Tácito Lúcia Helena Bonalume, Yamada Lilian Nakachima, de Souza Pinhel Marcela Augusta, Yugar-Toledo Juan Carlos, Souza Dorotéia Rossi Silva
Endocrinology Division, Internal Medicine Department, State Medical School of São José Rio Preto (FAMERP), São José do Rio Preto, Brazil.
Molecular Biology and Biochemistry Department, State Medical School of São José Rio Preto (FAMERP), São José do Rio Preto, Brazil.
Clin Med Insights Cardiol. 2017 Sep 21;11:1179546817731110. doi: 10.1177/1179546817731110. eCollection 2017.
This study confirms the association of risk factors for coronary artery disease (CAD) and the apoE polymorphisms, specifically related to the allele, with coronary disease in postmenopausal women. Significantly altered values of the lipid profile were found in patients when compared with controls, independent of the presence of the allele. However, the controls showed higher high-density lipoprotein cholesterol (HDL-C) levels and reduced triglyceride (TG) levels, differing significantly from patients. In this case, the study of subgroups, considering the and genotypes, suggests that the allele is not implicated in the variations of the lipid profile of patients and determined an increase in the production levels of HDL-C and a reduction in TG highly benefiting the control group compared with genotype. The metabolic kinetics of TG, although with the same pattern between groups, and the presence of the allele are suggested to be associated with accelerated clearance compared with allele in non-CAD group.
本研究证实了冠状动脉疾病(CAD)的危险因素与载脂蛋白E基因多态性(特别是与该等位基因相关)在绝经后女性冠心病中的关联。与对照组相比,患者的血脂谱值有显著改变,且与该等位基因的存在无关。然而,对照组的高密度脂蛋白胆固醇(HDL-C)水平较高,甘油三酯(TG)水平较低,与患者有显著差异。在这种情况下,考虑该和该基因型的亚组研究表明,该等位基因与患者血脂谱的变化无关,并且与该基因型相比,该等位基因可使HDL-C的产生水平增加,TG降低,这对对照组非常有利。甘油三酯的代谢动力学虽然在组间模式相同,但该等位基因的存在表明与非CAD组中的该等位基因相比,其清除速度加快。