APOA5 gene variants, lipoprotein particle distribution, and progression of coronary heart disease

Animal and human studies support a role for apolipoprotein A-V (apoA-V) in triglyceride (TG) metabolism. We examined the relationship of APOA5 −1131T>C and S19W with lipid subfractions and progression of atherosclerosis in the Lopid Coronary Angiography Trial. Compared with −1131TT men (n = 242),...

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Main Authors: Philippa J. Talmud, Steve Martin, Marja-Riitta Taskinen, M. Heikki Frick, Markku S. Nieminen, Y. Antero Kesäniemi, Amos Pasternack, Steve E. Humphries, Mikko Syvänne
Format: Article
Language:English
Published: Elsevier 2004-04-01
Series:Journal of Lipid Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S0022227520318605
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author Philippa J. Talmud
Steve Martin
Marja-Riitta Taskinen
M. Heikki Frick
Markku S. Nieminen
Y. Antero Kesäniemi
Amos Pasternack
Steve E. Humphries
Mikko Syvänne
author_facet Philippa J. Talmud
Steve Martin
Marja-Riitta Taskinen
M. Heikki Frick
Markku S. Nieminen
Y. Antero Kesäniemi
Amos Pasternack
Steve E. Humphries
Mikko Syvänne
author_sort Philippa J. Talmud
collection DOAJ
description Animal and human studies support a role for apolipoprotein A-V (apoA-V) in triglyceride (TG) metabolism. We examined the relationship of APOA5 −1131T>C and S19W with lipid subfractions and progression of atherosclerosis in the Lopid Coronary Angiography Trial. Compared with −1131TT men (n = 242), carriers of the −1131C allele (n = 54) had significantly higher total TG (P = 0.03), reflected in significantly increased VLDL mass [higher VLDL-TG, VLDL-cholesterol, VLDL-protein, and surface lipids (all P < 0.05)]. Because apoB levels were unaffected by genotype, this suggests an increase in VLDL size and not number. Compared with 19SS men (n = 268), 19W carriers (n = 44) had higher intermediate density lipoprotein (IDL)-TG, IDL-cholesterol (P = 0.04), and IDL-surface components [free cholesterol (P = 0.005) and phospholipids (P = 0.017)] but not protein content, suggesting an increase in IDL lipid enrichment resulting in an increase in IDL size. 19W carriers also showed a trend toward increased progression of atherogenesis, as measured by change in average diameter of segments (−0.46 ± 0.011 mm compared with −0.016 ± 0.006 mm) in 19SS men (P = 0.08). There was no effect of genotype on the response of these parameters to gemfibrozil treatment.These results shed new light on the role of APOA5 variants in TG metabolism and coronary heart disease risk.
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spelling doaj.art-e4355aba2fd5494a85eb9709ed8447a22022-12-21T21:35:57ZengElsevierJournal of Lipid Research0022-22752004-04-01454750756APOA5 gene variants, lipoprotein particle distribution, and progression of coronary heart diseasePhilippa J. Talmud0Steve Martin1Marja-Riitta Taskinen2M. Heikki Frick3Markku S. Nieminen4Y. Antero Kesäniemi5Amos Pasternack6Steve E. Humphries7Mikko Syvänne8Centre for Cardiovascular Genetics, Department of Medicine, British Heart Foundation Laboratories, Royal Free and University College Medical School, London, UK; Division of Cardiology, Department of Medicine, Helsinki University Central Hospital, Helsinki, Finland; Department of Medicine and Biocenter Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Department of Medicine, Tampere University Hospital, Tampere, FinlandCentre for Cardiovascular Genetics, Department of Medicine, British Heart Foundation Laboratories, Royal Free and University College Medical School, London, UK; Division of Cardiology, Department of Medicine, Helsinki University Central Hospital, Helsinki, Finland; Department of Medicine and Biocenter Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Department of Medicine, Tampere University Hospital, Tampere, FinlandCentre for Cardiovascular Genetics, Department of Medicine, British Heart Foundation Laboratories, Royal Free and University College Medical School, London, UK; Division of Cardiology, Department of Medicine, Helsinki University Central Hospital, Helsinki, Finland; Department of Medicine and Biocenter Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Department of Medicine, Tampere University Hospital, Tampere, FinlandCentre for Cardiovascular Genetics, Department of Medicine, British Heart Foundation Laboratories, Royal Free and University College Medical School, London, UK; Division of Cardiology, Department of Medicine, Helsinki University Central Hospital, Helsinki, Finland; Department of Medicine and Biocenter Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Department of Medicine, Tampere University Hospital, Tampere, FinlandCentre for Cardiovascular Genetics, Department of Medicine, British Heart Foundation Laboratories, Royal Free and University College Medical School, London, UK; Division of Cardiology, Department of Medicine, Helsinki University Central Hospital, Helsinki, Finland; Department of Medicine and Biocenter Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Department of Medicine, Tampere University Hospital, Tampere, FinlandCentre for Cardiovascular Genetics, Department of Medicine, British Heart Foundation Laboratories, Royal Free and University College Medical School, London, UK; Division of Cardiology, Department of Medicine, Helsinki University Central Hospital, Helsinki, Finland; Department of Medicine and Biocenter Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Department of Medicine, Tampere University Hospital, Tampere, FinlandCentre for Cardiovascular Genetics, Department of Medicine, British Heart Foundation Laboratories, Royal Free and University College Medical School, London, UK; Division of Cardiology, Department of Medicine, Helsinki University Central Hospital, Helsinki, Finland; Department of Medicine and Biocenter Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Department of Medicine, Tampere University Hospital, Tampere, FinlandCentre for Cardiovascular Genetics, Department of Medicine, British Heart Foundation Laboratories, Royal Free and University College Medical School, London, UK; Division of Cardiology, Department of Medicine, Helsinki University Central Hospital, Helsinki, Finland; Department of Medicine and Biocenter Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Department of Medicine, Tampere University Hospital, Tampere, FinlandCentre for Cardiovascular Genetics, Department of Medicine, British Heart Foundation Laboratories, Royal Free and University College Medical School, London, UK; Division of Cardiology, Department of Medicine, Helsinki University Central Hospital, Helsinki, Finland; Department of Medicine and Biocenter Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Department of Medicine, Tampere University Hospital, Tampere, FinlandAnimal and human studies support a role for apolipoprotein A-V (apoA-V) in triglyceride (TG) metabolism. We examined the relationship of APOA5 −1131T>C and S19W with lipid subfractions and progression of atherosclerosis in the Lopid Coronary Angiography Trial. Compared with −1131TT men (n = 242), carriers of the −1131C allele (n = 54) had significantly higher total TG (P = 0.03), reflected in significantly increased VLDL mass [higher VLDL-TG, VLDL-cholesterol, VLDL-protein, and surface lipids (all P < 0.05)]. Because apoB levels were unaffected by genotype, this suggests an increase in VLDL size and not number. Compared with 19SS men (n = 268), 19W carriers (n = 44) had higher intermediate density lipoprotein (IDL)-TG, IDL-cholesterol (P = 0.04), and IDL-surface components [free cholesterol (P = 0.005) and phospholipids (P = 0.017)] but not protein content, suggesting an increase in IDL lipid enrichment resulting in an increase in IDL size. 19W carriers also showed a trend toward increased progression of atherogenesis, as measured by change in average diameter of segments (−0.46 ± 0.011 mm compared with −0.016 ± 0.006 mm) in 19SS men (P = 0.08). There was no effect of genotype on the response of these parameters to gemfibrozil treatment.These results shed new light on the role of APOA5 variants in TG metabolism and coronary heart disease risk.http://www.sciencedirect.com/science/article/pii/S0022227520318605apolipoprotein A-Vlipid subfractionsvery low density lipoproteinintermediate density lipoproteinprogression of atherogenesisLopid Coronary Angiography Trial
spellingShingle Philippa J. Talmud
Steve Martin
Marja-Riitta Taskinen
M. Heikki Frick
Markku S. Nieminen
Y. Antero Kesäniemi
Amos Pasternack
Steve E. Humphries
Mikko Syvänne
APOA5 gene variants, lipoprotein particle distribution, and progression of coronary heart disease
Journal of Lipid Research
apolipoprotein A-V
lipid subfractions
very low density lipoprotein
intermediate density lipoprotein
progression of atherogenesis
Lopid Coronary Angiography Trial
title APOA5 gene variants, lipoprotein particle distribution, and progression of coronary heart disease
title_full APOA5 gene variants, lipoprotein particle distribution, and progression of coronary heart disease
title_fullStr APOA5 gene variants, lipoprotein particle distribution, and progression of coronary heart disease
title_full_unstemmed APOA5 gene variants, lipoprotein particle distribution, and progression of coronary heart disease
title_short APOA5 gene variants, lipoprotein particle distribution, and progression of coronary heart disease
title_sort apoa5 gene variants lipoprotein particle distribution and progression of coronary heart disease
topic apolipoprotein A-V
lipid subfractions
very low density lipoprotein
intermediate density lipoprotein
progression of atherogenesis
Lopid Coronary Angiography Trial
url http://www.sciencedirect.com/science/article/pii/S0022227520318605
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