title: Influence of Abdominal Obesity on the Lipid-Lipoprotein Profile in Apoprotein E2/4 Carriers: The Effect of an Apparent Duality.
abstract: Background. Apolipoprotein (Apo) E plays a key role in the handling of lipoprotein particles with ApoE2 and ApoE4 frequently having opposite effects compared to ApoE3. Some individuals simultaneously carry both E2 and E4 alleles. The impact of the ApoE2/4 genotype on lipid concentrations and its consequences on health remain poorly documented. Objective. This study compared the lipid profile between ApoE2/4 carriers and other ApoE genotypes in relation to the waist circumference. Methods. Cholesterol, triglyceride (TG), and ApoB concentrations were measured among 2,680 Caucasians. Multivariate logistic regression models were used to estimate the contribution of ApoE2/4 to various dyslipidemic profiles associated with abdominal obesity. Results. In presence of abdominal obesity, the lipid profile was as deteriorated in ApoE2/4 carriers as in carriers of other ApoE genotypes. There was a more pronounced effect on TG-rich lipoproteins, particularly in ApoE2/2 (a feature of type III dysbetalipoproteinemia), and non-high-density lipoprotein (HDL) cholesterol in ApoE4/4. Compared to ApoE2/2, ApoE2/4 carriers presented lower very-low-density lipoprotein (VLDL) cholesterol concentrations and VLDL-cholesterol/TG ratios, with or without obesity, and higher low-density lipoprotein (LDL) cholesterol concentrations. Conclusion. In presence of abdominal obesity, the influence of the ApoE2 allele could be less pronounced than that of ApoE4 among ApoE2/4 individuals.
authors.affiliation: Department of Medicine, Université de Montréal, Montreal, QC, Canada H3T 1J4 ; ECOGENE-21, Chicoutimi, QC, Canada G7H 7K9 ; Douglas Mental Health University Institute, Research Centre, Verdun, QC, Canada H4H 1R3 ; Department of Psychiatry, McGill University, Montreal, QC, Canada H3A 1A1.
authors.forename: Sylvia
authors.initials: S
authors.lastname: Villeneuve
authors.affiliation: Department of Medicine, Université de Montréal, Montreal, QC, Canada H3T 1J4 ; ECOGENE-21, Chicoutimi, QC, Canada G7H 7K9.
authors.forename: Diane
authors.initials: D
authors.lastname: Brisson
authors.affiliation: Department of Medicine, Université de Montréal, Montreal, QC, Canada H3T 1J4 ; ECOGENE-21, Chicoutimi, QC, Canada G7H 7K9.
authors.forename: Daniel
authors.initials: D
authors.lastname: Gaudet