Apolipoprotein E (
ApoE) has an important role in the metabolism of
lipids through its major
isoforms (ε2, ε3, ε4). In particular,
ApoE ε4, has been considered as a major genetic risk factor for
cardiovascular diseases (CVD). The aim of our study is to investigate the frequency of
ApoE gene polymorphisms (rs 429358C>T, rs 7412C>T) and their relationship to
lipid parameters in a group of Lebanese hypercholesterolemic subjects (22 males and 24 females, aged 25-80 years).
Lipid profile,
apolipoproteins A-I and B were determined using fasting serum samples; and molecular analysis of
ApoE polymorphisms using blood in
EDTA tubes. The distribution of the four
ApoE genotypes detected in this study was: ε3/ε3 (73.9%), ε3/ε4 (17.4%), ε2/ε3 (6.5%), and ε2/ε4 (2.2%) resulting in allelic frequencies for ε2, ε3 and ε4 of 4.3%, 85.9% and 9.8%, respectively. No association was determined among any of the
lipid parameters, gender and
ApoE genotypes.
Lipid parameters were not statistically different among various
ApoE genotypes (p>0.05).
ApoE ε2 frequency was found to be lower than that previously reported for healthy Lebanese (7.2%). CVD is one of the major leading causes of mortality in Lebanon with a reported prevalence of 12.2% in males and 7.7% in females, which incidentally agrees with our finding regarding ε4 allelic frequency of 13.6% in males and 6.3% in females. Consequently, larger prospective studies are recommended to highlight the correlation of
ApoE polymorphisms to other biochemical and environmental factors involved in CVD.