Российский кардиологический журнал (Nov 2017)

LIPID PROFILE AND GENETIC MARKERS ASSOCIATED WITH THE LEVEL OF OXIDIzED LOW DENSITY LIPOPROTEIDES

  • E. Yu. Khlebus,
  • А. N. Meshkov,
  • V. Z. Lankin,
  • А. A. Orlovsky,
  • А. V. Kiseleva,
  • N. V. Shcherbakova,
  • А. А. Zharikova,
  • А. I. Ershova,
  • А. К. Tikhaze,
  • Е. B. Yarovaya,
  • I. Е. Chazova,
  • S. А. Boytsov

DOI
https://doi.org/10.15829/1560-4071-2017-10-49-54
Journal volume & issue
Vol. 0, no. 10
pp. 49 – 54

Abstract

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Aim. To assess biochemical and genetic markers associated with the level of oxidized low density lipoproteides (oxLDL).Material and methods. Patients with various cardiovascular risk according to the SCORE scale were included in this study. Biochemical parameters were measured in blood serum with automatic analyzer Architect C8000 (Abbott, USA). OxLDL level was measured with the hard-phase immune-enzyme assay Oxidized LDL ELIsA (Mercodia, sweden). Genotyping was performed via the Cardio-MetaboChip microarrays (Illumina, USA). Seventeen single-nucleotide polymorphisms (SNP) of the APOB gene were included into analysis: rs676210, rs1042034, rs6728178, rs6754295, rs673548, rs6711016, rs11902417, rs10184054, rs6544366, rs4564803, rs7557067, rs2678379, rs533617, rs679899, rs1801695, rs1367117, rs1042031. The association study between SNP and oxLDL level was performed by the ROC-analysis. Based on results, the group of SNP was selected. According to this group, the total SCORE (TS) showing the level of genetic susceptibility to an increased oxLDL level was calculated.Results. The present study included 717 patients ranging from 28 to 84 years old (with the median of 57), 204 men (28.45%). The oxLDL level varied from 21,03 to 163,72 U/dL (median 68,5) and correlated with the levels of total cholesterol (TC), triglycerides (TG), low density cholesterol (LDL-C), C-reactive protein (C-RP) and apolipoprotein B-100 (ApoB-100). The highest coefficients of correlations (p<10-10) were derived for APOB-100 and LDL-C (0,61 and 0,55, respectively). Fourteen SNPs of the APOB gene (rs6728178, rs11902417, rs6544366, rs4564803, rs6754295, rs7557067, rs1042034, rs2678379, rs676210, rs673548, rs679899, rs6711016, rs10184054, rs1042031) were significantly associated with the oxLDL. For the ts calculation we used only ten out of fourteen SNP because of the presence of linked SNP. Patients with ts ≤3 were referred to as those who had genetic susceptibility to the increased oxLDL level due to the protective role of most sNP. The regression study has revealed that patients with the same ApoB-100 level and with ts ≤3 had higher oxLDL level in average of 10 units than the patients with the ts>3 (p<10 ),and the patients with the same LDL-C level by 5 units, respectively (p<10 ).Conclusion. The oxLDL level depends on the level of LDL-C and ApoB-100 in blood, as well as on the genetic susceptibility — a combination of the SNP of APOB gene.

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