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Apolipoprotein E genotype, lipid levels and coronary heart disease in a Polish population group

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Abstract

Genotype of apolipoprotein E has been identified in a group of randomly selected Polish subjects participating in a cross-sectional study performed within the POL-MONICA Program, the part of international study WHO-MONICA Project. The investigated group consisted of 170 persons, 92 males and 78 females aged 41–69 years (mean age 62.0 ± 5.11). The observed frequency of apolipoprotein E alleles was: ε2 – 7.6%, ε3 – 81.8% and ε4 – 10.6%, which was similar to frequencies in the neighbouring European countries. Statistically significant lower means of total cholesterol (TC) and of low density lipoprotein cholesterol (LDL-C) levels in ε2 carriers and higher means of TC, of LDL-C and of triglycerides in ε4 carriers were observed as compared with noncarriers of respective alleles. Some nonlipid cardiovascular risk factors (hypertension (HT) and obesity) and coronary heart disease (CHD) showed a tendency to lower prevalence in the ε2 allele carriers as compared to noncarriers. In the ε4 allele carriers a tendency to higher prevalence of HT, but not of CHD was observed as compared to noncarriers of this allele.

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References

  1. Davignon J, Gregg RE, Sing CF. Apolipoprotein E polymorphism and atherosclerosis. Arteriosclerosis 1988; 8: 1–21.

    Google Scholar 

  2. Wilson PWF, Schafer EJ, Larson MG, Ordovas JM. Apolipoprotein E alleles and risk of coronary disease. Arteriosclerosis Thromb Vasc Biol 1996; 16: 1250–1255.

    Google Scholar 

  3. Frikke-Schmidt R, Tybjaerg-Hansen A, Steffensen R, Jensen G, Nordestgaard BG. Apolipoprotein E genotype: Epsilon32 women are protected while epsilon43 and epsilon44 men are susceptible to ischemic heart disease. J Am Coll Cardiol 2000; 35: 1192–1199.

    Google Scholar 

  4. Lahoz C, Schaefer EJ, Cupples LA et al. Apolipoprotein E genotype and cardiovascular disease in the Framingham Heart Study. Atherosclerosis 2001; 154: 529–537.

    Google Scholar 

  5. WHO MONICA Project (prepared by Wolf H, Tuomilehto J, Kuulasmaa K et al.). Blood pressure levels in the 41 populations of the WHO Monica Project. J Hum Hypertens 1997; 11: 733–742.

    Google Scholar 

  6. WHO MONICA Project (prepared by Chambless L, Keil U, Dobson A et al.). Population versus clinical view of case fatality from acute coronary heart disease: Results from the WHO MONICA Project 1985–1990. Circulation 1997; 96: 3849–3859.

    Google Scholar 

  7. Pająk A, Williams OD, Broda G et al. Changes over time in blood lipids and their correlates in polish rural and urban populations: The correlates of fibrinogen and factor VII activity in Polishurban and rural populations. Int J Epidemiol 1998; 27: 953–961.

    Google Scholar 

  8. Rywik S, Davis CE, Pająk A et al. Poland and US Collaborative Study on Cardiovascular Epidemiology Hypertension in the Community: Prevalence, Awareness, Treatment and Control of Hypertension in the Pol-MONICA Project and the US Atherosclerosis Risk in Communities Study. Ann Epidemiol 1998; 8: 3–13.

    Google Scholar 

  9. Sans S., Kesteloot H., Kromhout D. The burden of cardiovascular diseases mortality in Europe. Eur Heart J 1997; 18: 1231–1248.

    Google Scholar 

  10. Rywik S, Sznajd J, Kulesza W, et al. Sikora D. Monitoring of trends and determinants of cardiovascular disease. ‘Pol-MONICA’ Part II. Material and methods (in Polish). Przeg Lek 1985; 2: 256–266.

    Google Scholar 

  11. WHO MONICA Manual, December 1989, CVD/ MNC Geneva, WHO, 1989.

  12. Rose GA, Blackburn H, Gillium FF, Prineas RJ. Cardiovascular survey methods. WHO, Geneva, 1982; 123.

    Google Scholar 

  13. Prineas JR, Crow RS, Blackburn H. The Minnesota Code Manual of Electrocardiographic Findings. John Wright PSG Inc., Boston, Bristol, London, 1982.

    Google Scholar 

  14. Hixson JE, Vernier DT. Restriction isotyping of human apolipoprotein E by gene amplification and cleavage with HhaI. J Lipid Res 1990; 31: 545–548.

    Google Scholar 

  15. Mahley RW, Rall SC. Type III hyperlipoproteinemia (dysbetalipoproteinemia): the role of apolipoprotein E in normal and abnormal lipoprotein metabolism. In: Scriver CR, Beaudet AL, Sly WS, Valle D (eds.), The Metabolic and Molecular Bases of Inherited Disease. New York: McGraw-Hill, Inc., 1995; 1953–1980.

    Google Scholar 

  16. Kowalska A, Wiechmann I, Walter H. Genetic variability of apolipoprotein E in a polishpopulation. Hum Biol 1998; 70: 1093–1099.

    Google Scholar 

  17. Weisgraber KH, Innerarity TL, Mahley RW. Abnormal receptor binding activity of the human E apoprotein due to cysteine–arginine interchange at a single site. J Biol Chem 1982; 257: 2518–2581.

    Google Scholar 

  18. Bohnet K, Pillot T, Visvikis S, Sabolovic N, Siest G. Apolipoprotein (apo) E genotype and apo E concentration determine binding of normal very low density lipoproteins to HepG2 cell surface receptors. J Lipid Res 1996; 37: 1316–1324.

    Google Scholar 

  19. Bioletto S, Fontana P, Darioli R, James RW. Apolipoprotein E polymorphism and the distribution profile of very low density lipoproteins; an influence of the E4 allele on large (Sf >60) particles. Atherosclerosis 1998; 138: 207–215.

    Google Scholar 

  20. Kesaniemi YA, Ehnholm C, Miettinen TA. Intestinal cholesterol absorption efficiency in man is related to apoprotein E phenotype. J Clin Invest 1987; 80: 578–581.

    Google Scholar 

  21. Dallongeville J, Lussier-Cacan S, Davignon J. Modulation of plasma triglyceride levels by apo e phenotype: A meta-analysis. J Lipid Res 1992; 33: 447–454.

    Google Scholar 

  22. Wang XL, McCredie RM, Wilcken DEL. Polymorphism of the apolipoprotein E gene and severity of coronary artery disease defined by angiography. Arteriosclerosis Thromb Vasc Biol 1995; 15: 1030–1034.

    Google Scholar 

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Bednarska-Makaruk, M., Broda, G., Kurjata, P. et al. Apolipoprotein E genotype, lipid levels and coronary heart disease in a Polish population group. Eur J Epidemiol 17, 789–792 (2001). https://doi.org/10.1023/A:1015657709060

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