Background: The apolipoprotein E (ApoE) genetic variation may contribute to the development of Cerebral Infarction (CI). Serum lipid levels are known risk factors for CI, but the effect of the ApoE gene polymorphism on lipid metabolism remains unclear. This retrospective cohort study was designed to determine the role of ApoE genotypes in CI risk and the relationships between ApoE gene polymorphism and serum lipid levels among the population of northwest China.
Patients And Methods: 517 CI patients and 517 non-CI controls were enrolled in the study. Polymerase chain reaction and hybridization were utilized to determine the ApoE gene polymorphisms.
Results: The ε3/ε4 genotype and ε4 allele frequency were significantly higher in CI patients than in controls. When stratified by age and sex, statistically significant differences in the distribution and frequency of the ε3/ε4 genotype and ε4 allele were found between patients and controls. Compared to ε2 carriers, ε4 carriers had significantly lower ApoE levels and higher low-density lipoprotein cholesterol (LDL-C), ApoB and ApoB/ApoA-I levels in both two groups. Additionally, control participants with ε4 carriers had significantly higher levels of lipoprotein and total cholesterol (TC) levels than ε2 carriers, while CI patients with ε4 carriers had a significantly lower level of ApoA-I. After adjusting for other established risk factors, drinking, hypertension, lipoprotein, triglycerides (TG) and ε4 allele were significant independent risk factors for CI, which was shown to be associated with a nearly two-fold CI risk.
Conclusion: This study demonstrated that ε4 allele is independent risk factors for CI among patients in Northwest China. ApoE polymorphism was associated with CI, which was partly mediated through blood lipids and may also be mediated through non-lipid pathways. These data might be of great clinical significance in individualized preventive and therapeutic strategies.
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http://dx.doi.org/10.2147/PGPM.S404663 | DOI Listing |
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University of Michigan, School of Nursing, Ann Arbor, MI, USA.
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J Occup Environ Med
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Center for Environmental and Health Sciences, Hokkaido University, Sapporo, Japan.
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Ann Intern Med
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Department of Medicine, Division of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts (S.M.J.A., M.L.).
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View Article and Find Full Text PDFClin Exp Optom
January 2025
Department of Optometry and Vision Sciences, The University of Melbourne, Parkville, Australia.
Clinical Relevance: There are many recognised risk factors for retinal vein occlusions. It is plausible that musicians who play wind instruments or use their voice as their primary instrument may be at increased risk of branch retinal vein occlusions through repeated Valsalva manoeuvre.
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Integr Environ Assess Manag
January 2025
ExxonMobil Petroleum and Chemical BV, Machelen, Belgium.
Despite the fact that the UN Stockholm Convention on persistent organic pollutants specifically acknowledges that Arctic ecosystems and Indigenous communities are particularly at risk due to biomagnification of contaminants in traditional foods, the bioconcentration factor (BCF) of substances in fish remains the preferred metric for identifying the biomagnification potential of organic substances. The BCF measures uptake of substances from water in water-breathing organisms, but not biomagnification of contaminants from food sources. The purpose of this study is to investigate how the biomagnification factor (BMF) can be used in bioaccumulation assessments.
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