ApoC-III gene polymorphisms and risk of coronary artery disease

Several polymorphisms in the apolipoprotein C-III (apoC-III) gene have been associated with hypertriglyceridemia, but the link with coronary artery disease risk is still controversial. In particular, apoC-III promoter sequence variants in the insulin responsive element (IRE), constitutively resistan...

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Main Authors: Oliviero Olivieri, Chiara Stranieri, Antonella Bassi, Barbara Zaia, Domenico Girelli, Francesca Pizzolo, Elisabetta Trabetti, Suzanne Cheng, Michael A. Grow, Pier Franco Pignatti, Roberto Corrocher
Format: Article
Language:English
Published: Elsevier 2002-09-01
Series:Journal of Lipid Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S002222752032808X
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author Oliviero Olivieri
Chiara Stranieri
Antonella Bassi
Barbara Zaia
Domenico Girelli
Francesca Pizzolo
Elisabetta Trabetti
Suzanne Cheng
Michael A. Grow
Pier Franco Pignatti
Roberto Corrocher
author_facet Oliviero Olivieri
Chiara Stranieri
Antonella Bassi
Barbara Zaia
Domenico Girelli
Francesca Pizzolo
Elisabetta Trabetti
Suzanne Cheng
Michael A. Grow
Pier Franco Pignatti
Roberto Corrocher
author_sort Oliviero Olivieri
collection DOAJ
description Several polymorphisms in the apolipoprotein C-III (apoC-III) gene have been associated with hypertriglyceridemia, but the link with coronary artery disease risk is still controversial. In particular, apoC-III promoter sequence variants in the insulin responsive element (IRE), constitutively resistant to downregulation by insulin, have never been investigated in this connection. We studied a total of 800 patients, 549 of whom had angiographically documented coronary atherosclerosis, whereas 251 had normal coronary arteriograms. We measured plasma lipids, insulin, apoA-I, apoB, and apoC-III and assessed three polymorphisms in the apoC-III gene, namely, T-455C in the IRE promoter region, C1100T in exon 3, and Sst1 polymorphic site (S1/S2) in the 3′ untranslated region. Each variant influenced triglyceride levels, but only the T-455C (in homozygosity) and S2 alleles influenced apoC-III levels. In coronary artery disease (CAD) patients, 18.6% were homozygous for the −455C variant compared with only 9.2% in CAD-free group (P < 0.001).In logistic regression models, homozygosity for −455C variant was associated with a significantly increased risk of CAD (OR = 2.5 and 2.18 for unadjusted and adjusted models, respectively) suggesting that it represents an independent genetic susceptibility factor for CAD.
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spelling doaj.art-6522f154239d40aa84e57a6f535bb57e2022-12-21T21:28:51ZengElsevierJournal of Lipid Research0022-22752002-09-0143914501457ApoC-III gene polymorphisms and risk of coronary artery diseaseOliviero Olivieri0Chiara Stranieri1Antonella Bassi2Barbara Zaia3Domenico Girelli4Francesca Pizzolo5Elisabetta Trabetti6Suzanne Cheng7Michael A. Grow8Pier Franco Pignatti9Roberto Corrocher10Unit of Internal Medicine, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Clinical and Experimental Medicine, Section of Biology and Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Mother and Child, and Biology-Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Human Genetics, Roche Molecular System, Alameda, CA, USAUnit of Internal Medicine, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Clinical and Experimental Medicine, Section of Biology and Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Mother and Child, and Biology-Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Human Genetics, Roche Molecular System, Alameda, CA, USAUnit of Internal Medicine, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Clinical and Experimental Medicine, Section of Biology and Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Mother and Child, and Biology-Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Human Genetics, Roche Molecular System, Alameda, CA, USAUnit of Internal Medicine, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Clinical and Experimental Medicine, Section of Biology and Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Mother and Child, and Biology-Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Human Genetics, Roche Molecular System, Alameda, CA, USAUnit of Internal Medicine, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Clinical and Experimental Medicine, Section of Biology and Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Mother and Child, and Biology-Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Human Genetics, Roche Molecular System, Alameda, CA, USAUnit of Internal Medicine, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Clinical and Experimental Medicine, Section of Biology and Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Mother and Child, and Biology-Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Human Genetics, Roche Molecular System, Alameda, CA, USAUnit of Internal Medicine, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Clinical and Experimental Medicine, Section of Biology and Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Mother and Child, and Biology-Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Human Genetics, Roche Molecular System, Alameda, CA, USAUnit of Internal Medicine, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Clinical and Experimental Medicine, Section of Biology and Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Mother and Child, and Biology-Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Human Genetics, Roche Molecular System, Alameda, CA, USAUnit of Internal Medicine, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Clinical and Experimental Medicine, Section of Biology and Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Mother and Child, and Biology-Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Human Genetics, Roche Molecular System, Alameda, CA, USAUnit of Internal Medicine, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Clinical and Experimental Medicine, Section of Biology and Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Mother and Child, and Biology-Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Human Genetics, Roche Molecular System, Alameda, CA, USAUnit of Internal Medicine, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Clinical and Experimental Medicine, Section of Biology and Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Mother and Child, and Biology-Genetics, Institute of Clinical Chemistry, University of Verona, Verona, Italy; Department of Human Genetics, Roche Molecular System, Alameda, CA, USASeveral polymorphisms in the apolipoprotein C-III (apoC-III) gene have been associated with hypertriglyceridemia, but the link with coronary artery disease risk is still controversial. In particular, apoC-III promoter sequence variants in the insulin responsive element (IRE), constitutively resistant to downregulation by insulin, have never been investigated in this connection. We studied a total of 800 patients, 549 of whom had angiographically documented coronary atherosclerosis, whereas 251 had normal coronary arteriograms. We measured plasma lipids, insulin, apoA-I, apoB, and apoC-III and assessed three polymorphisms in the apoC-III gene, namely, T-455C in the IRE promoter region, C1100T in exon 3, and Sst1 polymorphic site (S1/S2) in the 3′ untranslated region. Each variant influenced triglyceride levels, but only the T-455C (in homozygosity) and S2 alleles influenced apoC-III levels. In coronary artery disease (CAD) patients, 18.6% were homozygous for the −455C variant compared with only 9.2% in CAD-free group (P < 0.001).In logistic regression models, homozygosity for −455C variant was associated with a significantly increased risk of CAD (OR = 2.5 and 2.18 for unadjusted and adjusted models, respectively) suggesting that it represents an independent genetic susceptibility factor for CAD.http://www.sciencedirect.com/science/article/pii/S002222752032808Xlipidsrisk factorsinsulin
spellingShingle Oliviero Olivieri
Chiara Stranieri
Antonella Bassi
Barbara Zaia
Domenico Girelli
Francesca Pizzolo
Elisabetta Trabetti
Suzanne Cheng
Michael A. Grow
Pier Franco Pignatti
Roberto Corrocher
ApoC-III gene polymorphisms and risk of coronary artery disease
Journal of Lipid Research
lipids
risk factors
insulin
title ApoC-III gene polymorphisms and risk of coronary artery disease
title_full ApoC-III gene polymorphisms and risk of coronary artery disease
title_fullStr ApoC-III gene polymorphisms and risk of coronary artery disease
title_full_unstemmed ApoC-III gene polymorphisms and risk of coronary artery disease
title_short ApoC-III gene polymorphisms and risk of coronary artery disease
title_sort apoc iii gene polymorphisms and risk of coronary artery disease
topic lipids
risk factors
insulin
url http://www.sciencedirect.com/science/article/pii/S002222752032808X
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