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肝脂肪酶(LIPC)C-514T基因多态性与墨西哥人群的心脏代谢参数和心血管危险因素相关,但与脂肪肝无关。

Hepatic lipase (LIPC) C-514T gene polymorphism is associated with cardiometabolic parameters and cardiovascular risk factors but not with fatty liver in Mexican population.

作者信息

Posadas-Sánchez Rosalinda, Ocampo-Arcos Wendy Angélica, López-Uribe Ángel Rene, Posadas-Romero Carlos, Villarreal-Molina Teresa, León Edith Álvarez, Pérez-Hernández Nonanzit, Rodríguez-Pérez José Manuel, Cardoso-Saldaña Guillermo, Medina-Urrutia Aida, Vargas-Alarcón Gilberto

机构信息

Department of Endocrinology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico.

Cardiovascular Genomics Laboratory, Instituto Nacional de Medicina Genómica (INMEGEN), Mexico City, Mexico.

出版信息

Exp Mol Pathol. 2015 Feb;98(1):93-8. doi: 10.1016/j.yexmp.2014.12.010. Epub 2014 Dec 27.

Abstract

The aim of the present study was to evaluate the role of the C-514T (rs1800588) gene polymorphism of the hepatic lipase (LIPC) as susceptibility marker for fatty liver in the Mexican population. The polymorphism was genotyped by 5' exonuclease TaqMan assays in a group of 1468 subjects (980 with and 488 without fatty liver) belonging to the Genetics of Atherosclerotic Disease (GEA) Mexican Study. Anthropometric and biochemical measurements were performed on all individuals. The polymorphism was not associated with fatty liver, however, under dominant model, the TT genotype was associated with increased levels of triglycerides (P=0.0002), apolipoprotein A1 (P=0.015), triglycerides/HDL-cholesterol index (P=0.046) and increased frequency of type 2 diabetes mellitus (P=0.045). On the other hand, the same genotype was associated with the presence of small LDLs (P=0.003). The risk analysis showed that under a dominant model, the LIPC C-514T polymorphism was associated with increased risk of type 2 diabetes (OR=1.42, P=0.029), hypertriglyceridemia (OR=1.36, P=0.006), and coronary artery calcification (CAC)≥1 (OR=1.44, P=0.015) and decreased risk of hypoalphalipoproteinemia (OR=0.78, P=0.036). The results suggest that the LIPC C-154T polymorphism is associated with cardiometabolic parameters and cardiovascular risk factors but not with fatty liver in Mexican population. The association detected with CAC indicates that this polymorphism could be a marker for subclinical atherosclerosis.

摘要

本研究的目的是评估肝脏脂肪酶(LIPC)基因C-514T(rs1800588)多态性作为墨西哥人群脂肪肝易感性标志物的作用。采用5'核酸外切酶TaqMan分析法对墨西哥动脉粥样硬化疾病遗传学(GEA)研究中的1468名受试者(980名患有脂肪肝,488名未患脂肪肝)进行基因分型。对所有个体进行人体测量和生化检测。该多态性与脂肪肝无关,然而,在显性模型下,TT基因型与甘油三酯水平升高(P=0.0002)、载脂蛋白A1水平升高(P=0.015)、甘油三酯/高密度脂蛋白胆固醇指数升高(P=0.046)以及2型糖尿病发病率增加(P=0.045)相关。另一方面,相同基因型与小LDL的存在相关(P=0.003)。风险分析表明,在显性模型下,LIPC C-514T多态性与2型糖尿病风险增加(OR=1.42,P=0.029)、高甘油三酯血症(OR=1.36,P=0.006)、冠状动脉钙化(CAC)≥1(OR=1.44,P=0.015)以及低脂蛋白血症风险降低(OR=0.78,P=0.036)相关。结果表明,LIPC C-154T多态性与墨西哥人群的心脏代谢参数和心血管危险因素相关,但与脂肪肝无关。检测到的与CAC的关联表明,这种多态性可能是亚临床动脉粥样硬化的标志物。

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