Clinical Chemistry 43: 13-17, 1997;
(Clinical Chemistry. 1997;43:13-17.)
© 1997 American Association for Clinical Chemistry, Inc.
Association between genetic variations of apo AI-CIII-AIV cluster gene and hypertriglyceridemic subjects
Seung Ho Hong1,
Woo Hyun Park2,
Chung Choo Lee2,
Jung Han Song3 and
Jin Q Kim4,a
1
Departments of Molecular Biology and
2
Biology, SRC for Cell Differentiation, Seoul National University, Seoul, Korea.
3
Department of Clinical Pathology, Dankook University
Hospital, Cheonan, Korea.
4
Department of Clinical Pathology, Seoul National
University Hospital, Seoul, Korea.
a Address correspondence to this author at: Division of Clinical Chemistry, Department of Clinical Pathology, Seoul National University Hospital, 28 Yongon-dong, Chongno-gu, Seoul 110744, Korea. Fax 82-2-745-6653.
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Abstract
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Several studies have suggested that genetic variations of the
apolipoprotein (apo) AI-CIII-AIV cluster gene are associated with
hyperlipidemia or atherosclerosis. These investigations were carried
out mainly with Caucasian groups; there have been few associated
studies involving non-Caucasian groups. This study was conducted to
elucidate the association between five restriction fragment length
polymorphisms (RFLPs) of the apo AI-CIII-AIV cluster gene and Korean
hypertriglyceridemic subjects. The rare allele frequencies of the
XmnI and SstI polymorphic sites in the patients
were significantly higher than those of the control group
(P <0.05). These two polymorphic sites had relation to
linkage disequilibrium in the hypertriglyceridemic subjects (
=
-0.2733). In addition, S2 allele frequency of the
SstI RFLP in Koreans was more frequent than that of
Caucasians reported previously. The rare allele of XmnI and
SstI polymorphic sites was associated with increased
triglyceride concentrations in the hypertriglyceridemic group
(P <0.005). Koreans have a much lower prevalence of
hyperlipidemia than Caucasians. Nevertheless, this study showed a
similar trend with results from Caucasian groups, thereby confirming
that genetic variations of the apo AI-CIII-AIV cluster gene are likely
to be significant markers for hypertriglyceridemic sub-jects. Thus,
RFLP loci of the apo AI-CIII-AIV cluster gene may be a useful genetic
marker for clinical or population studies.
Key Words: indexing terms: hypertriglyceridemia restriction fragment length polymorphism allele frequency atherosclerosis
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Introduction
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Rather than single gene defect, impaired functions in two or more
of the many genes that control lipid transport and metabolism have been
suspected to cause inherited lipoprotein disorders or atherosclerosis.
The apolipoprotein (apo) AI-CIII-AIV cluster gene is one of such
groups.1
The products of apo AI, CIII, and AIV genes,
together with apo AII, are the major protein components of high-density
lipoproteins (HDLs). Each of them has been shown to modify the activity
of lecithin:cholesterol acyltransferase in vitro
(1)(2). The gene coding for apo AI-CIII-AIV
occurs in a tight cluster spanning ~15 kilobases on the long arm of
human chromosome 11 (3), where the apo CIII gene is
transcribed in the opposite direction to the apo AI and AIV genes.
More than 10 common polymorphisms within the apo AI-CIII-AIV cluster
gene have been detected (4)(5), and several
studies have suggested associations between some restriction fragment
length polymorphism (RFLP) loci of this cluster gene and variations in
plasma lipid concentrations (6)(7), although
the results have not always been concordant in general populations. The
apo AI-CIII-AIV cluster gene has been suggested to be very probably the
cause of hyperlipidemia and atherosclerosis. For example, the rare
allele of the SstI polymorphism in the 3' noncoding region
of the apo CIII gene has mainly been associated with
hypertriglyceridemia (8)(9)(10)(11)(12)(13). A few studies have also
shown an increased frequency of the allele in patients with coronary
artery disease (CAD) (14)(15)(16). The rare allele of the
XmnI polymorphism 5' of the apo AI gene appears to be a
marker for familial combined hyperlipidemia (FCHL)
(17)(18) or hypertriglyceridemia
(19). The PstI polymorphism has been reported
to show an association with decreased HDL-cholesterol concentrations
(20)(21) and with angiographically detected
premature CAD (22). It has also been reported to show an
association with apo AI concentrations in healthy subjects
(20). The two studies have indicated that the G to A
mutation at bp position 75 in the apo AI promoter is associated with
increased concentrations of HDL-cholesterol
(23)(24). These results therefore indicate
that genetic variations in this cluster gene influence plasma lipid
metabolism.
Association studies of the apo AI-CIII-AIV cluster gene have mainly
reported on Caucasian populations. There have, however, been few
investigations of non-Caucasian groups. There have been no association
reports on Oriental groups, except for a Japanese population
(25)(26). In view of the importance of the apo
AI-CIII-AIV cluster gene as a major marker for hyperlipidemia, the
present study investigated possible associations between variations of
the five RFLP sites (XmnI, G
A,
PstI, SstI, and HincII) in this
cluster gene and plasma lipid concentrations in Korean
hypertriglyceridemic subjects.
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Materials and Methods
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study subjects
Seventy-seven subjects (73 males, 4 females) with primary
hypertriglyceridemia were recruited from the Lipid Clinic at Seoul
National University Hospital, Seoul, Korea. Subjects with a
triglyceride concentration >2.71 mmol/L were included in the
hypertriglyceridemic group. Patients with secondary hyperlipidemia,
hypertension, diabetes, and endocrine or metabolic disorders were
excluded from this group. The control group consisted of 92 individuals
(70 males, 22 females) within the same age range as the patients, who
were randomly selected via health screening at the same hospital. The
normotriglyceridemic control group was defined as having cholesterol
concentrations <75th centile for age and gender and triglycerides
<2.15 mmol/L. All subjects gave their informed consent before
participation. Clinical details for these groups are summarized in
Table 1
.
determination of lipid parameters
Blood samples were obtained in EDTA tubes from individuals who had
been fasting for 1216 h. Concentrations of plasma cholesterol and
triglyceride were measured by enzymatic colorimetry methods with
commercial kits (Boehringer Mannheim, Mannheim, Germany) and a Hitachi
747 automated chemistry analyzer. The day-to-day CVs were 2.5% for
cholesterol and 5.1% for triglycerides. HDL-cholesterol was determined
by measuring cholesterol in the supernatant liquid after precipitation
of the plasma with MgCl2 and dextran sulfate, with a
Gilford Impact 400E automated analyzer with reagents and calibrators
from Boehringer Mannheim. The day-to-day CV of HDL-cholesterol was
4.0%.
dna analysis
Total genomic DNA was prepared from the leukocytes of 10 mL of
blood after lysis of red blood cells (27). For G to A
mutation (HpaII) and SstI and HincII
polymorphisms, DNA was amplified by PCR. The G to A mutation is at bp
position 75 in the promoter region of the apo AI gene. Primer sequences
and procedures for PCR amplification have previously been described
(28). Fragments of 175 bp and 75 bp identify the
G allele (presence of cutting site), while a fragment of 258
bp identifies the A allele (absence of cutting site). For
the SstI polymorphism of 3' untranslated region of the apo
CIII gene, primer sequences and procedures for PCR amplification have
been described (29). Fragments of 596 bp for the
S1 allele (absence of cutting site) and of 371 and 225 bp
for the S2 allele (presence of cutting site) were produced.
For the HincII restriction site at exon 3 of the apo AIV
gene, procedures for PCR amplification and digestion were as described
(30). Here, fragments of 615, 262, and 135 bp for the
N allele and of 877 and 135 bp for the S allele
were produced. For XmnI and PstI polymorphisms,
Southern transfer onto nylon membrane (Hybond-N, Amersham, UK) and
hybridization with digoxigenin-labeled clone pAI-113 of apo AI cDNA
were carried out as described elsewhere (31), according to
the specifications of the manufacturer (Boehringer Mannheim). The probe
was kindly supported by J.L. Breslow (The Rockefeller University, New
York, NY). The PstI polymorphic site maps to the intergenic
sequence between the apo AI and CIII genes. It shows a two-allele
polymorphism with bands at 2.2 kb (P1 allele) or 3.2 kb
(P2 allele). The XmnI polymorphism is located in
the 5' flanking region ~3.7 kb from the cap site of the apo AI gene.
It gives a band of 8.3 kb (X1 allele, absence of site) or
6.6 kb (X2 allele, presence of site).
data analysis
The counting method was used for the estimation of the apo
AI-CIII-AIV cluster gene frequencies. Differences of genotype
distributions in the two groups were calculated by using 2 x 2
contingency tables. The
2 test was used to apply
for HardyWeinberg equilibrium, while the one-way analysis of variance
(ANOVA) test was performed to compare the mean levels of lipid
parameters among different genotypes. Statistical significance was
accepted at the P = 0.05 level. The degree of nonrandom
association was determined by calculation of the delta value (
)
between the two polymorphic sites at the apo AI-CIII-AIV cluster gene
(32).
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Results
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As shown in Table 1
, the normo- and hypertriglyceridemic groups
did not differ significantly with respect to age. The
hypertriglyceridemic group had significantly higher plasma total
cholesterol and triglyceride (P <0.005) or lower
HDL-cholesterol concentrations (P <0.05) than the
normotriglyceridemic group. Allele frequencies of five RFLPs in the
hypertriglyceridemic and control subjects are given in Table 2
. The heterozygosity and polymorphism information content (PIC)
values are also shown. The rare allele frequencies of the
XmnI and SstI sites of the hypertriglyceridemic
subjects showed a significantly higher increase than those of the
control group (P <0.05). None of the other polymorphisms
showed a difference in allele frequency between the two groups. The PIC
of the XmnI, SstI, and HincII RFLP
showed relatively high values in the two groups. At all sites except
one, genotype distributions did not differ from those expected for
HardyWeinberg proportions. The SstI RFLP deviated from
this equilibrium due to the relatively rare S2 homozygote in
the control group (
2 = 9.59, df = 1,
P <0.005). The degree of linkage disequilibrium between
polymorphisms was estimated by using the standardized disequilibrium
statistic,
. Some RFLP sites at this loci are in apparent linkage
disequilibrium (data not shown).
Table 3
presents the comparison of lipid parameters in the
SstI and XmnI polymorphisms. Triglyceride
concentrations varied significantly among genotypes of XmnI
and SstI sites in the hypertriglyceridemic subjects (ANOVA
test, P <0.05). In particular, the X2X2 and
S2S2 homozygote of the patients is associated with the
highest triglyceride concentrations. Cholesterol concentrations
differed significantly among genotypes of SstI site in the
hypertriglyceridemic subjects (ANOVA test, P <0.05).
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Table 3. Comparison of lipid concentrations (mean ± SD,
mmol/L) according to apo CIII/SstI and AI/XmnI
genotypes.
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Discussion
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Hypertriglyceridemia is a common metabolic disorder that may be
the result of defective degradation of triglyceride-rich lipoproteins,
impaired clearance from plasma, or a combination of both. A number of
epidemiological studies have shown that in addition to environmental
factors, genetic mechanisms may play a role in determining
susceptibility to hypertriglyceridemia.
In the present study we determined allele frequencies of the apo
AI-CIII-AIV cluster gene in normo- and hypertriglyceridemic groups. We
showed that the rare allele frequency of the SstI RFLP is
higher in the hypertriglyceridemic group than in control subjects
(P <0.05). The rare allele frequency of the controls was
similar to that of Japanese and Chinese populations, and more frequent
than in Caucasians. In most but not all studies, which have been mainly
with Caucasians, the rare allele of the SstI polymorphism
has been demonstrated to be associated with hypertriglyceridemia. The
triglyceride concentrations of our data were significantly different
among the SstI genotypes in the hypertriglyceridemic group
(P <0.005); in particular, they showed the most increased
values in the S2 homozygote. Thus, the S2 allele
might be a cause of increased triglyceride concentrations. Cholesterol
concentrations also varied significantly among the SstI
genotypes in the hypertriglyceridemic group without gene dosage effect
(P <0.005). Apo CIII inhibits lipoprotein lipase hydrolysis
of triglycerides as well as the uptake of VLDL and chylomicron remnants
by the liver. Thus, it might affect triglyceride as well as cholesterol
concentrations. Furthermore, Ito et al. (33) reported that
overexpression of human apo CIII causes severe hypertriglyceridemia in
transgenic mice. However, the SstI polymorphic site is
located in the 3' noncoding region of the apo CIII gene. As the
sequence change of the SstI site does not alter an amino
acid, the rare allele of the SstI RFLP is likely involved in
determining differences of triglyceride concentrations by linkage
disequilibrium with other functional sequences in or nearby the apo
CIII gene. Other studies suggested that certain haplotypes generated
from the SstI RFLP and promoter variants of the apo CIII
gene may protect or predispose to hypertriglyceridemia
(34)(35). In addition, the SstI
polymorphism may also likely have some influence on mRNA stability
(36).
The rare allele of the XmnI polymorphism of the apo AI gene
is also associated with hypertriglyceridemia in Koreans. Triglyceride
concentrations varied significantly among the genotypes in the
hypertriglyceridemic group (P <0.005). It is important to
examine the possibility that the associations found in the
XmnI and SstI polymorphisms may be related each
other. In the present study, the XmnI and SstI
polymorphisms were in apparent linkage disequilibrium (
= -0.2733).
A mechanism that could explain this possibility, and one that cannot be
excluded, is that the XmnI variable site, which occurs
within the 5' flanking region ~3.7 kb from the cap site of the apo AI
gene, may have a direct effect on the rate of the apo AI gene
transcription. Thus, the X2 homozygote might be a cause of
increased triglyceride concentrations, or unknown mutations in apo
AI-CIII-AIV might exist in linkage disequilibrium with XmnI
polymorphism. Thus, the mutations may cause overexpression of apo AI.
There have been fewer reports of hypertriglyceridemia being linked with
XmnI RFLP (19) than there have of its being
linked with SstI. Some studies have suggested that
XmnI polymorphism is mainly associated with FCHL
(17)(18). According to the family history of
FCHL, hypertriglyceridemia is also a feature. Although the
hypertriglyceridemic subjects of this study were not >95th centile in
cholesterol concentrations for age and gender, these concentrations
were significantly higher in the patients than in the controls
(P <0.005). Since individuals with FCHL might be included
within the group of hypertriglyceridemic subjects, the frequency of the
XmnI rare allele may increase slightly in this study.
In the present study, allele frequencies of
G
A, PstI, and HincII
polymorphisms did not differ between the two groups. Also, some studies
have suggested that these polymorphic sites do not serve as a useful
DNA marker for dyslipidemia or atherosclerosis. Although the
association of the G to A mutation with plasma HDL-cholesterol
concentrations was reported, it has been recently disputed
(37).
Association studies of the cluster gene loci with plasma lipid
concentrations have been performed mainly with Caucasians, but results
have been inconsistent. There have been only a few studies involving
Orientals, including Japanese and Chinese populations. There is a much
lower prevalence of hyperlipidemia in Asian groups than in Caucasians.
Hyperlipidemia is influenced by genetic constitution as well as by
environmental factors, including lifestyle, diet, and smoking. In spite
of differences in the genetic background, polymorphism data for various
ethnic groups may be consistent. In conclusion, our data confirmed the
results of previous investigations that the apo AI-CIII-AIV gene
cluster is involved in hypertriglyceridemia.
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Acknowledgments
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We are grateful to J.L. Breslow (The Rockefeller University, New
York, NY) for supporting the pAI-113 probe. This work was supported in
part by grants from the Seoul National University Hospital (04-96-034)
and the Korean Sciences and Engineering Foundation through the Research
Center for Cell Differentiation (95-2-1).
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Footnotes
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1 Nonstandard abbreviations: apo, apolipoprotein; RFLP, restriction fragment length polymorphism; CAD, coronary artery disease; FCHL, familial combined hyperlipidemia; and PIC, polymorphism information content. 
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References
|
|---|
-
Fielding CJ, Shore VG, Fielding PE. A protein cofactor of lecithin:cholesterol acyltransferase. Biochem Biophys Res Commun 1972;46:1493-1498.
[Web of Science][Medline]
[Order article via Infotrieve]
-
Steinmetz A, Utermann G. Activation of lecithin:cholesterol acyltransferase by human apolipoprotein A-IV. J Biol Chem 1985;260:2258-2264.
[Abstract/Free Full Text]
-
Karathanasis SK. Apolipoprotein multigene family: tandem organization of human apolipoprotein AI, CIII, AIV genes. Proc Natl Acad Sci U S A 1985;82:6374-6378.
[Abstract/Free Full Text]
-
Humphries SE. DNA polymorphism of the apolipoprotein genestheir use in the investigation of the genetic component of hyperlipidemia and atherosclerosis. Atherosclerosis 1988;72:89-108.
[Web of Science][Medline]
[Order article via Infotrieve]
-
Lusis AJ. Genetic factors affecting blood lipoproteins: the candidate gene approach. J Lipid Res 1988;29:397-429.
[Web of Science][Medline]
[Order article via Infotrieve]
-
Humphries S, Paul H, Jeenah M, Rosseneu M, Miller N. The contribution of variation at the apo AI-CIII-AIV gene locus to the determination of HDL-cholesterol and apo AI levels. Carlson L eds. Disorders of HDL metabolism 1990:63-70 Smith-Gordon London. .
-
Humphries S, Paul-Hayase H, Gudnason V, Rosseneu M,
Dunning A, Talmud P. Identification of common genetic polymorphisms
that determine plasma levels of LDL and HDL. In: Stein O, Eisenberg S,
Stein Y, eds. Atherosclerosis IX. Proceedings of the Ninth Symposium on
Atherosclerosis, Chicago, IL, October 611. 1991:25560..
-
Rees A, Shoulders CC, Stocks J, Galton DJ, Baralle FE. DNA polymorphism adjacent to human apoprotein A-I generelation to hypertriglyceridaemia. Lancet 1983;i:444-446.
-
Rees A, Sharpe C, Stocks J, Vella MA, Shoulders CC, Katz, et al. DNA polymorphism in the apo AI-CIII gene cluster association with hypertriglyceridemia. J Clin Invest 1985;76:1090-1095.
-
Shoulders CC, Ball MJ, Mann JI, Baralle FE. Genetic marker in apolipoprotein AI/CIII gene complex associated with hypercholesterolemia. Lancet 1986;ii:1286-1288.
-
Shoulders CC, Ball MJ, Baralle FE. Variation of the apo AI/CIII/AIV gene complex: its association with hyperlipidaemia. Atherosclerosis 1989;80:111-118.
[Web of Science][Medline]
[Order article via Infotrieve]
-
Aalto-Setala K, Kontula K, Sane T, Nieminen M, Nikkila E. DNA polymorphisms of apolipoprotein AI/CIII and insulin genes in familial hypertriglyceridemia and in coronary heart disease. Atherosclerosis 1987;66:145-152.
[Web of Science][Medline]
[Order article via Infotrieve]
-
Henderson HE, Landon SV, Michie J, Berger MB. Association of a DNA polymorphism in the apolipoprotein CIII gene with diverse hyperlipidaemic phenotypes. Hum Genet 1987;75:62-65.
[Web of Science][Medline]
[Order article via Infotrieve]
-
Ferns GAA, Stocks J, Ritchie C, Galton DJ. Genetic polymorphisms of apolipoprotein C-III and insulin in survivors of myocardial infarction. Lancet 1985;ii:300-303.
-
Deeb S, Failor A, Brown BG, Brunzell JD, Albers JJ, Motulsky AG. Molecular genetics of apolipoproteins and coronary heart disease. Cold Spring Harbor Symp Quant Biol 1986;51:403-409.
-
Price WH, Morris SW, Kitchin AH, Wenham PR, Burgon PR, Donald PM. DNA restriction fragment length polymorphisms as markers of familial coronary heart disease. Lancet 1989;i:1407-1411.
-
Hayden MR, Kirk H, Clark C, Frohlich J, Rabkin S, Mcleod R, Hewitt J. DNA polymorphisms in and around the apo-AI-CIII genes and genetic hyperlipidemias. Am J Hum Genet 1987;40:421-430.
[Web of Science][Medline]
[Order article via Infotrieve]
-
Wojciechowski AP, Farrall M, Cullen P, Wilson TME, Bayliss JD, Farren B, et al. Familial combined hyperlipidaemia linked to the apolipoprotein AI-CIII-AIV gene cluster on chromosome 11q23q24. Nature 1991;349:161-164.
[Medline]
[Order article via Infotrieve]
-
Kessling AM, Berg J, Mockleby E, Humphries SE. DNA polymorphism around the apo AI gene in normal and hyperlipidaemic individuals selected for a twin study. Clin Genet 1986;29:485-490.
[Web of Science][Medline]
[Order article via Infotrieve]
-
Paulweber B, Friedl W, Krempler F, Humphries SE, Sandhofer F. Genetic variation in the apolipoprotein AI-CIII-AIV gene cluster and coronary heart disease. Atherosclerosis 1988;73:125-133.
[Web of Science][Medline]
[Order article via Infotrieve]
-
Wile DB, Barbir M, Gallagher J, Myant NB, Ritchie CD, Thompson GR, Humphries SE. Apolipoprotein A-I gene polymorphisms: frequency in patients with coronary artery disease and healthy controls and association with serum apo AI and HDL-cholesterol concentration. Atherosclerosis 1989;78:9-18.
[Web of Science][Medline]
[Order article via Infotrieve]
-
Ordovas JM, Schaefer EJ, Salem D, Ward RH, Glueek CJ, Vergani C, et al. Apolipoprotein A-I gene polymorphism associated with premature coronary artery disease and familial hypoalphalipoproteinemia. N Engl J Med 1986;413:617-627.
-
Pagani F, Sidoli A, Giudici GA, Barenghi L, Vergani C, Baralle FE. Human apolipoprotein A-I gene promoter polymorphism: Association with hyperalphalipoproteinemia. J Lipid Res 1990;31:1371-1377.
[Abstract]
-
Jeenah M, Kessling A, Miller N, Humphries S. G to A substitution in the promoter region of the apolipoprotein AI gene is associated with elevated serum apolipoprotein AI and high density lipoprotein cholesterol concentrations. Mol Biol Med 1990;7:233-241.
[Web of Science][Medline]
[Order article via Infotrieve]
-
Zeng Q, Dammerman M, Takada Y, Matsunaga A, Breslow JL, Sasaki J. An apolipoprotein CIII marker associated with hypertriglyceridemia in Caucasians also confers increased risk in a west Japanese population. Hum Genet 1995;95:371-375.
[Web of Science][Medline]
[Order article via Infotrieve]
-
Saha N, Tay JSH, Low PS, Basair J, Hong S. Five restriction fragment length polymorphisms of the apo A1C3 gene and their influence on lipids and apolipoproteins in healthy Chinese. Hum Hered 1995;45:303-310.
[Web of Science][Medline]
[Order article via Infotrieve]
-
Sambrook J, Fritsch EF, Maniatis T. Molecular cloninga
laboratory manual, 2nd ed. Cold Spring Harbor, NY: Cold Spring Harbor
Laboratory Press, 1989:9.149.23..
-
Needham EWA, Mattu RK, Rees A, Stocks J, Galton DJ. A polymorphism in the human apolipoprotein AI promoter region: a study in hypertriglyceridemic patients. Hum Hered 1994;44:94-99.
[Web of Science][Medline]
[Order article via Infotrieve]
-
Paul-Hayase Rosseneu M, Robinson D, Van Bervliet JP, Deslypere JP, Humphries SE. Polymorphisms in the apolipoprotein (apo) AI-CIII-AIV gene cluster: detection of genetic variation determining plasma apo AI, apo CIII and apo AIV concentrations. Hum Genet 1992;88:439-446.
[Web of Science][Medline]
[Order article via Infotrieve]
-
Tenkanen H, Koskinen P, Metso J, Baumann M, Lukka M, Kauppinen-Makelin R, et al. A novel polymorphism of apolipoprotein A-IV is the result of an asparagine to serine substitution at residue 127. Biochim Biophys Acta 1992;1138:27-33.
[Medline]
[Order article via Infotrieve]
-
Southern EM. Detection of specific sequences among DNA fragments separated by gel electrophoresis. J Mol Biol 1975;98:503-507.
[Web of Science][Medline]
[Order article via Infotrieve]
-
Hill WG, Robertson A. Linkage disequilibrium of finite populations. Theor Appr Genet 1968;38:226-231.
-
Ito Y, Azrolan N, O'Connell A, Walsh A, Breslow JL. Hypertriglyceridemia as a result of human apo CIII gene expression in transgenic mice. Science 1990;249:790-793.
[Abstract/Free Full Text]
-
Dammerman M, Sandkuijl LA, Halaas JL, Chung W, Breslow JL. An apolipoprotein CIII haplotype protective against hypertriglyceridemia is specified by promoter and 3' untranslated region polymorphisms. Proc Natl Acad Sci U S A 1993;90:4562-4566.
[Abstract/Free Full Text]
-
Li WW, Dammerman M, Smith JD, Metzger S, Breslow JL, Leff T. Common genetic variation in the promoter of the human apo CIII gene abolishes regulation by insulin and may contribute to hypertriglyceridemia. J Clin Invest 1995;96:1601-1605.
-
Smith JD, Brinton EA, Breslow JL. Polymorphism in the human apolipoprotein A-I gene promoter region. Association of the minor allele with decreased production rate in vivo and promoter activity in vitro. J Clin Invest 1992;89:1796-1800.
-
Barre DE, Guerra R, Verstraete R, Wang Z, Grundy SM, Cohen JC. Genetic analysis of a polymorphism in the human apolipoprotein A-I gene promoter: effect on plasma HDL-cholesterol levels. J Lipid Res 1994;35:1292-1296.
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