The Role of Polymorphisms Within Paraoxonases (192 Gln/Arg in PON1 and 311Ser/Cys in PON2) in the Modulation of Cardiovascular Risk: A Pilot Study

被引:42
作者
Gluba, Anna [2 ]
Pietrucha, Tadeusz
Banach, Maciej [1 ]
Piotrowski, Grzegorz [3 ]
Rysz, Jacek [2 ]
机构
[1] Med Univ Lodz, Dept Hypertens, PL-90549 Lodz, Poland
[2] Med Univ Lodz, Dept Nephrol Hypertens & Family Med, PL-90549 Lodz, Poland
[3] M Kopernik Prov Specialist Hosp Lodz, Dept Cardiol, Lodz, Poland
关键词
cardiovascular disease; cholesterol profile; paraoxonase; polymorphisms; gene; HIGH-DENSITY-LIPOPROTEIN; CORONARY-ARTERY-DISEASE; LECITHIN-CHOLESTEROL ACYLTRANSFERASE; MYOCARDIAL-INFARCTION RISK; APOLIPOPROTEIN-A-I; HEART-DISEASE; FAMILIAL HYPERCHOLESTEROLEMIA; GLN-ARG192; POLYMORPHISM; GENE POLYMORPHISMS; PARENTAL HISTORY;
D O I
10.1177/0003319709351258
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Paraoxonases (PONs) may exert anti-atherogenic action by reducing lipid peroxidation. We evaluated the influence of 2 polymorphisms within PON1 (192 Gln/Arg) and PON2 (311 Ser/Cys) genes in 407 young Poles: 273 patients who experienced a first myocardial infarction (MI) under the age of 45 (study group) and 134 healthy volunteers (control group) with a HEART Score <= 2 (low risk). Paraoxonase 1 polymorphism 192Gln/Arg influenced the risk of premature MI (P=.0054). A positive family history of coronary artery disease (CAD) was associated with the 192Arg allele (P=.0107). The association between PON1 genotype 192 Gln/Arg) and low-density lipoprotein cholesterol (LDL-C) (P=.036) levels was also observed. However, we did not find any relationship between polymorphism 311Ser/Cys and CAD risk (P=.418). PON1 polymorphism 192Gln/Arg influenced the risk of premature MI. The association between PON1 genotype ( 192 Gln/Arg) and serum LDL-C levels may be explained by PON participation in reverse cholesterol transport.
引用
收藏
页码:157 / 165
页数:9
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