Articles |
g Promoter Variant in the Lipoprotein Lipase Gene
From the Department of Medical Genetics, University of British Columbia, Vancouver, British Columbia, Canada (E.E., S.M.C., S.N.P., P.B., N.B., L.M., S.E.G., M.R.H.), the Lipid Research Group, Academic Medical Centre, Amsterdam, The Netherlands (P.W.A.R., R.H., J.J.P.K.), the Division of Human Genetics, University of Stellenbosch, Tygerberg, South Africa (C.F.H., H.J.D., M.J.K.), the Department of Human Genetics, University of Cape Town Medical School, Cape Town, South Africa (L.J.G.), the Department of Chemical Pathology, Red Cross Children's Hospital, Cape Town, South Africa (H.H.), and JM-USDA-HNRCA at Tufts University, Boston, Mass (J.M.O., E.J.S.).
Correspondence to Michael R. Hayden, Department of Medical Genetics, University of British Columbia, 416-2125 East Mall, NCE Building, Vancouver, British Columbia V6T 1Z4, Canada. E-mail mrh{at}ulam.generes.ca
Abstract Recently, a (t
g) transition at
nucleotide -93 in the lipoprotein lipase (LPL) gene
promoter has been observed in Caucasians. Here, we have compared the
frequency of the -93g carriers in three distinct populations
(Caucasians, South African Blacks, and Chinese). The carrier frequency
in the Caucasian population was 1.7% (4/232), which was in contrast to
the South African Black population, which had a frequency for this
allele of 76.4% (123/161) of the individuals tested. This
transition was not observed in the Chinese population under study. Near
complete linkage disequilibrium between the -93g and the previously
described D9N mutation was observed in the Caucasian population but not
in South African Blacks. To further assess the ancestral origins of
these DNA changes, DNA haplotyping using a CA repeat 5' to these
substitutions was performed. The -93t allele was associated with
only a few specific dinucleotide repeat sizes. In contrast,
the -93g allele occurred on chromosomes with many different repeat
lengths. The broad distribution of repeats on -93g carrying
chromosomes, their high frequency in the South African Black
population, and the conservation of the -93g allele among
different species may suggest that the -93g allele is the
ancestral allele on which a transition to t and the D9N mutations
arose. The very high frequency of the -93g allele distinct from
the N9 allele in a cohort of Black South Africans allowed us to
specifically assess the phenotypic effects of the -93g allele on
lipids. Individuals homozygous for the g allele at -93 showed
mildly decreased triglycerides compared with individuals
homozygous for the t allele (1.14±0.66 mmol/L versus
0.82±0.3; P=.04). Thus, the -93g allele in this cohort
is associated with low plasma triglyceride levels.
Key Words: lipoprotein lipase mutation promoter lipids ethnic variation
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