MUDr. Dana Maňasková

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leky-latky/APOA2-gen/asociovane-choroby

Defects in this gene may result in

  • Apolipoprotein A-II deficiency
  • Hypercholesterolemia [1]
  • protein homodimerization activity [4]
  • Lipid binding [4]
  • Homodimer; disulfide-linked [4]
  • Forms a disulfide-linked heterodimer with APOD [4]
  • Interacts with HCV core protein [4]
  • Interacts with APOA1BP and NDRG1 [4]

Apolipoprotein A-II deficiency

  • Deeb et al. (1990) identified homozygosity for a mutation in the APOA2 gene (107670.0001) [3]

APOLIPOPROTEIN A-II DEFICIENCY, FAMILIAL, DUE TO APOA-II (HIROSHIMA)

  • APOA2, IVS3, G-A, +1
  • Proband and her sister were homozygous for a G-to-A transition at position 1 of intron 3 of the APOA2 gene
    • No immunologically detectable apolipoprotein A-II in her plasma
    • Deficiency had little influence either on lipid and lipoprotein profiles or the occurrence of coronary artery disease [3]

Familial and Aapoaii Amyloidosis


Familial hypercholesterolemia

  • APOA2 gene is linked to a gene that controls plasma levels of apoA-II
  • APOA2 gene or its product influences, by an unknown mechanism, plasma levels of free fatty acids (FFA) [3]
  • Lower levels of HDLC
  • Higher apoA-II levels x unaffected
  • Triglyceride and HDL-C levels were significant predictors of apoA-II levels
  • ApoA-II variation is associated with several FCHL-related traits
  • Heritability of apoA-II levels
    • May have pleiotropic effects on apoA-II and FCHL traits
  • ApoA-II is biochemically and genetically associated with FCHL
    • May serve as a useful marker for understanding the mechanism by which FCHL develops [3]
  • Through molecular study of a 1,135-member American Caucasian familial hypercholesterolemia (143890) kindred, Takada et al. (2002)
    • SNP of the promoter of the APOA2 gene, -265T-C (107670.0002) influenced the level of
      • Total cholesterol
      • low density lipoprotein (LDL) cholesterol in members with a mutation in the LDLR gene causing hypercholesterolemia [3]

SNP of the promoter of the APOA2 gene, -265T-C

  • Influenced the level of total cholesterol and low density lipoprotein (LDL) cholesterol in members with a mutation in the LDLR gene
    • Causing hypercholesterolemia (606945.0063)
  • Lower total cholesterol and LDL cholesterol values were observed among most of the LDLR mutation carriers
    • Who were simultaneously homozygous for the -265C allele of the APOA2 gene [3]
  • Transcriptional activity of the APOA2 promoter
    • Reduced by 30% in the -265C allele as compared with the -265T allele [3]

Inzulínová rezistnece

  • Studies in mice have revealed a role of APOA2 gene expression on insulin resistance, obesity and atherosclerosis
    • With controversial results that have been attributed to dietary interactions [5]

APOA2, dietary fat, and body mass index: replication of a gene-diet interaction in 3 independent populations.

  • Corella D1, Peloso G, Arnett DK, Demissie S, Cupples LA, Tucker K, Lai CQ, Parnell LD, Coltell O, Lee YC, Ordovas JM.

Cross-sectional, follow-up (20 years), and case-control analyses in 3 independent populations

  • Gene-diet interactions
  • APOA2 -265T>C polymorphism (rs5082) and saturated fat intake on BMI and obesity in 3462 individuals in the United States
    • Framingham Offspring Study (1454 whites)
    • Genetics of Lipid Lowering Drugs
    • Diet Network Study (1078 whites)
    • Boston-Puerto Rican Centers on Population Health and Health Disparities Study (930 Hispanics of Caribbean origin).

APOA2 -265T>C polymorphism (rs5082)

  • No significant association of the APOA2 -265T>C SNP with HDL-C was found
  • When SATFAT intake is low, the APOA2 -265T>C SNP does not affect BMI. However, when SATFAT intake is high, this SNP is strongly associated with BMI and obesity.
    • In White-Americans, but also in US-Hispanics of Caribbean origin [5]

CC genotyp

  • Prevalence 10.5% - 16.2%
  • Difference in BMI between the individuals with the CC and TT+TC genotypes differed by saturated fat
    • Mean increase in BMI of 6.2% (range, 4.3%-7.9%; P = .01)
      • Between genotypes with high- (> or =22 g/d)
        • 22g/d was established as the cut-off point to classify the low or the high SATFAT intake [5]
          • But have demonstrated a linear dose-effect in the interaction [5]
      • But not with low- saturated fat intake in all studies
  • CC genotype was significantly associated
    • with higher obesity prevalence in all populations only in the high-saturated fat stratum
    • Meta-analysis estimations of obesity for individuals with the CC genotype
      • Compared with the TT+TC genotype were an odds ratio of 1.84 (95% confidence interval, 1.38-2.47; P < .001) in the high-saturated fat stratum
      • No association was detected in the low-saturated fat stratum (odds ratio, 0.81; 95% confidence interval, 0.59-1.11; P = .18) [5]
  • CC subjects exhibited a higher association (B=0.108 Kg/m2; P=0.006) than carriers of the T-allele (B=0.033 Kg/m2; P=0.026) between SATFAT intake and BMI (P for interaction=0.021) [5]
    • Impact of increased SATFAT intake on BMI increase was most noticeable for CC individuals, with the crossing point between the two regression lines at 22g/d of SATFAT, which was approximately the population mean. [5]
    • Further adjustment of this interaction for physical activity did not alter the statistical significance of results [5]

TT genotyp

  • Bez zvýšeného rizika obezity při konzumaci saturovaných tuků oproti ostatní populaci
DM má TT dle výsledků LifeTestu


O úroveň výše

Poslední aktualizace: 8. 10. 2018 13:28:09
© Dana Maňasková, metabalance.cz
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