Submitted on January 28, 2003
Revised on February 16, 2003
Accepted on February 5, 2003
Effect of apolipoprotein CIII gene polymorphisms on the lipoprotein-lipid profile of viscerally obese men
Charles Couillard, Marie-Claude Vohl, James C. Engert, Isabelle Lemieux, Alain Houde, Natalie Alméras, Denis Prud'homme, André Nadeau, Jean-Pierre ;Després, and Jean Bergeron
Lipid Research Center, CHUQ Research Center, CHUL Pavilion, Québec, Québec G1V4G2
Corresponding Author: Jean.Bergeron{at}crchul.ulaval.ca
Abdominal visceral adipose tissue (AT) accumulation is associated with an atherogenic metabolic profile which includes increased plasma TG, low HDL cholesterol levels and an insulin resistant-hyperinsulinemic state. Whereas the apolipoprotein (apo) CIII C3238G gene variant, often referred to as the SstI polymorphism, has been related to variations in plasma TG concentrations, another variation within the insulin-responsive element (IRE, C-482T) of the apoCIII gene has been associated with greater glucose and insulin responses to an oral glucose tolerance test (OGTT). However, these results were obtained in nonobese individuals. We therefore investigated the effects of three apoCIII gene polymorphisms, namely SstI, C-482T and T-455C, on fasting plasma lipoprotein-lipid levels and response to a 75-g OGTT in a sample of 122 viscerally obese men (abdominal visceral AT area >130 cm2). Among the three gene variants that were examined, the SstI variation was the only one found to have a hypertriglyceridemic effect. Indeed, S1/S2 heterozygotes (n=24) were characterized by increased fasting plasma TG concentrations compared to S1/S1 homozygotes (n=98) (mean ± SD: 3.03 ± 1.58 vs. 2.34 ± 0.95 mmol/L respectively, p<0.05). The higher TG concentrations in S1/S2 were associated with the presence of smaller, denser LDL particles compared to S1/S1 subjects (LDL peak particle diameter: 24.8 ± 0.5 nm vs. 25.1 ± 0.5 nm respectively, p<0.05). Furthermore, there was no association between the response to the OGTT and any of the apoCIII gene variants (SstI, T-455C or C-482T) examined. Results of the present study support the notion of a hypertriglyceridemic effect associated with the apoCIII SstI polymorphism which could modulate the magnitude of the dyslipidemic state in abdominally obese patients.