2014
DOI: 10.1371/journal.pone.0101082
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Rs964184 (APOA5-A4-C3-A1) Is Related to Elevated Plasma Triglyceride Levels, but Not to an Increased Risk for Vascular Events in Patients with Clinically Manifest Vascular Disease

Abstract: BackgroundSingle nucleotide polymorphisms in the APOA5-A4-C3-A1 gene complex are associated with elevated plasma triglycerides and elevated vascular risk in healthy populations. In patients with clinically manifest vascular disease, hypertriglyceridemia and metabolic syndrome are frequently present, but the contribution of these single nucleotide polymorphisms to plasma triglycerides, effect modification by obesity and risk of recurrent vascular events is unknown in these patients.MethodsProspective cohort stu… Show more

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Cited by 24 publications
(19 citation statements)
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“…Although the contribution of rs964184 to the increased susceptibility to type 2 DM was examined in several GWASs mainly with Caucasians, the significant association was not detected (32,33). The reason for the discrepancy between the previous studies and the present results remains unclear.…”
Section: Discussioncontrasting
confidence: 90%
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“…Although the contribution of rs964184 to the increased susceptibility to type 2 DM was examined in several GWASs mainly with Caucasians, the significant association was not detected (32,33). The reason for the discrepancy between the previous studies and the present results remains unclear.…”
Section: Discussioncontrasting
confidence: 90%
“…In addition, the prevalence of type 2 DM in the present population was 38.2%, which was more than twice that reported previously (32). The higher frequency of the G allele and the higher prevalence of type 2 DM in the present population compared to those in the previous studies (33,34) may increase the statistical power to detect the association of rs964184 with type 2 DM.…”
Section: Discussionsupporting
confidence: 55%
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“…The encoded APOA1 protein is a cofactor for the lecithin cholesterol acyltransferase, which plays an important role in the cholesterol reverse transport by promoting its efflux from tissue to the liver for excretion. Notably, another gene at the same locus, APOA5, has been previously associated with hTG, and both genes have been concomitantly implicated in the disease (13,(36)(37)(38)(39)(40). Hence, the strong link of this variant to hTG observed in this study unequivocally points to a central role for the APOA1 gene in this disorder.…”
Section: Discussionsupporting
confidence: 65%
“…Unfortunately this attenuated the association with this SNP and it no longer significant, leading to the conclusion that rs964184 is more strongly associated with fasting TG than the PPL TG response. Van de Woestijne et al [43] documented an association between fasting TG and rs964184 among patients with known vascular disease which was modified by the presence of metabolic syndrome. While we were unable to assess this in our population because we did not measure clinical vascular disease, it corroborates the importance of studying lipids in relation to CVD.…”
Section: Discussionmentioning
confidence: 99%