Department of Cardiology , Institute of Cardiovascular Diseases, The First Affiliated Hospital, Guangxi Medical University, Nanning, Guangxi, China.
Alcohol Clin Exp Res. 2013 Feb;37(2):234-43. doi: 10.1111/j.1530-0277.2012.01918.x. Epub 2012 Aug 24.
The interactions between apolipoprotein (Apo) A1/C3/A5 haplotypes and alcohol consumption on serum lipid profiles have not been previously explored. The present study was undertaken to detect the polymorphisms of ApoA1 -75 bp G>A (rs1799837), ApoC3 3238C>G (rs5128), ApoA5 -1131T>C (rs662799), ApoA5 c.553G>T (rs2075291), and ApoA5 c.457G>A (rs3135507) and the interactions between their haplotypes and alcohol consumption on serum lipid levels.
Genotyping was performed in 1,030 unrelated subjects (516 nondrinkers and 514 drinkers) aged 15 to 89. The interactions between ApoA1/C3/A5 haplotypes and alcohol consumption on serum lipid levels were detected by factorial regression analysis after controlling for potential confounders.
The frequencies of ApoC3 3238 CG/GG genotypes and ApoA1 -75 bp A allele in nondrinkers were higher in females than in males (p < 0.05). The frequencies of ApoC3 3238 CG/GG genotypes and G allele in drinkers were higher in females than in males (p < 0.05). The frequencies of ApoA1 -75 bp GA/AA genotypes and A allele in males were higher, and those of ApoC3 3238 CG/GG genotypes were lower in drinkers than in nondrinkers (p < 0.05 to 0.01). The frequency of ApoC3 3238 GG genotype in male drinkers was also higher in ≥25 g/d than in <25 g/d subgroups (p < 0.05). There were 11 haplotypes with a frequency >1% in our study population. The haplotypes of G-G-T-C-G (in the order of c.553G>T, c.457G>A, -1131T>C, 3238C>G, and -75 bp G>A), G-G-T-C-A, and G-G-C-G-G were shown consistent interactions with alcohol consumption to increase serum total cholesterol, high-density lipoprotein cholesterol (HDL-C), and ApoA1 levels (p < 0.05 to 0.001). The interactions between G-G-T-G-G (HDL-C and ApoA1), G-G-C-C-A (ApoA1), G-A-T-C-G (triglyceride), G-G-T-C-G (ApoA1/ApoB ratio), and G-G-C-G-G (ApoB) haplotypes and alcohol consumption on serum lipid levels were also detected (p < 0.05 to 0.001); the levels of these serum lipid parameters were significantly higher in drinkers than in nondrinkers.
The differences in serum lipid parameters between drinkers and nondrinkers might partly result from different interactions between the ApoA1/C3/A5 haplotypes and alcohol consumption.
载脂蛋白(Apo)A1/C3/A5 单倍型与饮酒之间的相互作用对血清脂质谱尚未进行过研究。本研究旨在检测 ApoA1-75bpG>A(rs1799837)、ApoC33238C>G(rs5128)、ApoA5-1131T>C(rs662799)、ApoA5c.553G>T(rs2075291)和 ApoA5c.457G>A(rs3135507)的多态性以及它们的单倍型与饮酒之间的相互作用对血清脂质水平的影响。
对 1030 名年龄在 15 至 89 岁之间的无饮酒史和有饮酒史的无关个体(516 名无饮酒者和 514 名饮酒者)进行基因分型。在控制了潜在混杂因素后,采用析因回归分析检测 ApoA1/C3/A5 单倍型与饮酒对血清脂质水平的交互作用。
无饮酒者中,女性 ApoC33238CG/GG 基因型和 ApoA1-75bpA 等位基因的频率高于男性(p<0.05)。饮酒者中,女性 ApoC33238CG/GG 基因型和 G 等位基因的频率高于男性(p<0.05)。与无饮酒者相比,饮酒者中男性 ApoA1-75bpGA/AA 基因型和 A 等位基因的频率更高,ApoC33238CG/GG 基因型的频率更低(p<0.05 至 0.01)。男性饮酒者中 ApoC33238GG 基因型的频率在≥25g/d 亚组中也高于<25g/d 亚组(p<0.05)。在我们的研究人群中,有 11 种单倍型的频率>1%。G-G-T-C-G(按 c.553G>T、c.457G>A、-1131T>C、3238C>G 和-75bpG>A 顺序)、G-G-T-C-A 和 G-G-C-G-G 等单倍型与饮酒存在一致的交互作用,可增加血清总胆固醇、高密度脂蛋白胆固醇(HDL-C)和 ApoA1 水平(p<0.05 至 0.001)。还检测到 G-G-T-G-G(HDL-C 和 ApoA1)、G-G-C-C-A(ApoA1)、G-A-T-C-G(甘油三酯)、G-G-T-C-G(ApoA1/ApoB 比值)和 G-G-C-G-G(ApoB)等单倍型与饮酒对血清脂质水平的交互作用(p<0.05 至 0.001);与无饮酒者相比,饮酒者的这些血清脂质参数水平显著升高。
饮酒者和无饮酒者之间的血清脂质参数差异可能部分归因于 ApoA1/C3/A5 单倍型与饮酒之间的不同相互作用。