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Clinical Research |
From the Department of Human Genetics (H.A., R.M.C., A.J.L.), Medicine (L.W.C., A.J.L.), and Microbiology and Molecular Genetics (A.J.L.), and Molecular Biology Institute (A.J.L.), University of California, Los Angeles, Calif; and the Department of Medicine and the Cardiovascular Research Institute Maastricht (CARIM) (T.W.A.d.B.), Academic Hospital, Maastricht, the Netherlands.
Correspondence to Hooman Allayee, PhD, Department of Human Genetics, Gonda Genetics Research Center, Room 6524, UCLA School of Medicine, 695 Charles Young Dr South, Los Angeles, CA 90095. E-mail hallayee{at}ucla.edu
Apolipoprotein A-II (apoA-II) is a major protein on high-density lipoprotein (HDL) particles, and in mice, its levels are associated with triglyceride and glucose metabolism. In particular, transgenic mice overexpressing apoA-II exhibit hypertriglyceridemia, increased body fat, and insulin resistance, whereas apoA-II-null mice have decreased triglycerides and increased insulin sensitivity. Given the phenotypic overlap between familial combined hyperlipidemia (FCH) and apoA-II transgenic mice, we investigated the relationship of apoA-II to this disorder. Despite having lower HDL-cholesterol (HDL-C), FCH subjects had higher apoA-II levels compared with unaffected relatives (P<0.00016). Triglyceride and HDL-C levels were significant predictors of apoA-II, demonstrating that apoA-II variation is associated with several FCH-related traits. After adjustment for multiple covariates, there was evidence for the heritability of apoA-II levels (h2=0.15; P<0.02) in this sample. A genome scan for apoA-II levels identified significant evidence (LOD=3.1) for linkage to a locus on chromosome 1q41, coincident with a suggestive linkage for triglycerides (LOD score=1.4). Thus, this locus may have pleiotropic effects on apoA-II and FCH traits. Our results demonstrate that apoA-II is biochemically and genetically associated with FCH and may serve as a useful marker for understanding the mechanism by which FCH develops.
Key Words: apolipoprotein A-II genetics metabolic syndrome triglycerides insulin resistance
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