Staňková B, Macášek J, Zeman M, Vecka M, Tvrzická E, Jáchymová M, Slabý A, Žák A
4th Department of Medicine, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Institute of Clinical Chemistry and Laboratory Diagnostics, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Folia Biol (Praha). 2019;65(4):159-169. doi: 10.14712/fb2019065040159.
Elevated plasma concentration of apolipoprotein B-48 (apoB-48) is an independent risk factor of cardiovascular disease. Stearoyl-CoA desaturase-1 (SCD1) is a rate-limiting lipogenic enzyme and a key regulator of fuel metabolism. The aim of this study was to analyse associations between clinical, biochemical, and genetic factors and different apoB-48 levels in subjects at increased cardiometabolic risk. We examined 220 subjects exhibiting at least one metabolic syndrome (MetS) component. In conjunction with basic clinical, anthropometric and laboratory measurements, we analysed various polymorphisms of stearoyl-CoA desaturase-1 (SCD1). Subjects were divided into two groups according to the median apoB-48 level: (1) high apoB-48 (≥ 7.9 mg/l, N = 112) and (2) low apoB-48 (< 7.9 mg/l, N = 108). Neither group differed significantly in anthropometric measures. High plasma apoB-48 levels were associated with increased systolic blood pressure (+3 %; P < 0.05), MetS prevalence (59.8 vs. 32.4 %; P < 0.001), small-dense LDL frequency (46.4 vs. 20.4 %; P < 0.001), triglycerides (+97 %; P < 0.001), non-HDLcholesterol (+27 %; P < 0.001), and lower concentrations of HDL-cholesterol (-11 %; P < 0.01). This group was further characterized by a higher HOMA-IR index (+54 %; P < 0.001) and increased concentrations of conjugated dienes (+11 %; P < 0.001) and oxidatively modified LDL (+ 38 %; P < 0.05). Lower frequencies of SCD1 minor genotypes (rs2167444, rs508384, P < 0.05) were observed in subjects with elevated plasma concentrations of apoB-48. Elevated plasma concentrations of apoB-48 are associated with an adverse lipid profile, higher systolic blood pressure, insulin resistance, and oxidative stress. Lower proportions of minor SCD1 genotypes (rs2167444, rs508384) implicate the role of genetic factors in the pathogenesis of elevated levels of apoB-48.
载脂蛋白B - 48(apoB - 48)血浆浓度升高是心血管疾病的独立危险因素。硬脂酰辅酶A去饱和酶-1(SCD1)是一种限速生脂酶,也是燃料代谢的关键调节因子。本研究的目的是分析临床、生化和遗传因素与心血管代谢风险增加的受试者中不同apoB - 48水平之间的关联。我们检查了220名至少表现出一种代谢综合征(MetS)组分的受试者。结合基本的临床、人体测量和实验室测量,我们分析了硬脂酰辅酶A去饱和酶-1(SCD1)的各种多态性。根据apoB - 48水平中位数将受试者分为两组:(1)高apoB - 48(≥7.9mg/l,N = 112)和(2)低apoB - 48(<7.9mg/l,N = 108)。两组在人体测量指标上均无显著差异。高血浆apoB - 48水平与收缩压升高(+3%;P < 0.05)、MetS患病率(59.8%对32.4%;P < 0.001)、小而密低密度脂蛋白频率(46.4%对20.4%;P < 0.001)、甘油三酯(+97%;P < 0.001)、非高密度脂蛋白胆固醇(+27%;P < 0.001)以及高密度脂蛋白胆固醇浓度降低(-11%;P < 0.01)相关。该组的进一步特征是较高的HOMA - IR指数(+54%;P < 0.001)以及共轭二烯浓度升高(+11%;P < 0.001)和氧化修饰的低密度脂蛋白升高(+38%;P < 0.05)。在血浆apoB - 48浓度升高的受试者中观察到SCD1次要基因型(rs2167444、rs508384,P < 0.05)的频率较低。血浆apoB - 48浓度升高与不良血脂谱、较高的收缩压、胰岛素抵抗和氧化应激相关。SCD1次要基因型(rs2167444、rs508384)比例较低表明遗传因素在apoB - 48水平升高的发病机制中起作用。