Abstract

BackgroundApolipoprotein E (ApoE) and solute carrier organic anion transporter family member 1B1 (SLCO1B1) regulate lipid metabolism. However, the relationship between genetic polymorphisms of APOE and SLCO1B1 and cerebral infarction (CI) remains unclear.MethodsA total of 938 CI patients and 1028 control participants were included in the study. The rs429358 and rs7412 single nucleotide polymorphisms (SNPs) in the APOE gene and rs2306283 and rs4149056 SNPs in the SLCO1B1 gene were analyzed by fluorescence polymerase chain reaction (PCR).ResultsThe genotype ɛ3/ɛ3 was the most common APOE genotype, with ɛ3 being the allele with the highest frequency, followed by ɛ4 and ɛ2. Statistically significant differences of genotype ɛ2/ɛ2 (χ2 = 3.866, P = 0.049), ɛ2/ɛ3 (χ2 = 20.030, P < 0.001), ɛ3/ɛ4 (χ2 = 16.960, P < 0.001), and ɛ4/ɛ4 (χ2 = 4.786, P = 0.029) between CI patients and controls were detected. The SLCO1B1 genotype *1b/*1b and haplotype *1b showed the highest frequency in the study sample. There was no statistically significant difference in the frequencies of SLCO1B1 genotypes and haplotypes among CI patients comparing with controls. Moreover, ε4 carriers had significantly higher low-density lipoprotein-cholesterol (LDL-C) and apolipoprotein B (Apo-B) and lower apolipoprotein A1 (Apo-A1)/Apo-B levels than ε2 and ε3 carriers, but ε2 carriers showed lower LDL-C and Apo-B and higher Apo-A1/Apo-B than ε3 and ε4 carriers. Further, logistic regression analysis revealed that high LDL-C, high ApoB, smoking, hypertension and the ε4 allele were risks for the presence of CI.ConclusionsThis study indicated that the APOE SNPs rs429358 and rs7412 may be associated with susceptibility to cerebral infarction in southern Chinese Hakka population.

Highlights

  • Ischemic cerebral infarction (CI) refers to ischemic necrosis or softener of local brain tissue caused by cerebral blood circulation disorder, ischemia and hypoxia, with appearance of corresponding neurological defects

  • The genotype ɛ3/ɛ3 was the most common apolipoprotein E (APOE) genotype, with ɛ3 being the allele with the highest frequency, followed by ɛ4 and ɛ2

  • This study indicated that the APOE single nucleotide polymorphisms (SNPs) rs429358 and rs7412 may be associated with susceptibility to cerebral infarction in southern Chinese Hakka population

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Summary

Introduction

Ischemic cerebral infarction (CI) refers to ischemic necrosis or softener of local brain tissue caused by cerebral blood circulation disorder, ischemia and hypoxia, with appearance of corresponding neurological defects. The relationship between the functional variation of multiple gene in different ethnic groups and CI risk has been studied, including the polymorphisms of interleukin-6 gene [2], βfibrinogen gene [3], PON1 hypermethylation and PON3 hypomethylation [4], 5-lipoxygenase-activating protein gene association (ALOX5AP) [5], the cytochrome P450 1A1 (CYP1A1) gene [6], the human scavenger receptor class B type I (SR-BI) gene [7], genes associated with lipid metabolism [8, 9], and others [10]. The relationship between genetic polymorphisms of APOE and SLCO1B1 and cerebral infarction (CI) remains unclear

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