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Eller, P; Schgoer, W; Mueller, T; Tancevski, I; Wehinger, A; Ulmer, H; Foeger, B; Haltmayer, M; Ritsch, A; Patsch, JR.
Hepatic lipase polymorphism and increased risk of peripheral arterial disease.
J Intern Med. 2005; 258(4):344-348
Doi: 10.1111/j.1365-2796.2005.01549.x
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- Führende Autor*innen der Med Uni Graz
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Eller Philipp
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- Abstract:
- Background. Hepatic lipase plays a key role in the metabolism of pro-atherogenic and anti-atherogenic lipoproteins affecting their plasma level as well as their physico-chemical properties. We hypothesized single nucleotide polymorphisms in the promoter region of the hepatic lipase gene to be associated with an increased risk for peripheral arterial disease (PAD). Methods. A total of 241 patients with PAD and 241 controls matched for sex and age (+/- 2 years) were genotyped cross-sectionally for the -250 single nucleotide polymorphism in the hepatic lipase promoter. Results. The frequency for the -250A allele in patients with PAD was 0.203, whereas it was 0.147 in the controls (P = 0.022). Hepatic lipase promoter polymorphism distribution remained significantly different between cases and controls after multivariate logistic regression analysis (P = 0.021). The odds ratio of the -250A hepatic lipase allele for the PAD was 1.69 (95% confidence interval of 1.08-2.64), when adjusted for current smoking, arterial hypertension, cholesterol, triglycerides, HbA(1C), total homocysteine and high sensitivity C-reactive protein. Conclusion. Previous data in patients with ischaemic heart disease have suggested a pro-atherogenic role of low hepatic lipase levels. Our results extend these data to the vascular territory of the lower limbs, such that hepatic lipase promoter variation represents a genetic risk factor of PAD.
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Aged -
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Epidemiologic Methods -
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Female -
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Gene Frequency -
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Genetic Markers -
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Humans -
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Lipase - genetics
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Liver - enzymology
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Male -
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Middle Aged -
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Peripheral Vascular Diseases - enzymology Peripheral Vascular Diseases - genetics
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Polymerase Chain Reaction - methods
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Polymorphism, Single Nucleotide -
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Promoter Regions, Genetic -
- Find related publications in this database (Keywords)
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hepatic lipase
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peripheral arterial disease
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promoter polymorphism