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Association of the Apolipoprotein A-I gene polymorphisms with cardiovascular disease risk factors and atherogenic indices in patients from assam, Northeast India Cover

Association of the Apolipoprotein A-I gene polymorphisms with cardiovascular disease risk factors and atherogenic indices in patients from assam, Northeast India

By: ,  ,  ,   and    
Open Access
|Jun 2017

Figures & Tables

Figure 1

Polyacrylamide gel (12.0%) picture showing restriction fragments of various sizes, representing the different genotypes obtained for the G-75A/C+83T polymorphic sites. Lane M: 50 bp DNA lane marker (Thermo Fischer Scientific, Waltham, MA, USA); lanes 1, 5, 6 and 8: GG/CC (46, 66, 114 and 209 bp fragments); lanes 2, 4 and 7: GA/CC (46, 66, 114, 18 and 209 bp fragments; lane 3: AA/CC (46, 180 and 209 bp fragments); lane 9: GG/CT (46, 66, 114, 209 and 255 bp fragments). No TT genotype for the C+83T site was detected in the study.

Table 1

Baseline characteristics of the study subjects. (Values are expressed as mean ± SD or n (%). Categorical variables were compared by the χ2 test. Continuous variables were compared by unpaired t-test.)

Study Subjects (n = 200)
VariablesCase Group (n = 100)Control Group (n = 100)p Value
Age (years)43.12 ± 11.6442.95 ± 11.600.92
Sex
  males66 (66.0%)61 (61.0%)0.56
  females34 (34.0%)39 (39.0%)
Smokers
  yes35 (35.0%)25 (25.0%)0.16
  no65 (65.0%)75 (75.0%)
Alcohol use
  yes20 (20.0%)32 (32.0%)0.08
  no80 (80.0%)68 (68.0%)
Body mass index (kg/m2)24.79 ± 3.0822.07 ± 3.18<0.05
Waist circumference (cm)87.14 ± 5.8980.72 ± 6.06<0.05
Systolic blood pressure (mmHg)133.58 ± 16.44117.86 ± 8.53<0.05
Diastolic blood pressure (mmHg)84.32 ± 8.8477.20 ± 5.92<0.05
HDL-C (mg/dL)30.87 ± 5.1954.61 ± 12.17<0.05
Total cholesterol (mg/dL)175.54 ± 35.98160.79 ± 25.70<0.05
Triglycerides (mg/dL)145.95 ± 29.3995.35 ± 23.55<0.05
LDL-C (mg/dL)116.41 ± 28.1987.37 ± 22.96<0.05
VLDL-C (mg/dL)29.12 ± 7.6219.03 ± 5.90<0.05
Non-HDL-C (mg/dL)144.67 ± 32.47106.18 ± 24.83<0.05
Castelli’s risk index I5.71 ± 0.873.04 ± 0.65<0.05
Castelli’s risk index II3.78 ± 0.791.68 ± 0.56<0.05
Atherogenic index of plasma0.66 ± 0.130.26 ± 0.14<0.05
Atherogenic coefficient4.71 ± 0.872.04 ± 0.65<0.05

[i] HDL-C: high density lipoprotein cholesterol; LDL-C: low density lipoprotein cholesterol; VLDL-C; very low density lipoprotein cholesterol; non-HDL-C: non-high density lipoprotein cholesterol.

Table 2

The distribution of G-75A and C+83T polymorphisms in the case and control groups. [Values are expressed as n (%).]

Genotype FrequencyAllelic Frequency
SNPsGroupGGGAAAGA
G-75ACase62 (62.0%)35 (35.0%)3 (3.0%)159 (79.5%)41 (20.5%)
Control60 (60.0%)33 (33.0%)7 (7.0%)153 (76.5%)47 (23.5%)
χ2 = 1.692 (df = 2; p = 0.43χ2 = 0.364 (df = 1; p = 0.55)
CCCTTTCT
C+83TCase89 (89.0%)11 (11.0%)–189 (94.5%)11 (5.5%)
Control87 (87.0%)13 (13.0%)–187 (93.5%)13 (6.5%)
χ2 = 0.047 (df = 1; p = 0.83)χ2 = 0.044 (df = 1; p = 0.83)
Diplotype Frequency
GG/CCGA/CCAA/CCGG/CTGA/CT
CombinedCase54 (54.0%)32 (32.0%)3 (3.0%)8 (8.0%)3 (3.0%)
Control50 (50.0%)30 (30.0%)7 (7.0%)10 (10.0%)3 (3.0%)
χ2 = 2.041 (df = 4; p = 0.73)

[i] SNPs: single nucleotide polymorphisms; df: degree of freedom.

Table 3

Association of decreased high density lipoprotein cholesterol with G-75A and C+83T polymorphisms under different genetic models. [Values are expressed as n (%) or OR (95% CI).]

SNPsModelGenotype/AlleleCaseControlCrude OR (95% CI)Adjusted ORa (95% CI)
G-75AAdditive: GG vs. GA vs. AAGG
GA
AA
62 (62.0%)
35 (35.0%)
3 (3.0%)
60 (60.0%)
33 (33.0%)
7 (7.0%)
reference
1.03 (0.57-1.86)
0.42 (0.10-1.68)
reference
0.82 (0.36-1.88)
0.23 (0.04-1.24)
Dominant: GG vs. (GA + AA)GG
GA +AA
62 (62.0%)
38 (38.0%)
60 (60.0%)
40 (40.0%)
reference
0.92 (0.52-1.63)
reference
0.67 (0.30-1.47)
Recessive: (GG + GA) vs. AAGG + GA
AA
97 (97.0%)
3 (3.0%)
93 (93.0%)
7 (7.0%)
reference
0.41 (0.08-1.62)
reference
0.24 (0.05-1.29)
Allelic: G vs. AG
A
159 (79.5%)
41 (20.5%)
153 (76.5%)
47 (23.5%)
reference
0.84 (0.52-1.35)
reference
0.61 (0.32-1.17)
C+83 TCC vs. CTCC
CT
89 (89.0%)
11 (11.0%)
87 (87.0%)
13 (13.0%)
reference
0.83 (0.34-1.97)
reference
1.66 (0.54-5.13)
Allelic: C vs.TC
T
189 (94.5%)
11 (5.5%)
187 (93.5%)
13 (6.5%)
reference
0.84 (0.36-1.94)
reference
1.58 (0.54-4.59)

SNPs: single nucleotide polymorphisms; OR: odds ratio; 95% CI: 95% confidence interval. Association between C+83T SNP and decreased HDL-C was not assessed by separate genetic models as no TT homozygotes were detected.

a Odds ratio was adjusted for gender, age, smoking, alcohol use, WC, BMI, TC and TG. In every model, for each OR value, the corresponding 95% CI extended across 1. None of the OR values were statistically significant (p >0.05).

Table 4

Influence of G-75A polymorphism on cardiovascular risk factors. [Values are expressed as adjusted mean±standard error (SE). Adjusted means compared between genotypes by analysis of covariance (ANCOVA). Statistically significant (p <0.05) differences among genotypes are highlighted in bold. Furthermore, means in a genotype column bearing an ‘a’ or ‘b’ as a superscript are significantly different.]

Phenotypic VariablesCase Group (n = 100)Control Group (n = 100)Study Subjects (n = 200)
Lipid Profile
GGGAAAGGGAAAGGGAAA
HDL-C#30.7±0.531.3±0.629.5±2.355.4±1.554.8±2.047.0±4.642.7±1.142.9±1.542.2±3.9
TC§179.0±4.7172.9±6.3134.9±21.9156.5±3.3166.1±4.5172.9±10.1168.2±2.9169.2±3.9161.3±10.5
TG§145.5±4.9148.1±6.7129.6±23.293.8±3.794.9±4.9110.3±11.2120.4±3.5121.1±4.8121.5±12.7
LDL-C§120.7±3.8113.3±5.187.2±17.882.7a±2.992.2b±3.9105.1b±8.9102.4±2.7101.6±3.697.9±9.6
VLDL-C§29.0±0.929.6±1.325.8±4.718.7±0.718.9±0.921.9±2.224.2±2.524.2±0.924.0±0.7
Atherogenic Indices
Non-HDL-C§147.9±4.2141.9±5.7109.5±19.8101.1a±3.2111.3a, b±4.3125.9b±9.7125.5±3.1126.1±4.1120.2±10.9
CRI-I§5.8±0.15.6±0.25.4±0.52.9a±0.13.1a±0.13.7b±0.24.4±0.14.3±0.24.1±0.5
CRI-II§3.9±0.13.6±0.13.4±0.51.6a±0.11.8a, b±0.12.2b±0.22.8±0.12.7±0.12.5±0.4
AIP§0.66±0.020.67±0.020.69±0.080.24±0.020.26±0.020.36±0.050.46±0.020.46±0.030.48±0.07
AC§4.8±0.14.6±0.24.4±0.51.9a±0.12.1a±0.12.7b±0.23.4±0.13.3±0.23.1±0.5
Obesity Indices
BMI†24.5±0.425.1±0.526.3±1.921.9±0.422.3±0.621.9±1.323.3±0.323.7±0.423.1±1.1
WC†86.7±0.788.3±0.983.7±3.480.6±0.880.8±1.181.2±2.483.7±0.684.6±0.881.7±2.2
Blood Pressure
Systolic BP‡135.4±2.1130.7±2.8129.1±9.7118.1±1.0117.2±1.4118.7±3.1127.0±1.2124.0±1.6121.5±4.5
Diastolic BP‡85.1±1.183.7±1.677.2±5.477.1±0.777.1±0.978.3±2.2120.4±3.580.3±0.978.4±2.4

HDL-C: high density lipoprotein cholesterol; TC: total cholesterol; TG: triglycerides; LDL-C: low density lipoprotein cholesterol; VLDL-C; very low density lipoprotein cholesterol; non-HDL-C: non-high density lipoprotein cholesterol; CRI-I: Castelli’s risk index I; CRI-II: Castelli’s risk index II; AIP: atherogenic index of plasma; AC: atherogenic coefficient ; BMI: body mass index; WC: waist circumference; Systolic BP: systolic blood pressure; Diastolic BP: diastolic blood pressure.

# Means adjusted taking age, gender, smoking, alcohol use, TC, TG, WC and BMI as covariates.

§ Means adjusted taking age, gender, smoking, alcohol use, WC and BMI as covariates.

§ Means adjusted taking age, gender, smoking, alcohol use, WC and BMI as covariates.

§ Means adjusted taking age, gender, smoking, alcohol use, WC and BMI as covariates.

§ Means adjusted taking age, gender, smoking, alcohol use, WC and BMI as covariates.

§ Means adjusted taking age, gender, smoking, alcohol use, WC and BMI as covariates.

§ Means adjusted taking age, gender, smoking, alcohol use, WC and BMI as covariates.

§ Means adjusted taking age, gender, smoking, alcohol use, WC and BMI as covariates.

§ Means adjusted taking age, gender, smoking, alcohol use, WC and BMI as covariates.

§ Means adjusted taking age, gender, smoking, alcohol use, WC and BMI as covariates.

† Means adjusted taking age, gender, smoking, alcohol use, TC, HDL-C and TG as covariates.

† Means adjusted taking age, gender, smoking, alcohol use, TC, HDL-C and TG as covariates.

‡ Means adjusted taking age, gender, smoking, alcohol use, TC, HDL-C, TG, BMI and WC as covariates.

‡ Means adjusted taking age, gender, smoking, alcohol use, TC, HDL-C, TG, BMI and WC as covariates.

Table 5

Influence of C+83T polymorphism on cardiovascular risk factors. [Values are expressed as adjusted mean±SE. Adjusted means compared between genotypes by analysis of covariance (ANCOVA). Statistically significant (p <0.05) differences among genotypes are highlighted in bold. Furthermore, means in a genotype column bearing an ‘a’ or ‘b’ as a superscript are significantly different.]

Phenotypic VariablesCase Group (n = 100)Control Group (n = 100)Study Subjects (n = 200)
Lipid Profile
CCCTCCCTCCCT
HDL-C#30.8 ± 0.431.1 ± 1.154.7 ± 1.253.7 ± 3.143.1 ± 0.939.9 ± 2.5
TC§176.5 ± 3.9167.8 ± 11.2162.6 ± 2.7148.4 ± 7.1169.7 ± 2.4157.2 ± 6.5
TG§148.8a ± 123.2123.2b ± 11.496.6 ± 3.087.1 ± 7.9122.7a± 2.9105.3b ± 7.9
LDL-C§116.9 ± 3.2112.4 ± 9.188.7 ± 2.578.6 ± 6.4102.9 ± 2.294.8 ± 5.9
VLDL-C§29.7a ± 0.824.7b ± 2.319.3 ± 0.617.3 ± 1.624.5a ± 0.621.1b ± 1.6
Atherogenic Indices
Non-HDL-C§145.6 ± 3.5137.5 ± 10.1107.7 ± 2.795.9 ± 6.9126.7 ± 2.5116.2 ± 6.8
CRI-I§5.7 ± 0.15.6 ± 0.33.1 ± 0.12.9 ± 0.24.4 ± 0.14.2 ± 0.3
CRI-II§3.8 ± 0.13.8 ± 0.21.7 ± 0.11.5 ± 0.22.7 ± 0.12.7 ± 0.2
AIP§0.67a ± 0.010.59b ± 0.040.27 ± 0.010.23 ± 0.040.47a ± 0.010.41b ± 0.03
AC§4.7 ± 0.14.6 ± 0.32.1 ± 0.11.8 ± 0.23.4 ± 0.13.2 ± 0.2
Obesity Indices
BMI†24.9 ± 0.323.5 ± 0.922.1 ± 0.322.1 ± 0.923.5 ± 0.322.8 ± 0.7
WC†87.3 ± 0.685.5 ± 1.780.6 ± 0.681.4 ± 1.784.0 ± 0.583.3 ± 1.4
Blood Pressure
Systolic BP‡133.6 ± 1.7133.7 ± 4.9117.7 ± 0.8119.1 ± 2.2125.6 ± 1.0126.3 ± 28
Diastolic BP‡83.8 ± 0.988.3 ± 2.777.0 ± 0.677.9 ± 1.580.4 ± 0.682.9 ± 1.6

HDL-C: high density lipoprotein cholesterol; TC: total cholesterol; TG: triglycerides; LDL-C: low density lipoprotein cholesterol; VLDL-C; very low density lipoprotein cholesterol; non-HDL-C: non-high density lipoprotein cholesterol; CRI-I: Castelli’s risk index I; CRI-II: Castelli’s risk index II; AIP: atherogenic index of plasma; AC: atherogenic coefficient; BMI: body mass index; WC: waist circumference; Systolic BP: systolic blood pressure; Diastolic BP: diastolic blood pressure.

# Means adjusted taking age, gender, smoking, alcohol use, TC, TG, WC and BMI as covariates.

§ Means adjusted taking age, gender, smoking, alcohol use, WC and BMI as covariates.

§ Means adjusted taking age, gender, smoking, alcohol use, WC and BMI as covariates.

§ Means adjusted taking age, gender, smoking, alcohol use, WC and BMI as covariates.

§ Means adjusted taking age, gender, smoking, alcohol use, WC and BMI as covariates.

§ Means adjusted taking age, gender, smoking, alcohol use, WC and BMI as covariates.

§ Means adjusted taking age, gender, smoking, alcohol use, WC and BMI as covariates.

§ Means adjusted taking age, gender, smoking, alcohol use, WC and BMI as covariates.

§ Means adjusted taking age, gender, smoking, alcohol use, WC and BMI as covariates.

§ Means adjusted taking age, gender, smoking, alcohol use, WC and BMI as covariates.

† Means adjusted taking age, gender, smoking, alcohol use, TC, HDL-C and TG as covariates.

† Means adjusted taking age, gender, smoking, alcohol use, TC, HDL-C and TG as covariates.

‡ Means adjusted taking age, gender, smoking, alcohol use, TC, HDL-C, TG, BMI and WC as covariates.

‡ Means adjusted taking age, gender, smoking, alcohol use, TC, HDL-C, TG, BMI and WC as covariates.

DOI: https://doi.org/10.1515/bjmg-2017-0002 | Journal eISSN: 2199-5761 (formerly 1311-0160) | Journal ISSN: 1311-0160
Language: English
Page range: 59 - 70
Published on: Jun 30, 2017
Published by: Macedonian Academy of Sciences and Arts
In partnership with: Paradigm Publishing Services

© 2017 K Bora, MS Pathak, P Borah, Md.I Hussain, D Das, published by Macedonian Academy of Sciences and Arts
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.