Zhu Wenli, Zhang Zhentao, Wang Junbo, Qi Zhi
School of Public Health, Peking University, Beijing 100083, China.
Wei Sheng Yan Jiu. 2003 Mar;32(2):147-9, 158.
In order to investigate the relation of lipoprotein lipase (LPL) gene polymorphism at Pvu II locus and dietary intervention predisposition in hyperlipidemia population, 436 hyperlipidemia patients were screened selected from some communities in western urban districts in Beijing, and then separated into two groups, intervention (248) and control group(188). The serum lipids profile, dietary intakes data were collected and physical examination was conducted in all subjects. Also, the LPL-Pvu II polymorphisms were analyzed by PCR-RFLP. The results showed that the total energy intake, cholesterol level and percentage of energy from dietary fat, and the serum levels of TC, LDL-C and HDL-C were significantly decreased (P < 0.05) after 6-month dietary intervention in intervention group compared with the control group. The decrease range of TC and LDL-C in carriers with LPL-Pvu II (+/+) genotype was much more than others(+/- and -/- genotypes). The results from multiple linear regression analysis showed that the susceptible factors of dietary intervention included LPL-Pvu II (+) allele, the high baseline levels of TC and LDL-C and overweight. The conclusions could be primarily drawn that the variants of LPL-Pvu II locus were important determinants of variation in serum cholesterol response to dietary change in hyperlipidemia population.
为探讨高脂血症人群中脂蛋白脂肪酶(LPL)基因Pvu II位点多态性与饮食干预易感性的关系,从北京市区西部部分社区筛选出436例高脂血症患者,分为干预组(248例)和对照组(188例)。收集所有受试者的血脂谱、饮食摄入数据并进行体格检查。同时,采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)分析LPL-Pvu II多态性。结果显示,与对照组相比,干预组经过6个月饮食干预后,总能量摄入、胆固醇水平、膳食脂肪供能百分比以及血清总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)水平均显著降低(P < 0.05)。LPL-Pvu II(+/+)基因型携带者的TC和LDL-C降低幅度远大于其他基因型(+/-和-/-基因型)。多元线性回归分析结果表明,饮食干预的易感因素包括LPL-Pvu II(+)等位基因、较高的TC和LDL-C基线水平以及超重。初步得出结论:LPL-Pvu II位点变异是高脂血症人群血清胆固醇对饮食变化反应差异的重要决定因素。