Several high frequency restriction fragment length polymorphisms (RFLPs) associated with the human gene for apolipoprotein B have been previously reported by Priestly et al. 1 The EcoRI RFLP here was shown to be very strongly associated with the Ag(t/z) Immunochemlcal polymorphism of human low density llpoprotelns, allowing correct Ag(t/z) phenotyplng of 17 (out of 17 tested) unrelated individuals. The Xbal RFLP was associated with the Ag(g/c) Immunochemlcal polymorphism, permitting correct phenotyplng of 14 (out of 17 tested) unrelated Individuals. Its close association with an RFLP permitted localization of the Ag(t/z) polymorphism to the C-termlnal end of the apolipoprotein B peptlde, and allowed detailed discussion of Its probable molecular basis. (Arteriosclerosis 7:301-305, May/June 1987) B ecause of the central role played by apolipoprotein B (apo B) in the transport of lipids, and especially of cholesterol in low density lipoprotein (LDL), it is possible that a genetic variation in apo B could help explain why some individuals are susceptible to atherosclerosis. Apo B has been cloned, and its entire amino acid sequence has been determined.2 ' 3 This achievement permits the reexamination of previously identified genetic variations at the level of nucleotide sequence.Phenotypic expression of genetic variation in LDL has been studied extensively using antisera against allelic variants of the donors' LDL developed in the sera of multiply transfused patients. Population and family studies have confirmed that these immunochemical polymorphisms are inherited in an autosomal codominant mode, implicating the amino acid sequence variation in a protein component of LDL. The data were analyzed and summarized 4 to indicate the existence of five distinct sites of immunochemical polymorphism: Ag(a1/d), Ag(x/y), Ag(t/z), Ag(g/c), and Ag(h/i). The order of the corresponding five loci along the chromosome remains unknown. (In the terminology employed, 'Ag' means 'antigen group', and 'a1/d' are the two alternate forms of an epitope present at the first-mentioned site; 'x/y' are the two alternate epitopes at the second mentioned site, etc.) Phenotypically, individuals may be Received October 13, 1986; revision accepted January 28, 1987. homozygous or heterozygous at each of these five sites; thus, at the first site, an individual might be a1 ,a1 or d,d or a1 ,d. Therefore, 3 5 = 243 possible human Ag phenotypes exist, of which 44 have been identified.
4A monoclonal antibody against apo B which also recognizes the Ag(g/c) epitope and binds 40 times more tightly to LDL from Ag(c,c) individuals than to LDL from Ag(g,g) individuals has been developed. The existence of this antibody identified the gene for apo B as the general locus for the Ag system; possibly all of the five Ag epitopic pairs represent one or the other of two alternative amino acids at five distinct locations on the polypeptide for this apolipoprotein.
5In this communication, we demonstrate that two previously identified restriction fragment length polymorp...