title: A common apolipoprotein B signal peptide polymorphism modifies the relation between plasma non-esterified fatty acids and triglyceride concentration in men.
abstract: Insulin and non-esterified fatty acids (NEFA) are important regulators of triglyceride metabolism. The relations between these compounds and the effect of a common 3 amino acid deletion in the apolipoprotein B (ApoB) signal peptide (SP) following an oral glucose challenge have been investigated. The frequency of the shorter SP-24 allele was 32% (95% C.I. 29.5-36.5) in 725 subjects undergoing an oral glucose tolerance test (OGTT). Fasting plasma triglyceride concentration was positively correlated with fasting plasma insulin concentration and negatively with the degree of plasma NEFA suppression following the glucose challenge. Linear regression analysis showed the relation between triglyceride concentration and NEFA suppression, but not the relation between triglyceride concentration and fasting insulin, to be altered by the SP polymorphism in men but not in women. The strength of the association was dependent on the number of SP-24 alleles, with SP-24 homozygotes showing the greatest dependence (men P=0.031, women P=0. 914). It was proposed that the complex regulation of very low density lipoprotein (VLDL) output by NEFA and by insulin may explain, at least in part, the conflicting reports concerning the presence of the ApoB SP polymorphism, fasting serum lipids and ischaemic heart disease (IHD).
authors.affiliation: University Department of Clinical Biochemistry, Addenbrooke's Hospital, CB2 2QR, Cambridge, UK. djh44@hermes.cam.ac.uk
authors.forename: D J
authors.initials: DJ
authors.lastname: Halsall
authors.forename: N D
authors.initials: ND
authors.lastname: Martensz
authors.forename: J
authors.initials: J
authors.lastname: Luan
authors.forename: P
authors.initials: P
authors.lastname: Maison
authors.forename: N J
authors.initials: NJ
authors.lastname: Wareham
authors.forename: C N
authors.initials: CN
authors.lastname: Hales
authors.forename: C D
authors.initials: CD
authors.lastname: Byrne
mesh_terms: D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D000886:Anthropometry; D001055:Apolipoproteins B / Q000235:genetics*; D001483:Base Sequence; D015992:Body Mass Index; D005230:Fatty Acids, Nonesterified / Q000032:analysis / Q000097:blood*; D005260:Female; D005838:Genotype; D005951:Glucose Tolerance Test; D006801:Humans; D008297:Male; D008875:Middle Aged; D008969:Molecular Sequence Data; D016133:Polymerase Chain Reaction; D011110:Polymorphism, Genetic; D011336:Probability; D011446:Prospective Studies; D021382:Protein Sorting Signals / Q000235:genetics*; D012044:Regression Analysis; D012494:Sampling Studies; D012680:Sensitivity and Specificity; D012737:Sex Factors; D014280:Triglycerides / Q000097:blood*
chemical_list: D001055:Apolipoproteins B; D005230:Fatty Acids, Nonesterified; D021382:Protein Sorting Signals; D014280:Triglycerides