title: [Effects of the apolipoprotein E polymorphism on plasma lipid levels and cardiovascular disease risk in a Mediterranean population].
abstract: BACKGROUND
  Association of apolipoprotein E (apo E) polymorphism with atherosclerosis varies among populations. Our aim was to estimate the association of common apo E variants (epsilon2, epsilon3 and epsilon4 alleles) with plasma lipid concentrations and cardiovascular disease (CAD) risk in a Spanish Mediterranean population.
  
  
  METHODS
  This was a cross-sectional study in 486 subjects (144 men and 342 women)from a general Mediterranean population (7-85 years). Apo E genotypes,anthropometric, biochemical and life-style variables were determined.
  
  
  RESULTS
  Frequency of epsilon2 and epsilon4 alleles was low (0.052; 95% CI, 0.038-0.066, and 0.063; 95% CI,0.048-0.078, respectively). Apo E polymorphism was associated (p = 0.016) with LDL-C concentrations (119.9; 138.1 and 146.6 mg/dl in carriers of the epsilon2, epsilon3/epsilon3,and epsilon4 alleles, respectively). These differences remained significant (p = 0.017) after adjustment for gender, age and life-style factors. Subjects carrying the epsilon2 allele had higher triglyceride concentrations than non-carriers (p = 0.019). Prevalence of CAD was 14.0% in epsilon4 carriers, 6.9% in epsilon2 carriers and 3.4% in epsilon3/epsilon3 homozygotes. The higher risk of CAD associated with the epsilon4 allele remained significant (OR = 5.88; 95% CI, 1.64-21.02) after adjustment for gender, age and life-style factors.
  
  
  CONCLUSIONS
  In the Spanish Mediterranean population, epsilon4 allele was associated with higher LDL-C concentrations and with a higher risk of CAD.
authors.affiliation: Unidad de Investigación en Epidemiología Genética y Molecular, Departamento de Medicina Preventiva y Salud Pública, Universitat de València, Spain. sorli@uv.es
authors.forename: José Vicente
authors.initials: JV
authors.lastname: Sorlí
authors.forename: Ramón
authors.initials: R
authors.lastname: Velert
authors.forename: Marisa
authors.initials: M
authors.lastname: Guillén
authors.forename: Olga
authors.initials: O
authors.lastname: Portolés
authors.forename: Judith Begoña
authors.initials: JB
authors.lastname: Ramírez
authors.forename: Juan
authors.initials: J
authors.lastname: Iborra
authors.forename: Dolores
authors.initials: D
authors.lastname: Corella
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001057:Apolipoproteins E / Q000235:genetics*; D002318:Cardiovascular Diseases / Q000097:blood* / Q000453:epidemiology; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008074:Lipoproteins / Q000097:blood*; D008297:Male; D008875:Middle Aged; D011110:Polymorphism, Genetic; D012307:Risk Factors; D013030:Spain
chemical_list: D001057:Apolipoproteins E; D008074:Lipoproteins