAJ
description Apolipoprotein E (apoE) isoforms are genetic determinants of interindividual variations in lipid metabolism. To assess whether apoE is a genetic risk factor for cholesterol gallstone disease (GD), we analyzed apoE variants in populations from Chile and Germany, two countries with very high prevalence rates of this disease. ApoE genotypes were determined in Chilean gallstone patients (n = 117) and control subjects (n = 122) as well as in German gallstone patients (n = 184) and matched controls (n = 184). In addition, we studied apoE variants in subgroups of Chilean patients with strong differences in their susceptibility to acquire gallstones: 50 elderly subjects without gallstones in spite of well-known risk factors for this disease (gallstone-resistant) and 32 young individuals with gallstones but without risk factors (gallstone-susceptible). Furthermore, correlation analysis of apoE genotypes with cholesterol crystal formation times, biliary cholesterol saturation index (CSI), and gallstone cholesterol contents was performed in 81 cholecystectomized patients. In this study analyzing the largest sample set available, apoE4 genotype was not associated with an increased frequency of GD in either population. Moreover, in the Chilean population after adjusting for risk factors such as gender, age, body mass index, serum lipids, and glucose, the odds ratio for the association of the apoE4 allele and GD was significantly (P < 0.05) <1. Also, genotypes were not correlated with cholesterol crystal formation time, CSI, or gallstone cholesterol content. In contrast to previous smaller studies, apoE polymorphisms were not associated with susceptibility to cholesterol GD in high-risk populations.
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spelling doaj.art-387caafd0f8441bba955e61d97d39dab2022-12-21T21:28:50ZengElsevierJournal of Lipid Research0022-22752007-07-0148613781385Genetic evidence that apolipoprotein E4 is not a relevant susceptibility factor for cholelithiasis in two high-risk populationsJuan G. Mella0Ramin Schirin-Sokhan1Attilio Rigotti2Fernando Pimentel3Luis Villarroel4Hermann E. Wasmuth5Tilman Sauerbruch6Flavio Nervi7Frank Lammert8Juan Francisco Miquel9Departamento de Gastroenterología, Pontificia Universidad Católica de Chile, Santiago, ChileDepartment of Medicine III, University Hospital Aachen, Aachen University, Aachen, GermanyDepartamento de Gastroenterología, Pontificia Universidad Católica de Chile, Santiago, ChileDepartamento de Cirugía Digestiva, Pontificia Universidad Católica de Chile, Santiago, ChileSalud Pública Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, ChileDepartment of Medicine III, University Hospital Aachen, Aachen University, Aachen, GermanyDepartment of Internal Medicine I, University Hospital Bonn, University of Bonn, Bonn, GermanyDepartamento de Gastroenterología, Pontificia Universidad Católica de Chile, Santiago, ChileDepartment of Medicine III, University Hospital Aachen, Aachen University, Aachen, Germany; Department of Internal Medicine I, University Hospital Bonn, University of Bonn, Bonn, GermanyDepartamento de Gastroenterología, Pontificia Universidad Católica de Chile, Santiago, ChileApolipoprotein E (apoE) isoforms are genetic determinants of interindividual variations in lipid metabolism. To assess whether apoE is a genetic risk factor for cholesterol gallstone disease (GD), we analyzed apoE variants in populations from Chile and Germany, two countries with very high prevalence rates of this disease. ApoE genotypes were determined in Chilean gallstone patients (n = 117) and control subjects (n = 122) as well as in German gallstone patients (n = 184) and matched controls (n = 184). In addition, we studied apoE variants in subgroups of Chilean patients with strong differences in their susceptibility to acquire gallstones: 50 elderly subjects without gallstones in spite of well-known risk factors for this disease (gallstone-resistant) and 32 young individuals with gallstones but without risk factors (gallstone-susceptible). Furthermore, correlation analysis of apoE genotypes with cholesterol crystal formation times, biliary cholesterol saturation index (CSI), and gallstone cholesterol contents was performed in 81 cholecystectomized patients. In this study analyzing the largest sample set available, apoE4 genotype was not associated with an increased frequency of GD in either population. Moreover, in the Chilean population after adjusting for risk factors such as gender, age, body mass index, serum lipids, and glucose, the odds ratio for the association of the apoE4 allele and GD was significantly (P < 0.05) <1. Also, genotypes were not correlated with cholesterol crystal formation time, CSI, or gallstone cholesterol content. In contrast to previous smaller studies, apoE polymorphisms were not associated with susceptibility to cholesterol GD in high-risk populations.http://www.sciencedirect.com/science/article/pii/S0022227520425660gallstone diseasecholesterolgenetic association study
spellingShingle Juan G. Mella
Ramin Schirin-Sokhan
Attilio Rigotti
Fernando Pimentel
Luis Villarroel
Hermann E. Wasmuth
Tilman Sauerbruch
Flavio Nervi
Frank Lammert
Juan Francisco Miquel
Genetic evidence that apolipoprotein E4 is not a relevant susceptibility factor for cholelithiasis in two high-risk populations
Journal of Lipid Research
gallstone disease
cholesterol
genetic association study
title Genetic evidence that apolipoprotein E4 is not a relevant susceptibility factor for cholelithiasis in two high-risk populations
title_full Genetic evidence that apolipoprotein E4 is not a relevant susceptibility factor for cholelithiasis in two high-risk populations
title_fullStr Genetic evidence that apolipoprotein E4 is not a relevant susceptibility factor for cholelithiasis in two high-risk populations
title_full_unstemmed Genetic evidence that apolipoprotein E4 is not a relevant susceptibility factor for cholelithiasis in two high-risk populations
title_short Genetic evidence that apolipoprotein E4 is not a relevant susceptibility factor for cholelithiasis in two high-risk populations
title_sort genetic evidence that apolipoprotein e4 is not a relevant susceptibility factor for cholelithiasis in two high risk populations
topic gallstone disease
cholesterol
genetic association study
url http://www.sciencedirect.com/science/article/pii/S0022227520425660
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