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Association between the TaqIB polymorphism in the cholesteryl ester transfer protein gene locus and postprandial plasma lipoprotein levels in heterozygotes for familial hypercholesterolemia

  • Genovefa Kolovou , Katherine Anagnostopoulou , Peggy Kostakou , Christina Marvaki , Constantinos Mihas , Dimitri P. Mikhailidis and Dennis V. Cokkinos
Published/Copyright: September 1, 2007
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Clinical Chemistry and Laboratory Medicine (CCLM)
From the journal Volume 45 Issue 9

Abstract

Background: We examined the influence of cholesteryl ester transfer protein TaqIB polymorphism on triglyceride (TG) response to an oral fat tolerance test (OFTT) in patients heterozygous for familial hypercholesterolemia (hFH).

Methods: We genotyped 67 hFH patients (32 men and 35 postmenopausal women) who were subjected to an OFTT.

Results: All B1 allele carriers had lower high-density lipoprotein cholesterol (HDL-C) levels (p=0.013) and higher postprandial TG response at 6 and 8 h (p=0.05 and p=0.04, respectively) compared to B2 allele carriers. Multiple regression analysis showed that in the hFH group with a positive response, the presence of the B2 allele was significantly related to lower levels of TG-area under the curve (AUC) (p<0.01) compared to B1, adjusting for age, gender and body mass index. In the hFH group with a negative response, although age and female gender had a significant effect on TG-AUC levels (p<0.01 for both), the allele type was not significantly related to the TG-AUC levels (p=0.99).

Conclusions: B2 carriers had a lower postprandial TG response compared to B1 carriers. There were no differences in TG levels between B1 and B2 carriers in patients with a negative OFTT response. Therefore, at higher TG concentration, the B2 allele may protect against an exaggerated postprandial TG increase and subsequent lowering of HDL-C.

Clin Chem Lab Med 2007;45:1190–8.


Corresponding author: Genovefa D. Kolovou, MD, PhD, FESC, SFASA, Onassis Cardiac Surgery Center, 356 Sygrou Avenue, 176 74 Athens, Greece Phone: +30-210-9493520, Fax: +30-210-9493336,

Received: 2007-2-1
Accepted: 2007-5-21
Published Online: 2007-09-01
Published in Print: 2007-09-01

©2007 by Walter de Gruyter Berlin New York

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