Abstract

Background High-density lipoprotein cholesterol (HDL-C) and its subfractions are modifiable with exercise training and these responses are heritable. The interleukin-6 (IL6)-174G/C polymorphism may be associated with HDL-C levels. We hypothesized that the IL6-174G/C polymorphism would be associated with plasma HDL-C response to exercise training. Methods and results Sixty-five 50- to 75-year-olds on a standardized diet were studied before and after 24 weeks of aerobic exercise training. Significant differences existed among genotype groups for change with exercise training in HDL-C, HDL 3-C, integrated HDL 4,5NMR-C, and HDL size. The CC genotype group increased HDL-C more than the GG (7.0 ± 1.3 v. 1.0 ± 1.1 mg/dL, p = 0.001) and GC groups (3.3 ± 0.9 mg/dL, p = 0.02); for HDL 3-C, the CC group increased more than the GG (6.1 ± 1.0 v. 0.9 ± 0.9, mg/dL p < 0.001) and GC groups (2.5 ± 0.7 mg/dL, p = 0.006). Integrated HDL 4,5NMR-C increased more in the CC than GG group (6.5 ± 1.6 mg/dL v. 1.0 ± 1.3 mg/dL, p = 0.01), as did HDL size compared to the GG (CC: 0.3 ± 0.1 v. GG: 0.1 ± 0.1 nm, p = 0.02) and GC (0.0 ± 0.0 nm, p = 0.007) groups. Conclusions IL6 genotype is associated with HDL-C response to exercise training.

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