J 2024

Genetic risk score in patients with the APOE2/E2 genotype as a predictor of familial dysbetalipoproteinemia

SATNY, Martin; Veronika TODOROVOVA; Tereza ALTSCHMIEDOVA; Jaroslav A HUBACEK; Lucie DLOUHA et. al.

Základní údaje

Originální název

Genetic risk score in patients with the APOE2/E2 genotype as a predictor of familial dysbetalipoproteinemia

Autoři

SATNY, Martin; Veronika TODOROVOVA; Tereza ALTSCHMIEDOVA; Jaroslav A HUBACEK; Lucie DLOUHA; Vera LANSKA; Vladimír SOŠKA; Ondřej KYSELÁK; Tomáš FREIBERGER ORCID; Martin BOBÁK a Michal VRABLIK

Vydání

Journal of Clinical Lipidology, NEW YORK, ELSEVIER SCIENCE INC, 2024, 1933-2874

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30218 General and internal medicine

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 4.600

Kód RIV

RIV/00216224:14110/24:00135522

Organizační jednotka

Lékařská fakulta

UT WoS

001239945500003

EID Scopus

2-s2.0-85178638779

Klíčová slova anglicky

Familial dysbetalipoproteinemia; Cardiovascular risk; Polymorphism; Genetic risk score

Štítky

Příznaky

Recenzováno
Změněno: 9. 7. 2024 11:44, Mgr. Tereza Miškechová

Anotace

V originále

Background Familial dysbetalipoproteinemia (FD) is an autosomal recessive (rarely dominant) inherited disorder that is almost exclusively associated with the apolipoprotein E gene (APOE) variability. Nonetheless, only a small proportion of APOE2/E2 subjects develop the phenotype for mixed dyslipidemia; the context of other trigger metabolic or genetic factors remains unknown. Methods One hundred and one patients with FD and eighty controls (all APOE2/E2 homozygotes; rs429358) were screened for 18 single-nucleotide polymorphisms (SNPs) within the genes involved in triglyceride metabolism. Results Two SNPs were significantly associated with the FD phenotype (rs439401 within APOE; P < 0.0005 and rs964184 within ZPR1/APOA5/A4/C3/A1 gene cluster; P < 0.0001). Unweighted genetic risk scores - from these two SNPs (GRS2), and, also, additional 13 SNPs with P-value below 0.9 (GRS15) - were created as an additional tool to improve the risk estimation of FD development in subjects with the APOE2/E2 genotype. Both GRS2 and GRS15 were significantly (P < 0.0001) increased in patients and both GRSs discriminated almost identically between the groups (P = 0.86). Subjects with an unweighted GRS2 of three or more had an almost four-fold higher risk of FD development than other individuals (OR 3.58, CI: 1.78–7.18, P < 0.0005). Conclusions We identified several SNPs that are individual additive factors influencing FD development. The use of unweighted GRS2 is a simple and clinically relevant tool that further improves the prediction of FD in APOE2/E2 homozygotes with corresponding biochemical characteristics.

Návaznosti

LX22NPO5104, projekt VaV
Název: Národní institut pro výzkum metabolických a kardiovaskulárních onemocnění (Akronym: CarDia)
Investor: Ministerstvo školství, mládeže a tělovýchovy ČR, Národní institut pro léčbu metabolických a kardiovaskulárních onemocnění, 5.1 EXCELES

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