title: The influence of polymorphism of -493G/T MTP gene promoter and metabolic syndrome on lipids, fatty acids and oxidative stress.
abstract: The aim of this study was to investigate the effect of the microsomal triglyceride transfer protein (MTP) -493G/T polymorphism on clinical and biochemical parameters in relation to the presence of metabolic syndrome (MS). A group of 270 participants, 143 men and 127 women [50 men/36 women fulfilled the International Diabetes Federation (IDF) criteria of MS], was categorized on the basis of the MTP -493G/T polymorphism: GG homozygotes (Group GG) and carriers of the T allele (Group TT+TG). In men with MS, the presence of the T allele was associated with elevated concentrations of plasma insulin (by 48%, P<.01) and nonesterified fatty acids (by 49%, P<.05); homeostasis model assessment for insulin resistance index was higher by 64% (P<.05). Carriers of the T allele were further characterized by elevated plasma concentrations of total cholesterol (by 14%, P<.05) and by increased triglycerides in plasma (by 95%, P<.01) and in very low-density lipoprotein (by 106%, P<.01). They also had lower concentrations of n-6 polyunsaturated fatty acids in plasma phospholipids (by 3.5%, P<.05), lower Delta5-desaturase activities (by 18%, P<.05) and elevated concentrations of conjugated dienes in low-density lipoprotein (by 29%, P<.01). No significant differences between Groups GG and TT+TG were found in men without MS and in women with and without MS. Our results imply evidence for interactive effects of genetic, metabolic and gender-specific factors on several components of metabolic syndrome, which can increase the risk for cardiovascular disease.
authors.affiliation: Charles University in Prague, First Faculty of Medicine, 4th Department of Internal Medicine, General Teaching Hospital in Prague, Czech Republic. azak@vfn.cz
authors.forename: Ales
authors.initials: A
authors.lastname: Zák
authors.forename: Marie
authors.initials: M
authors.lastname: Jáchymová
authors.forename: Eva
authors.initials: E
authors.lastname: Tvrzická
authors.forename: Marek
authors.initials: M
authors.lastname: Vecka
authors.forename: Ladislava
authors.initials: L
authors.lastname: Duffková
authors.forename: Miroslav
authors.initials: M
authors.lastname: Zeman
authors.forename: Adolf
authors.initials: A
authors.lastname: Slabý
authors.forename: Barbora
authors.initials: B
authors.lastname: Stanková
mesh_terms: D001786:Blood Glucose / Q000378:metabolism; D002352:Carrier Proteins / Q000235:genetics*; D005227:Fatty Acids / Q000097:blood*; D005260:Female; D006706:Homeostasis; D006801:Humans; D007333:Insulin Resistance / Q000235:genetics; D050356:Lipid Metabolism / Q000235:genetics*; D008077:Lipoproteins, LDL / Q000378:metabolism; D008297:Male; D024821:Metabolic Syndrome / Q000503:physiopathology*; D018384:Oxidative Stress / Q000502:physiology*; D011110:Polymorphism, Genetic; D011401:Promoter Regions, Genetic / Q000235:genetics; D012737:Sex Factors
chemical_list: D001786:Blood Glucose; D002352:Carrier Proteins; D005227:Fatty Acids; D008077:Lipoproteins, LDL; C106092:microsomal triglyceride transfer protein