Articles |
From the Lipid Research Unit, University Hospital "Reina Sofía," University of Córdoba Medical School, Córdoba, Spain, and The Lipid Metabolism Laboratory, US Department of Agriculture Human Nutrition Research Center on Aging at Tufts University, Boston, Mass (J.M.O.).
Correspondence to Dr Francisco Perez-Jimenez, Departamento de Patologia Médica, Facultad de Medicina de Córdoba, Avenida Menéndez Pidal s/n, Córdoba 14004, Spain.
Abstract Lipid response to dietary fat and
cholesterol is, to a large extent, genetically controlled.
Apoprotein (apo) A-IV has been related to fat absorption and to the
activation of some of the enzymes involved in lipid
metabolism. One mutation has been described in the apo A-IV
gene that causes substitution of Ser for Thr at position 347. To study
the influence of this mutation on the plasma LDL
cholesterol (LDL-C) response in diets of various fat
content and fatty acid saturation, 41 healthy male subjects were
studied, 25 of whom were homozygous for the Thr allele (347Thr) and
the rest who were either homozygous (n=2) or heterozygous carriers of
the Ser allele (347Ser). They consumed three consecutive diets,
each of 4 weeks' duration: one rich in saturated fat (SFA diet: 38%
fat, 20% saturated), a National Cholesterol Education
Program (NCEP) type 1 diet (28% fat, 10% saturated), and a third rich
in monounsaturated fat (MUFA diet; 38% fat, 22%
monounsaturated). Carriers of the 347Ser allele
presented a greater decrease in total cholesterol
(-0.7 vs -0.44 mmol/L, P<.034), LDL-C (-0.62 vs
-0.31 mmol/L, P<.012), and apo B (-14 vs -8 mg/dL,
P<.01) levels when they were switched from the SFA to the
NCEP type 1 diet than homozygous carriers of the 347Thr allele. The
change from the NCEP type 1 to the MUFA diet resulted in a greater
increase in total cholesterol (0.18 vs -0.05 mmol/L,
P<.028) and apo B (5 vs -1 mg/dL, P<.006)
levels in the 347Ser than in the 347Thr individuals. In a previous
study, we demonstrated that the G
A polymorphism at position -76
of the gene promoter of apo A-I affects the LDL-C response to dietary
fat. We therefore decided to study the effect of the interaction
between these mutations on this response. We found that both mutations
have an additive effect on total cholesterol, LDL-C, and
apo B dietary-induced changes. Our results suggest that total
cholesterol and LDL-C response to dietary fat is influenced
by the 347Ser mutation of apo A-IV.
Key Words: apolipoprotein A-IV diet genetic polymorphism cholesterol
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