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This version published online on January 17, 2006
Journal of Clinical Endocrinology & Metabolism, doi:10.1210/jc.2005-1725
A more recent version of this article appeared on April 1, 2006
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Submitted on August 1, 2005
Accepted on January 10, 2006

Combined analysis of six lipoprotein lipase genetic variants on triglycerides, high-density lipoprotein and ischemic heart disease: Cross-sectional, prospective and case-control studies from The Copenhagen City Heart Study

Hans H. Wittrup MD, PhD, Rolf V. Andersen MSc, PhD, Anne Tybjærg-Hansen MD, DMSc, Gorm B. Jensen MD, DMSc, and Børge G. Nordestgaard MD, DMSc*

Department of Clinical Biochemistry, Herlev University Hospital, Herlev Ringvej 75, DK-2730 Herlev, Denmark; Department of Clinical Biochemistry, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, DK-2100 Copenhagen Ø, Denmark; The Copenhagen City Heart Study, Bispebjerg University Hospital, Bispebjerg Bakke 23, DK-2400 Copenhagen NV, Denmark

* To whom correspondence should be addressed. E-mail: brno{at}herlevhosp.kbhamt.dk.

Context: Genetic variants in lipoprotein lipase may affect triglycerides, high-density lipoprotein (HDL), and risk of ischemic heart disease (IHD).

Objective: To investigate influence of T(-93)G, G(-53)C, Asp9Asn, Gly188Glu, Asn291Ser, and Ser447Ter lipoprotein lipase genotypes on triglycerides, HDL and IHD.

Design: 1)Cross-sectional: 9004 adults, 2)prospective: 8817 adults developing 1001 IHD events during 23 yr, 3)case-control: 7818 non-IHD individuals vs. cohorts of 915 and 1062 IHD patients, respectively.

Setting: Danish general population (The Copenhagen City Heart Study).

Participants: IHD was angina pectoris or myocardial infarction.

Main Outcome Measures: Triglycerides, HDL and IHD.

Results: Cross-sectionally, triglycerides varied by genotype with 1.27 mmol/L in women and 1.22 mmol/L in men. HDL cholesterol varied by genotype with 0.49 mmol/L in women and 0.60 mmol/L in men. Prospectively, 9Asn(with -93G) heterozygotes and homozygotes combined vs. non-carriers had a hazard ratio for IHD of 1.6(95%CI: 1.2-2.3); 291Ser and 447Ter did not change IHD risk. In case-control study, combining the cohorts of IHD patients, 9Asn(with -93G) heterozygotes and homozygotes combined vs. non-carriers had an odds ratio for IHD of 1.5(1.2-2.1). 291Ser and 447Ter did not change IHD risk. Stratified for apolipoprotein E genotype, odds ratios for IHD in 9Asn(with -93G) heterozygotes and homozygotes combined vs. non-carriers were 2.6(1.2-5.5) among {epsilon}32 individuals and 2.4(1.4-4.1) among {epsilon}43 individuals.

Conclusions: Genetic variation in lipoprotein lipase associates with differences in plasma triglycerides >1 mmol/L and differences in HDL cholesterol >0.5 mmol/L. A 1.6-fold risk of IHD in 9Asn(with -93G) heterozygotes and homozygotes combined is influenced by apolipoprotein E genotype.


Key words: coronary disease • genetic epidemiology • lipoproteins




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