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Originally published In Press as doi:10.1194/jlr.M600288-JLR200 on August 3, 2006
Journal of Lipid Research, Vol. 47, 2475-2481, November 2006
Copyright © 2006 by American Society for Biochemistry and Molecular Biology
Protective effect of apolipoprotein E2 on coronary artery disease in African Americans is mediated through lipoprotein cholesterol
Erdembileg Anuurad*,
Jill Rubin ,
Guijing Lu*,
Thomas A. Pearson ,
Steve Holleran**,
Rajasekhar Ramakrishnan** and
Lars Berglund1,*,
* Department of Medicine, University of California, Davis, CA
Department of Medicine, Columbia University, New York, NY
Department of Family and Community Medicine, University of Rochester, Rochester, NY
** Department of Pediatrics, Columbia University, New York, NY
 Department of Veterans Affairs Northern California Health Care System, Davis, CA
Published, JLR Papers in Press, August 3, 2006.
1 To whom correspondence should be addressed. e-mail: lars.berglund{at}ucdmc.ucdavis.edu
We studied the relationship of apolipoprotein E (apoE) isoforms and coronary artery disease (CAD) in 224 African Americans and 326 Caucasians undergoing diagnostic coronary angiography. The presence of CAD was defined as >50% stenosis in at least one artery. ApoE allele frequencies were 0.12, 0.62, and 0.26 for 2, 3, and 4, respectively, in African Americans and 0.08, 0.78, and 0.14 for 2, 3, and 4, respectively, in Caucasians. Among African Americans, CAD was present in 9 of 34 2 carriers (26%), significantly smaller (P < 0.05) in proportion compared with 39 of 82 3 carriers and 43 of 92 4 carriers (48% and 47%, respectively), suggesting a protective effect of the 2 allele. No such difference was seen in Caucasians. In African Americans but not Caucasians, LDL cholesterol was lower in 2 carriers than in 3 and 4 carriers (106 vs. 127 and 134 mg/dl, respectively; P < 0.005). After adjusting for lipid levels, the association between apoE2 and CAD was no longer significant. Thus, the protective effect of apoE2 seen in African Americans could be explained by a favorable lipid profile in 2 carriers, whereas in Caucasians, the absence of such a protective effect could be attributable to the lack of effect of apoE2 on the lipid profile.
Supplementary key words coronary heart disease polymorphism cardiovascular risk factors genetics

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Copyright © 2006 by the American Society for Biochemistry and Molecular Biology.
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