Lipoprotein lipase S447X variant associated with VLDL, LDL and HDL diameter clustering in the MetS.

Wood AC, Glasser S, Garvey WT, Kabagambe EK, Borecki IB, Tiwari HK, Tsai MY, Hopkins PN, Ordovas JM, Arnett DK
Lipids Health Dis. 2011 10: 143

PMID: 21854610 · PMCID: PMC3180704 · DOI:10.1186/1476-511X-10-143

BACKGROUND - Previous analysis clustered 1,238 individuals from the general population Genetics of Lipid Lowering Drugs Network (GOLDN) study by the size of their fasting very low-density, low-density and high-density lipoproteins (VLDL, LDL, HDL) using latent class analysis. From two of the eight identified groups (N = 251), ~75% of individuals met Adult Treatment Panel III criteria for the metabolic syndrome (MetS). Both showed small LDL diameter (mean = 19.9 nm); however, group 1 (N = 200) had medium VLDL diameter (mean = 53.1 nm) while group 2 had very large VLDL diameter (mean = 65.74 nm). Group 2 additionally showed significantly more insulin resistance (IR), and accompanying higher waist circumference and fasting glucose and triglycerides (all P < .01). Since lipoprotein lipase hydrolyzes triglyceride in the VLDL-LDL cascade, we examined whether these two patterns of lipoprotein diameter were associated with differences across two lipoprotein lipase (LPL) gene variants: D9N (rs1801177) and S447X (rs328).

FINDINGS - Mixed linear models that controlled for age, sex, center of data collection, and family pedigree revealed no differences between the two groups for the D9N polymorphism (P = .36). However, group 2 contained significantly more carriers (25%) of the 447X variant than group 1 (14%; P = .04).

CONCLUSIONS - This was the first study this kind to show an association between LPL and large VLDL particle size within the MetS, a pattern associated with higher IR. Future work should extend this to larger samples to confirm these findings, and examine the long term outcomes of those with this lipoprotein diameter pattern.

MeSH Terms (22)

Adult Aged Amino Acid Substitution Cluster Analysis Female Gene Frequency Genetic Association Studies Genetic Predisposition to Disease Humans Insulin Resistance Lipoprotein Lipase Lipoproteins, HDL Lipoproteins, LDL Lipoproteins, VLDL Male Metabolic Syndrome Middle Aged Particle Size Pedigree Polymorphism, Genetic Polymorphism, Single Nucleotide United States

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