Abstract
A number of case–control studies have been conducted to investigate the relationship between the ATP-binding cassette transporter A1 (ABCA1) gene polymorphisms and risk of coronary heart disease (CHD). However, the results have been inconclusive. The purpose of the present study is to investigate whether this polymorphism confers significant susceptibility to CHD using a meta-analysis. We conducted searches of the published literature in PubMed, Embase, and CBM databases. 13 studies were included in our meta-analysis, involving a total of 11,678 individuals. Subgroup analyses were performed by ethnicity and cancer type. Statistically significant association between ABCA1 gene R219K polymorphism and increased CHD risk was found in total population analyses in all four genetic comparison models (ORC vs. T 1.19, 95 % CI 1.07–1.31; P = 0.001; ORHomozygote model 1.28, 95 % CI 1.07–1.52; P = 0.007; ORRecessive genetic model 1.22, 95 % CI 1.04–1.44, P = 0.015; ORDominant model 1.21, 95 % CI 1.07–1.35; P = 0.001). In subgroup analyses based on ethnicity, the association was still significant in Asians (All P values < 0.001), but not in Caucasians (All P values > 0.05). ABCA1 R219K polymorphism is associated with CHD susceptibility, and individuals with ABCA1 have a significantly higher risk of cancer particularly in Asians.
Similar content being viewed by others
References
Andrikovics, H., Pongrácz, E., Kalina, E., Szilvási, A., Aslanidis, C., Schmitz, G., et al. (2006). Decreased frequencies of ABCA1 polymorphisms R219K and V771M in Hungarian patients with cerebrovascular and cardiovascular diseases. Cerebrovascular Diseases, 21(4), 254–259.
Balcerzyk, A., Zak, I., & Krauze, J. (2007). Synergistic effect between polymorphisms of PPARA and ABCA1 genes on the premature coronary artery disease. Acta Cardiologica, 62, 233–238.
Bertolini, S., Pisciotta, L., Di Scala, L., Langheim, S., Bellocchio, A., et al. (2004). Genetic polymorphisms affecting the phenotypic expression of familial hypercholesterolemia. Atherosclerosis, 174, 57–65.
Brousseau, M. E., et al. (2001). Common variants in the gene encoding ATP-binding cassette transporter 1 in men with low HDL cholesterol levels and coronary heart disease. Atherosclerosis, 154(3), 607–611.
Cenarro, A., Artieda, M., Castillo, S., Mozas, P., et al. (2003). A common variant in the ABCA1 gene is associated with a lower risk for premature coronary heart disease in familial hypercholesterolaemia. Journal of Medical Genetics, 40(3), 163–168.
Clee, S. M., et al. (2001). Common genetic variation in ABCA1 is associated with altered lipoprotein levels and a modified risk for coronary artery disease. Circulation, 103(9), 1198–1205.
Cochran, W. G. (1954). The combination of estimates from different experiments. Biometrics, 10, 101–129.
DerSimonian, R., & Laird, N. (1986). Meta-analysis in clinical trials. Controlled Clinical Trials, 7, 177–188.
Doosti, M., et al. (2010). The role of ATP-binding-cassette-transporter-A1 (ABCA1) gene polymorphism on coronary artery disease risk. Translational Research, 155(4), 185–190.
Egger, M., Davey Smith, G., Schneider, M., & Minder, C. (1997). Bias in meta-analysis detected by a simple, graphical test. BMJ, 315, 629–634.
Evans, D., & Beil, F. U. (2003). The association of the R219K polymorphism in the ATP-binding cassette transporter 1 (ABCA1) gene with coronary heart disease and hyperlipidaemia. Journal of Molecular Medicine, 81(4), 264–270.
Frikke-Schmidt, R., Nordestgaard, B. G., Jensen, G. B., Steffensen, R., & Tybjaerg-Hansen, A. (2008). Genetic variation in ABCA1 predicts ischemic heart disease in the general population. Arteriosclerosis, Thrombosis, and Vascular Biology, 28(1), 180–186.
Goldbourt, U., Yaari, S., & Medalie, J. H. (1997). Isolated low HDL cholesterol as a risk factor for coronary heart disease mortality: a 21 year follow-up of 8000 men. Arteriosclerosis, Thrombosis, and Vascular Biology, 17, 107–113.
Harada, T., et al. (2003). A common Ile 823 Met variant of ATP-binding cassette transporter A1 gene (ABCA1) alters high density lipoprotein cholesterol level in Japanese population. Atherosclerosis, 169(1), 105–112.
Jensen, M. K., Pai, J. K., Mukamal, K. J., Overvad, K., & Rimm, E. B. (2007). Common genetic variation in the ATP-binding cassette transporter A1, plasma lipids, and risk of coronary heart disease. Atherosclerosis, 195, e172–e180.
Li, J., Wang, L. F., Li, Z. Q., & Pan, W. (2009). Effect of R219K polymorphism of the ABCA1 gene on the lipid-lowering effect of pravastatin in Chinese patients with coronary heart disease. Clinical and Experimental Pharmacology and Physiology, 36, 567–570.
Liu, J., Gao, Q. G., Gao, J. A., Zhan, L., Tian, L. M., & Guo, X. (2008). Study of the correlations of ABCA1 R219K gene polymorphism with coronary heart disease in subjects with type 2 diabetes [in Chinese]. Chinese Journal of Diabetes, 16, 104–106.
Mantel, N., & Haenszel, W. (1959). Statistical aspects of the analysis of data from retrospective studies of disease. Journal of the National Cancer Institute, 22(4), 719–748.
Martín, M., González, P., Reguero, J. J., Batalla, A., García Castro, M., Coto, E., et al. (2006). ABCA1 polymorphisms and prognosis after myocardial infarction in young patients. International Journal of Cardiology, 110, 267–268.
Nebel, A., Croucher, P. J., El Mokhtari, N. E., Flachsbart, F., & Schreiber, S. (2007). Common coding polymorphisms in the ABCA1 gene and risk of early-onset coronary heart disease in northern Germany. Atherosclerosis, 193, 458–460.
Ni, G. Z., Zhu, T. B., Li, R. J., et al. (2008). Association of ABCA1 gene R1587K polymorphism with lipoprotein levels and coronary heart disease [in Chinese]. Acta Universitatis Medicinalis Nanjing, 28, 1003–1006.
Oram, J. F. (2000). Tangier disease and ABCA1. Biochimica et Biophysica Acta, 1529, 321–330.
Porchay-Baldérelli, I., Péan, F., Emery, N., Maimaitiming, S., et al. (2009). Relationships between common polymorphisms of adenosine triphosphate-binding cassette transporter A1 and high-density lipoprotein cholesterol and coronary heart disease in a population with type 2 diabetes mellitus. Metabolism, 58, 74–79.
Qi, L. P., Yan, X. W., Ye, P., & Dang, A. M. (2010). Association between two common polymorphisms in ATP-binding cassette A1 gene and coronary heart disease complicated with diabetes in Chinese Han people [in Chinese]. Chinese Medicine, 5, 295–297.
Shi, W. Y., Zhao, Z. Z., Xiao, D. M., Tang, C. K., Xu, G. Z., & Yang, Y. Z. (2009). Study on single-nucleotide polymorphisms of ABCA1 R219K in Han population [in Chinese]. Practical Preventive Medicine, 16, 1057–1060.
Singaraja, R. R., et al. (2002). Increased ABCA1 activity protects against atherosclerosis. Journal of Clinical Investigation, 110(1), 35–42.
Sun, J., Xu, Y., Xue, J., Zhu, Y., & Lu, H. (2005). Methylenetetrahydrofolate reductase polymorphism associated with susceptibility to coronary heart disease in Chinese type 2 diabetic patients. Molecular and Cellular Endocrinology, 229(1–2), 95–101.
Tan, Y. K., Wee, T. C., Koh, W. P., Wang, Y. T., Eng, P., Tan, W. C., et al. (2003). Survival among Chinese women with lung cancer in Singapore: A comparison by stage, histology and smoking status. Lung Cancer, 40(3), 237–246.
Tregouet, D. A., et al. (2004). In-depth haplotype analysis of ABCA1 gene polymorphisms in relation to plasma ApoA1 levels and myocardial infarction. Arteriosclerosis, Thrombosis, and Vascular Biology, 24(4), 775–781.
Tsai, C. T., Hwang, J. J., Chiang, F. T., Tseng, C. D., Lin, J. L., Tseng, Y. Z., et al. (2007). ATP-binding cassette transporter A1 gene I823M polymorphism affects plasma high-density lipoprotein cholesterol level and modifies the effect of low high-density lipoprotein cholesterol on the risk of coronary artery disease. Cardiology, 107, 321–328.
Wang, Y., Zhang, X. Y., Xu, X. J., Chen, Y. L., & Zhao, L. (2009). Polymorphism of R219K of ABCA1 gene in patients with coronary artery disease [in Chinese]. Chinese Journal of Cardiovascular Rehabilitation Medicine, 18, 35–39.
Wilson, P. W. F., Abbot, R. D., & Castelli, W. P. (1988). High density lipoprotein cholesterol and mortality: the Framingham Heart Study. Arteriosclerosis, 8, 737–741.
Yancey, P. G., Bortnick, A. E., Kellner-Weibel, G., de la Llera-Moya, M., Phillips, M. C., & Rothblat, G. H. (2003). Importance of different pathways of cellular cholesterol efflux. Arteriosclerosis, Thrombosis, and Vascular Biology, 23(5), 712–719.
Yusuf, S., Hawken, S., Ounpuu, S., Dans, T., Avezum, A., Lanas, F., et al. (2004). Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case–control study. Lancet, 364, 937–952.
Zhang, X. X., Xu, L. X., Zhang, H. Q., Lin, J., & Huang, W. J. (2008). The association between ABCA1 gene R219K polymorphism and coronary heart disease [in Chinese]. Prevention and Treatment of Cardio-Cerebral-Vascular Disease, 8, 304–307.
Zintzaras, E., & Hadjigeorgiou, G. M. (2004). Association of paraoxonase 1 gene polymorphisms with risk of Parkinson’s disease: a meta-analysis. Journal of Human Genetics, 49(9), 474–481.
Acknowledgments
This study was supported by the National Nature Science Foundation of China (81202731) and the Shanghai Health Bureau scientific research project of Shanghai (20114047).
Conflict of interest
The authors declare that they have no competing interests.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Liu, N., Hou, M., Ren, W. et al. The R219K Polymorphism on ATP-Binding Cassette Transporter A1 Gene is Associated with Coronary Heart Disease Risk in Asia Population: Evidence from a Meta-Analysis. Cell Biochem Biophys 71, 49–55 (2015). https://doi.org/10.1007/s12013-014-0161-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12013-014-0161-8