Lipoprotein lipase gene mutations, plasma lipid levels, progression/regression of coronary atherosclerosis, response to therapy, and future clinical events: Lipoproteins and Coronary Atherosclerosis Study

Mutations in human lipoprotein lipase (LPL) gene are potential risk factors for susceptibility to coronary artery disease (CAD). The objectives of this study were to determine the influence LPL mutations Asn 291Ser and Ser 447Ter on plasma lipid levels, regression and progression of CAD, clinical ev...

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Veröffentlicht in:Atherosclerosis 1999-06, Vol.144 (2), p.435-442
Hauptverfasser: Sing, Karandeep, Ballantyne, Christie M, Ferlic, Laura, Brugada, Ramon, Cushman, Ian, Dunn, J.Kay, Herd, J.Alan, Pownall, Henry J, Gotto, Antonio M, Marian, Ali J
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container_end_page 442
container_issue 2
container_start_page 435
container_title Atherosclerosis
container_volume 144
creator Sing, Karandeep
Ballantyne, Christie M
Ferlic, Laura
Brugada, Ramon
Cushman, Ian
Dunn, J.Kay
Herd, J.Alan
Pownall, Henry J
Gotto, Antonio M
Marian, Ali J
description Mutations in human lipoprotein lipase (LPL) gene are potential risk factors for susceptibility to coronary artery disease (CAD). The objectives of this study were to determine the influence LPL mutations Asn 291Ser and Ser 447Ter on plasma lipid levels, regression and progression of CAD, clinical events rate, and response to fluvastatin therapy in the Lipoprotein and Coronary Atherosclerosis Study (LCAS) population. LCAS is a double blind, randomized, placebo-controlled study designed to test the influence of fluvastatin on progression or regression of CAD. The Asn 291Ser and Ser 447Ter genotypes were determined by polymerase chain reaction (PCR) and restriction enzyme digestion. Fasting plasma lipid profiles were measured and quantitative coronary angiography was performed at baseline and 2.5 years following randomization. Fatal and non-fatal cardiovascular events during the follow-up period were recorded. A total of 4% (14/363) and 18% (62/352) of the subjects had the Asn 291Ser and Ser 447Ter mutations, respectively. Overall, there was no statistically association between the Asn 291Ser and Ser 447Ter mutations and the baseline or final mean plasma levels of lipids, number of coronary lesions, total occlusions, the mean minimal lumen diameter (MLD) stenoses and the clinical events rate. However, patients with the Ser 447Ter variant had a slightly higher baseline high density lipoprotein-cholesterol (HDL-C) level (46.2±12 vs 43.2±11, P=0.057), less increase in plasma HDL levels in response to fluvastatin therapy (3 vs 11%, P=0.056) and a higher cardiovascular events rate (23 vs 13%, P=0.056). Thus, the Ser 447Ter variant had a modest influence on plasma HDL levels and the rate of cardiovascular events. These changes were of borderline statistical significance. Neither the Ser 447Ter nor the Asn 291Ser mutation had a major impact on susceptibility to CAD, progression or regression of CAD, clinical events rate or response to fluvastatin therapy in LCAS population.
doi_str_mv 10.1016/S0021-9150(99)00004-0
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The objectives of this study were to determine the influence LPL mutations Asn 291Ser and Ser 447Ter on plasma lipid levels, regression and progression of CAD, clinical events rate, and response to fluvastatin therapy in the Lipoprotein and Coronary Atherosclerosis Study (LCAS) population. LCAS is a double blind, randomized, placebo-controlled study designed to test the influence of fluvastatin on progression or regression of CAD. The Asn 291Ser and Ser 447Ter genotypes were determined by polymerase chain reaction (PCR) and restriction enzyme digestion. Fasting plasma lipid profiles were measured and quantitative coronary angiography was performed at baseline and 2.5 years following randomization. Fatal and non-fatal cardiovascular events during the follow-up period were recorded. A total of 4% (14/363) and 18% (62/352) of the subjects had the Asn 291Ser and Ser 447Ter mutations, respectively. Overall, there was no statistically association between the Asn 291Ser and Ser 447Ter mutations and the baseline or final mean plasma levels of lipids, number of coronary lesions, total occlusions, the mean minimal lumen diameter (MLD) stenoses and the clinical events rate. However, patients with the Ser 447Ter variant had a slightly higher baseline high density lipoprotein-cholesterol (HDL-C) level (46.2±12 vs 43.2±11, P=0.057), less increase in plasma HDL levels in response to fluvastatin therapy (3 vs 11%, P=0.056) and a higher cardiovascular events rate (23 vs 13%, P=0.056). Thus, the Ser 447Ter variant had a modest influence on plasma HDL levels and the rate of cardiovascular events. These changes were of borderline statistical significance. Neither the Ser 447Ter nor the Asn 291Ser mutation had a major impact on susceptibility to CAD, progression or regression of CAD, clinical events rate or response to fluvastatin therapy in LCAS population.</description><identifier>ISSN: 0021-9150</identifier><identifier>EISSN: 1879-1484</identifier><identifier>DOI: 10.1016/S0021-9150(99)00004-0</identifier><identifier>PMID: 10407505</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ireland Ltd</publisher><subject>Adult ; Aged ; Amino Acids - genetics ; Anticholesteremic Agents - adverse effects ; Anticholesteremic Agents - therapeutic use ; Biological and medical sciences ; Cardiology. 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The objectives of this study were to determine the influence LPL mutations Asn 291Ser and Ser 447Ter on plasma lipid levels, regression and progression of CAD, clinical events rate, and response to fluvastatin therapy in the Lipoprotein and Coronary Atherosclerosis Study (LCAS) population. LCAS is a double blind, randomized, placebo-controlled study designed to test the influence of fluvastatin on progression or regression of CAD. The Asn 291Ser and Ser 447Ter genotypes were determined by polymerase chain reaction (PCR) and restriction enzyme digestion. Fasting plasma lipid profiles were measured and quantitative coronary angiography was performed at baseline and 2.5 years following randomization. Fatal and non-fatal cardiovascular events during the follow-up period were recorded. A total of 4% (14/363) and 18% (62/352) of the subjects had the Asn 291Ser and Ser 447Ter mutations, respectively. Overall, there was no statistically association between the Asn 291Ser and Ser 447Ter mutations and the baseline or final mean plasma levels of lipids, number of coronary lesions, total occlusions, the mean minimal lumen diameter (MLD) stenoses and the clinical events rate. However, patients with the Ser 447Ter variant had a slightly higher baseline high density lipoprotein-cholesterol (HDL-C) level (46.2±12 vs 43.2±11, P=0.057), less increase in plasma HDL levels in response to fluvastatin therapy (3 vs 11%, P=0.056) and a higher cardiovascular events rate (23 vs 13%, P=0.056). Thus, the Ser 447Ter variant had a modest influence on plasma HDL levels and the rate of cardiovascular events. These changes were of borderline statistical significance. Neither the Ser 447Ter nor the Asn 291Ser mutation had a major impact on susceptibility to CAD, progression or regression of CAD, clinical events rate or response to fluvastatin therapy in LCAS population.</description><subject>Adult</subject><subject>Aged</subject><subject>Amino Acids - genetics</subject><subject>Anticholesteremic Agents - adverse effects</subject><subject>Anticholesteremic Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Cholesterol, LDL - blood</subject><subject>Coronary Angiography</subject><subject>Coronary artery disease</subject><subject>Coronary Artery Disease - drug therapy</subject><subject>Coronary Artery Disease - enzymology</subject><subject>Coronary Artery Disease - genetics</subject><subject>Coronary heart disease</subject><subject>Double-Blind Method</subject><subject>Fatty Acids, Monounsaturated - adverse effects</subject><subject>Fatty Acids, Monounsaturated - therapeutic use</subject><subject>Female</subject><subject>Fluvastatin</subject><subject>Genetics</subject><subject>Genotype</subject><subject>Heart</subject><subject>Humans</subject><subject>Indoles - adverse effects</subject><subject>Indoles - therapeutic use</subject><subject>Lipids - blood</subject><subject>Lipoprotein lipase</subject><subject>Lipoprotein Lipase - blood</subject><subject>Lipoprotein Lipase - genetics</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mutation</subject><subject>Mutation - genetics</subject><subject>Myocardial infarction</subject><subject>Myocardial Infarction - drug therapy</subject><subject>Myocardial Infarction - enzymology</subject><subject>Myocardial Infarction - genetics</subject><subject>Polymerase Chain Reaction</subject><subject>Risk factor</subject><subject>Treatment Outcome</subject><issn>0021-9150</issn><issn>1879-1484</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkctuHCEQRVGUKB47-YRELLKIJbcN_QRvImvkR6SRvHCyRjyqbaIeaAE90vyjP8r02BPbtaAQdbgUdRH6RskpJbQ9uyOkpAWnDfnJ-THJURfkA1pQ1vGC1qz-iBb_kQN0GOO_meko-4wOKKlJ15BmgR5XdvRj8Amsw4MdZQR8Dw7wekoyWe_iCR4HGddyrlqDB9jAMB8Gfx8gxoycBdhvse-x9sE7GbZYpgcIPuphXm2-k6ExKwJOHs81OW5PsHQG91OaAmA9WGe1HHB-w6V4jt80F3fgcq998V4b36XJbL-gT70cInx9yUfo79Xln-VNsbq9_r28WBVQ8jIViqrGlFCCNNDyWgPpWmhBVURViqmqh5J2jNSsV7JpKDPasIZRRU1Xd7LpqiP0_Vl3nNQajBiDXeemxH6sGfjxAsiY_9MH6bSNrxxjVdXyjP16xvJEYWMhiKgtOA3GBtBJGG-zppj9Fju_xWym4Fzs_BakegJyC6M5</recordid><startdate>19990601</startdate><enddate>19990601</enddate><creator>Sing, Karandeep</creator><creator>Ballantyne, Christie M</creator><creator>Ferlic, Laura</creator><creator>Brugada, Ramon</creator><creator>Cushman, Ian</creator><creator>Dunn, J.Kay</creator><creator>Herd, J.Alan</creator><creator>Pownall, Henry J</creator><creator>Gotto, Antonio M</creator><creator>Marian, Ali J</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>19990601</creationdate><title>Lipoprotein lipase gene mutations, plasma lipid levels, progression/regression of coronary atherosclerosis, response to therapy, and future clinical events: Lipoproteins and Coronary Atherosclerosis Study</title><author>Sing, Karandeep ; Ballantyne, Christie M ; Ferlic, Laura ; Brugada, Ramon ; Cushman, Ian ; Dunn, J.Kay ; Herd, J.Alan ; Pownall, Henry J ; Gotto, Antonio M ; Marian, Ali J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e292t-b1b5d2e2eade694ce076e6eb30b3b8b3fe2178048fba5518dcd8581b1d747a573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Amino Acids - genetics</topic><topic>Anticholesteremic Agents - adverse effects</topic><topic>Anticholesteremic Agents - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Cholesterol, LDL - blood</topic><topic>Coronary Angiography</topic><topic>Coronary artery disease</topic><topic>Coronary Artery Disease - drug therapy</topic><topic>Coronary Artery Disease - enzymology</topic><topic>Coronary Artery Disease - genetics</topic><topic>Coronary heart disease</topic><topic>Double-Blind Method</topic><topic>Fatty Acids, Monounsaturated - adverse effects</topic><topic>Fatty Acids, Monounsaturated - therapeutic use</topic><topic>Female</topic><topic>Fluvastatin</topic><topic>Genetics</topic><topic>Genotype</topic><topic>Heart</topic><topic>Humans</topic><topic>Indoles - adverse effects</topic><topic>Indoles - therapeutic use</topic><topic>Lipids - blood</topic><topic>Lipoprotein lipase</topic><topic>Lipoprotein Lipase - blood</topic><topic>Lipoprotein Lipase - genetics</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mutation</topic><topic>Mutation - genetics</topic><topic>Myocardial infarction</topic><topic>Myocardial Infarction - drug therapy</topic><topic>Myocardial Infarction - enzymology</topic><topic>Myocardial Infarction - genetics</topic><topic>Polymerase Chain Reaction</topic><topic>Risk factor</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sing, Karandeep</creatorcontrib><creatorcontrib>Ballantyne, Christie M</creatorcontrib><creatorcontrib>Ferlic, Laura</creatorcontrib><creatorcontrib>Brugada, Ramon</creatorcontrib><creatorcontrib>Cushman, Ian</creatorcontrib><creatorcontrib>Dunn, J.Kay</creatorcontrib><creatorcontrib>Herd, J.Alan</creatorcontrib><creatorcontrib>Pownall, Henry J</creatorcontrib><creatorcontrib>Gotto, Antonio M</creatorcontrib><creatorcontrib>Marian, Ali J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Atherosclerosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sing, Karandeep</au><au>Ballantyne, Christie M</au><au>Ferlic, Laura</au><au>Brugada, Ramon</au><au>Cushman, Ian</au><au>Dunn, J.Kay</au><au>Herd, J.Alan</au><au>Pownall, Henry J</au><au>Gotto, Antonio M</au><au>Marian, Ali J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lipoprotein lipase gene mutations, plasma lipid levels, progression/regression of coronary atherosclerosis, response to therapy, and future clinical events: Lipoproteins and Coronary Atherosclerosis Study</atitle><jtitle>Atherosclerosis</jtitle><addtitle>Atherosclerosis</addtitle><date>1999-06-01</date><risdate>1999</risdate><volume>144</volume><issue>2</issue><spage>435</spage><epage>442</epage><pages>435-442</pages><issn>0021-9150</issn><eissn>1879-1484</eissn><abstract>Mutations in human lipoprotein lipase (LPL) gene are potential risk factors for susceptibility to coronary artery disease (CAD). The objectives of this study were to determine the influence LPL mutations Asn 291Ser and Ser 447Ter on plasma lipid levels, regression and progression of CAD, clinical events rate, and response to fluvastatin therapy in the Lipoprotein and Coronary Atherosclerosis Study (LCAS) population. LCAS is a double blind, randomized, placebo-controlled study designed to test the influence of fluvastatin on progression or regression of CAD. The Asn 291Ser and Ser 447Ter genotypes were determined by polymerase chain reaction (PCR) and restriction enzyme digestion. Fasting plasma lipid profiles were measured and quantitative coronary angiography was performed at baseline and 2.5 years following randomization. Fatal and non-fatal cardiovascular events during the follow-up period were recorded. A total of 4% (14/363) and 18% (62/352) of the subjects had the Asn 291Ser and Ser 447Ter mutations, respectively. Overall, there was no statistically association between the Asn 291Ser and Ser 447Ter mutations and the baseline or final mean plasma levels of lipids, number of coronary lesions, total occlusions, the mean minimal lumen diameter (MLD) stenoses and the clinical events rate. However, patients with the Ser 447Ter variant had a slightly higher baseline high density lipoprotein-cholesterol (HDL-C) level (46.2±12 vs 43.2±11, P=0.057), less increase in plasma HDL levels in response to fluvastatin therapy (3 vs 11%, P=0.056) and a higher cardiovascular events rate (23 vs 13%, P=0.056). Thus, the Ser 447Ter variant had a modest influence on plasma HDL levels and the rate of cardiovascular events. These changes were of borderline statistical significance. Neither the Ser 447Ter nor the Asn 291Ser mutation had a major impact on susceptibility to CAD, progression or regression of CAD, clinical events rate or response to fluvastatin therapy in LCAS population.</abstract><cop>Amsterdam</cop><pub>Elsevier Ireland Ltd</pub><pmid>10407505</pmid><doi>10.1016/S0021-9150(99)00004-0</doi><tpages>8</tpages></addata></record>
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ispartof Atherosclerosis, 1999-06, Vol.144 (2), p.435-442
issn 0021-9150
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language eng
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subjects Adult
Aged
Amino Acids - genetics
Anticholesteremic Agents - adverse effects
Anticholesteremic Agents - therapeutic use
Biological and medical sciences
Cardiology. Vascular system
Cholesterol, LDL - blood
Coronary Angiography
Coronary artery disease
Coronary Artery Disease - drug therapy
Coronary Artery Disease - enzymology
Coronary Artery Disease - genetics
Coronary heart disease
Double-Blind Method
Fatty Acids, Monounsaturated - adverse effects
Fatty Acids, Monounsaturated - therapeutic use
Female
Fluvastatin
Genetics
Genotype
Heart
Humans
Indoles - adverse effects
Indoles - therapeutic use
Lipids - blood
Lipoprotein lipase
Lipoprotein Lipase - blood
Lipoprotein Lipase - genetics
Male
Medical sciences
Middle Aged
Mutation
Mutation - genetics
Myocardial infarction
Myocardial Infarction - drug therapy
Myocardial Infarction - enzymology
Myocardial Infarction - genetics
Polymerase Chain Reaction
Risk factor
Treatment Outcome
title Lipoprotein lipase gene mutations, plasma lipid levels, progression/regression of coronary atherosclerosis, response to therapy, and future clinical events: Lipoproteins and Coronary Atherosclerosis Study
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