Abstract
Most epidemiological surveys have confirmed the association of low HDL-cholesterol and high triglyceride levels with cholesterol gallstones. Our objective was to analyze the relationship between plasma lipid levels and common polymorphisms of ABCB11 (encoding the bile salt export pump, BSEP) and ABCB4 (encoding the phospholipid transporter into bile, MDR3) genes. Plasma lipids were measured in 108 index patients of sib pairs with gallstones and in 260 controls. Using PCR-based assays with 5′-nuclease and fluorescence detection (TaqMan), the ABCB11 coding SNP p.A444V and four haplotype-tagging SNPs covering the ABCB4 gene (c.504C > T, c.711T > A, p.R652G, rs31653 in intron 26) were genotyped. Plasma lipids were compared in carriers of the common versus rare allele of these polymorphisms using Student’s t test and Pearson’s correlation. BMI and triglyceride levels were higher and HDL-cholesterol levels were lower in affected siblings than in controls. Among cases, triglyceride and cholesterol levels were higher in carriers of the common versus rare (hetero/homozygous carriers) allele of the SNPs p.A444V of ABCB11 and C.504C > T of ABCB4. HDL-cholesterol was lower in carriers of the common allele of rs31653. In controls, significant differences of cholesterol and HDL-cholesterol levels were found in carriers of ABCB4 polymorphisms. Our results do not support the hypothesis of a link between ABCB4 and ABCB11 polymorphisms, lithogenic dyslipidemia, and gallstone risk.
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Acalovschi M, Dumitrascu DL, Caluser I, Ban A (1987) Comparative prevalence of gallstone disease at 100-year interval in a large Romanian town. A necroptic study. Dig Dis Sci 32:354–357
Bates T, Harrison M, Lowe D, Lawson C, Padley N (1992) Longitudinal study of gallstone prevalence at necropsy. Gut 33:103–107
Acalovschi M, Pascu M, Iobagiu S, Petrescu M, Olinici CD (1995) Increasing gallstone prevalence and cholecystectomy rate in a large Romanian town. Dig Dis Sci 40:2582–2586
Lammert F, Sauerbruch T (2005) Mechanisms of disease: the genetic epidemiology of gallbladder stones. Nat Clin Pract Gastroenterol Hepatol 2:423–433
Everhart JE, Khare M, Hill M, Maurer KR (1999) Prevalence and ethnic differences in gallbladder disease in the United States. Gastroenterology 117:632–639
Portincasa P, Moschetta A, Palasciano G (2006) Cholesterol gallstone disease. Lancet 368:230–239
Ahlberg J (1979) Serum lipid levels and hyperlipoproteinaemia in gallstone patients. Acta Chir Scand 145:373–377
Petitti D, Friedman GD, Klatsky AL (1981) Association of a history of gallbladder disease with a reduced concentration of high-density-lipoprotein cholesterol. N Engl J Med 304:1396–1398
Acalovschi M, Ciocan A, Mosteanu O, Tarziu S, Chiorean E, Keppeler H, Schirin-Sokhan R, Lammert F (2006) Are plasma lipid levels related to ABCG5/ABCG8 polymorphisms? A preliminary study in siblings with gallstones. Eur J Int Med 17:490–494
Nagasaka H, Yorifuji T, Egawa H, Yanai H, Fujisawa T, Kosugiyama K, Matsui A, Hasegawa M, Okada T, Takayanagi M, Chiba H, Kobayashi K (2005) Evaluation of risk for atherosclerosis in Alagille syndrome and progressive familial intrahepatic cholestasis: two congenital cholestatic diseases with different lipoprotein metabolisms. J Pediatr 146:329–335
Nagasaka H, Chiba H, Hui SP, Takikawa H, Miida T, Takayanagi M, Yorifuji T, Hasegawa M, Ota A, Hirano K, Kikuchi H, Tsukahara H, Kobayashi K (2007) Depletion of high-density lipoprotein and appearance of triglyceride-rich low-density lipoprotein in a Japanese patient with FIC1 deficiency manifesting benign recurrent intrahepatic cholestasis. J Pediatr Gastroenterol Nutr 45:96–105
Davit-Spraul A, Gonzales E, Baussan C, Jacquemin E (2009) Progressive familial intrahepatic cholestasis. Orphanet J Rare Dis 4. doi:10.1186/1750-1172-4-1
Wasmuth HE, Glantz A, Keppeler H, Simon E, Bartz C, Rath W, Mattsson LA, Marschall HU, Lammert F (2007) Intrahepatic cholestasis of pregnancy: the severe form is associated with common variants of the hepatobiliary phospholipid transporter ABCB4 gene. Gut 56:265–270
Rosmorduc O, Hermelin B, Boelle PY, Parc R, Taboury J, Poupon R (2003) ABCB4 gene mutation-associated cholelithiasis in adults. Gastroenterology 125:452–459
Jacquemin E (2001) Role of multidrug resistance 3 deficiency in pediatric and adult liver disease: one gene for three diseases. Semin Liver Dis 21:551–562
Shoda J, Oda K, Suzuki H, Sugiyama Y, Ito K, Cohen DE (2001) Etiologic significance of defects in cholesterol, phospholipid and bile acid metabolism in the liver of patients with intrahepatic calculi. Hepatology 33:1194–1205
Pullinger CR, Eng C, Salen G, Shefer S, Erickson SK, Verhagen A, Rivera CR, Mulvihill SJ, Malloy MJ, Kane JP (2002) Human cholesterol 7alpha-hydroxylase (CYP7A1) deficiency has a hypercholesterolemic phenotype. J Clin Invest 110:109–117
Miller LJ, Holicky EL, Ulrich CD, Wieben ED (1995) Abnormal processing of the human cholecystokinin receptor gene in association with gallstones and obesity. Gastroenterology 109:1375–1380
Krawczyk M, Wolska M, Grünhage F, Sauerbruch T, Acalovschi M, Lammert F (2008) Common ABCB4 and ABCB11 transporter gene variants are not associated with susceptibility to gallstone formation in the general population. Z Gastroenterol 46:150 (abstr.)
Schafmayer C, Tepel J, Franke A, Buch S, Lieb S, Seeger M, Lammert F, Kremer B, Fölsch UR, Fändrich F, Schreiber S, Hampe J (2006) Investigation of the Lith1 candidate genes ABCB11 and LXRA in human gallstone disease. Hepatology 44:650–657
Miyasaka K, Takata Y, Funakoshi A (2002) Association of cholecystokinin A receptor polymorphism with cholelithiasis and the molecular mechanisms of this polymorphism. J Gastroenterol 37:102–106
Grunhage F, Acalovschi M, Tirziu S, Walier M, Wienker TF, Ciocan A, Mosteanu O, Sauerbruch T, Lammert F (2007) Increased gallstone risk in humans conferred by common variant of hepatic atp-binding cassette transporter for cholesterol. Hepatology 46:793–801
Buch S, Schafmayer C, Völzke H, Becker C, Franke A, von Eller-Eberstein H, Kluck C, Bässmann I, Brosch M, Lammert F, Miquel JF, Nervi F, Wittig M, Rosskopf D, Timm B, Höll C, Seeger M, ElSharawy A, Lu T, Egberts J, Fändrich F, Fölsch UR, Krawczak M, Schreiber S, Nürnberg P, Tepel J, Hampe J (2007) A genome-wide association scan identifies the hepatic cholesterol transporter ABCG8 as a susceptibility factor for human gallstone disease. Nat Genet 39:995–999
Oude Elferink RPJ, Ottenhoff R, van Wijland M, Frijters CMG, van Nieuwkerk C, Groen AK (1996) Uncoupling of biliary phospholipid and cholesterol secretion in mice with reduced expression of mdr2 P-glycoprotein. J Lipid Res 37:1065–1075
Rosmorduc O, Hermelin R, Poupon R (2001) MDR3 gene defect in adults with symptomatic intrahepatic and gallbladder cholesterol cholelithiasis. Gastroenterology 120:1459–1467
Lammert F, Wang DQ, Hillebrandt S, Geier A, Fickert P, Trauner M, Matern S, Paigen B, Carey MC (2004) Spontaneous cholecysto- and hepatolithiasis in Mdr2−/− mice: a model for low-phospholipid-associated cholelithiasis. Hepatology 39:117–128
Mullenbach R, Linton KJ, Wiltshire S, Weerasekera N, Chambers J, Elias E, Higgins CF, Johnston DG, McCarthy MI, Williamson C (2003) ABCB4 gene sequence variation in women with intrahepatic cholestasis of pregnancy. J Med Genet 40:e70
Van Mil SWC, Van der Woerd WL, Van der Brugge G, van der Brugge G, Sturm E, Jansen PL, Bull LN, van den Berg IE, Berger R, Houwen RH, Klomp LW (2004) Benign recurrent intrahepatic cholestasis type 2 is caused by mutations in ABCB11. Gastroenterology 127:379–384
Lammert F, Carey MC, Paigen B (2001) Chromosomal organization of candidate genes involved in cholesterol gallstone formation: a murine gallstone map. Gastroenterology 120:221–238
Muller O, Challa C, Scheibner J, Stange EF, Fuchs M (2002) Expression of liver plasma membrane transporters in gallstone-susceptible and gallstone-resistant mice. Biochem J 361:673–679
Lang C, Meier Y, Stieger B, Beuers U, Lang T, Kerb R, Kullak-Ublick GA, Meier PJ, Pauli-Magnus C (2007) Mutations and polymorphisms in the bile salt export pump and the multidrug resistance protein 3 associated with drug-induced liver injury. Pharmacogenet Genomics 17:47–60
Meier Y, Pauli-Magnus C, Zanger UM, Klein K, Schaeffeler E, Nussler AK, Nussler N, Eichelbaum M, Meier PJ, Stieger B (2006) Interindividual variability of canalicular ATP-binding-cassette (ABC)-transporter expression in human liver. Hepatology 44:62–74
Acknowledgment
Supported by grants from the Romanian National Council of Scientific Research in Universities (CNCSIS 1263/2005 to M.A.), the German Research Council (Deutsche Forschungsgemeinschaft DFG LA 997/3-1 to F.L.), and the University of Bonn, Germany (BONFOR O-107.0083 to F.G.).
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Acalovschi, M., Tirziu, S., Chiorean, E. et al. Common Variants of ABCB4 and ABCB11 and Plasma Lipid Levels: A Study in Sib Pairs with Gallstones, and Controls. Lipids 44, 521–526 (2009). https://doi.org/10.1007/s11745-009-3300-z
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DOI: https://doi.org/10.1007/s11745-009-3300-z