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Apolipoprotein A5 gene −1131T/C polymorphism is associated with the risk of metabolic syndrome in ethnic Chinese in Taiwan

  • Lung-An Hsu , Yu-Lin Ko , Chi-Jen Chang , Ming-Sheng Teng , Semon Wu and Chiao-Feng Hu
Published/Copyright: December 1, 2008

Abstract

Background: The –1131T>C polymorphism in the apolipoprotein gene A5 (APOA5) was found to be associated with increased levels of plasma triglyceride and decreased levels of high-density lipoprotein cholesterol (HDL-C), which are characteristic dyslipidemic components of metabolic syndrome. This study aimed to identify a link between this polymorphism and the risk of metabolic syndrome.

Methods: The sample population comprised 615 unrelated subjects, 18.7% of whom had metabolic syndrome. Genotypes were determined via polymerase chain reaction, restriction mapping with MseI, and gel electrophoresis.

Results: A significantly higher level of triglycerides and a lower level of HDL-C were noted in carriers of the –1131C allele than in the non-carriers (p<0.001 and p=0.044, respectively). The frequency of the –1131C allele in the metabolic syndrome-affected subjects was significantly higher than that of the group of unaffected subjects (37.4% vs. 27.7%, p=0.004). Even after adjusting for age, gender, smoking, regular exercise, and waist-to-hip ratio, the APOA5–1131C allele carriers remained significantly associated with an increased risk of metabolic syndrome (OR=1.77, 95% CI, 1.13–2.77; p=0.012).

Conclusions: These results indicate that the association of APOA5 –1131T>C polymorphism with dyslipidemia can also contribute to an increased susceptibility to metabolic syndrome in the Chinese, as a result of its effect on triglyceride metabolism.

Clin Chem Lab Med 2008;46:1714–9.


Corresponding author: Lung-An Hsu, MD, PhD, Department of Internal Medicine, The First Cardiovascular Division, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No. 199, Tung-Hwa North Road, Taipei, Taiwan Phone: +886-3-3281200 ext. 8162, Fax: +886-3-3271192,

Received: 2008-6-16
Accepted: 2008-8-26
Published Online: 2008-12-01
Published in Print: 2008-12-01

©2008 by Walter de Gruyter Berlin New York

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