中国循证心血管医学杂志2024,Vol.16Issue(1) :60-64.DOI:10.3969/j.issn.1674-4055.2024.01.12

SLCO1B1和ApoE基因多态性与冠心病关系的研究

Relationship among SLCO1B1,ApoE gene polymorphism and coronary heart disease

高生云 王磊
中国循证心血管医学杂志2024,Vol.16Issue(1) :60-64.DOI:10.3969/j.issn.1674-4055.2024.01.12

SLCO1B1和ApoE基因多态性与冠心病关系的研究

Relationship among SLCO1B1,ApoE gene polymorphism and coronary heart disease

高生云 1王磊1
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作者信息

  • 1. 733000 武威,甘肃省武威肿瘤医院心血管内科
  • 折叠

摘要

目的 探讨溶质载体有机阴离子转运蛋白家族1B1(SLCO1B1)和载脂蛋白E(ApoE)基因多态性与冠状动脉粥样硬化性心脏病(冠心病)的关系.方法 选取2020年1月至2022年6月于甘肃省武威肿瘤医院心血管内科收治的80例冠心病患者作为观察组,同一时间选取本院体检的80例健康者作为对照组,抽取外周血检测SLCO1B1和ApoE基因多态性,全自动生化分析仪检测血脂指标,Logistic分析冠心病的危险因素.结果 对照组与观察组SLCO1B1基因型15/15、1a/15、1a/1a、1a/1b、1a/5、1b/15及1b/1b、等位基因15、1a、1b及5比较,差异无统计学意义(P>0.05).观察组ApoE等位基因ε2及ε3的占比显著高于对照组(P<0.05).与对照组相比,观察组患者SLCO1B1基因在1b/15型上总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)及载脂蛋白B(ApoB)水平升高,1a/15型TG水平升高,1a/1b型上高密度脂蛋白胆固醇(HDL-C)及载脂蛋白A1(ApoA1)降低,1b/1b型上TG升高,HDL-C及ApoA1降低(P<0.05).与对照组相比,观察组ApoE基因在E2/E3型HDL-C降低,E3/E3型TG升高,HDL-C及ApoA1水平降低,E3/E4型HDL-C及ApoA1水平降低(P<0.05).以冠心病为因变量,以上述结果中P<0.05的因素(高血压、糖尿病、TG、LDL-C、ApoA1、ApoB、ε3及ε4)作为自变量,运用Logistic回归分析结果发现,高血压、糖尿病、TG、LDL-C、ApoA1、ApoB及ApoE基因ε4型是诱发冠心病的危险因素(P<0.05).结论 SLCO1B1和ApoE基因多态性与血脂水平异常相关,ApoE基因ε4型可提高冠心病的发生.

Abstract

Objective To discuss the relationship among solute carrier organic anion transporter family 1B1(SLCO1B1),apolipoprotein E(ApoE)gene polymorphism and coronary heart disease(CHD).Methods CHD patients(n=80)were chosen into observation group,and controls(n=80)were chosen into control group from Department of Cardiovascular Medicine in Wuwei Tumor Hospital of Gansu Province from Jan.2020 to June 2022.SLCO1B1 and ApoE gene polymorphism were respectively detected after collected peripheral blood samples.The indexes of blood fat were detected by using automatic biochemical analyzer,and risk factors of CHD were analyzed by using Logistic analysis.Results The comparison in genotypes 15/15,1a/15,1a/1a,1a/1b,1a/5,1b/15 and 1b/1b and alleles 15,1a,1b and 5 of SLCO1B1 had no statistical significance between 2 groups(P>0.05).The proportion of alleles ε2 and ε3 of ApoE was significantly higher in observation group than that in control group(P<0.05).Compared with control group,the levels of TC,TG,LDL-C and apolipoprotein B(ApoB)increased in genotype 1b/15 of SLCO1B1,TG increased in genotype 1a/15,HDL-C and ApoA1 decreased in genotype 1a/1b,and TG increased and HDL-C and ApoA1 decreased in genotype 1b/1b in observation group(P<0.05).Compared with control group,HDL-C decreased in genotype E2/E3 of ApoE,TG increased and HDL-C and ApoA1 decreased in genotype E3/E3,and HDL-C and ApoA1 decreased in genotype E3/E4 in observation group(P<0.05).The results of Logistic regression analysis showed that hypertension,diabetes,TG,LDL-C,ApoA1,ApoB and genotype ε4 of ApoE were risk factors for inducing CHD(P<0.05).Conclusion SLCO1B1 and ApoE gene polymorphism are correlation to dyslipidemia,and genotype ε4 of ApoE can improve CHD occurrence.

关键词

冠心病/载脂蛋白E/溶质载体有机阴离子转运蛋白家族1B1

Key words

Coronary heart disease/Apolipoprotein E/Solute carrier organic anion transporter family 1B1

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基金项目

甘肃省武威市科技局科技计划基金资助项目(WW2101130)

出版年

2024
中国循证心血管医学杂志
中国人民解放军北京军区总医院

中国循证心血管医学杂志

CSTPCD
影响因子:1.272
ISSN:1674-4055
参考文献量23
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