Cited by 83Lipoproteins and Cardiovascular HealthGenetic Associations and EpidemiologyAdipokines, Inflammation, and Metabolic Diseases

APOE polymorphism and its effect on plasma C-reactive protein levels in a large general population sample

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Hubacek, Jaroslav A., Peasey, Anne, Pikhart, Hynek, Stavek, Petr, Kubinova, Ruzena, Marmot, Michael, Bobak, Martin·2010·Human Immunology

Abstract

The published data remain inconsistent on association between apolipoprotein E (APOE) gene variations and plasma levels of C-reactive protein (CRP), mainly because of low statistical power of previous studies. To clarify this question, we analyzed data from large population sample of randomly selected individuals from seven Czech towns (2,886 males and 3,344 females, the HAPIEE [Health, Alcohol, and Psychosocial factors In Eastern Europe] study). In both males and females, the lowest levels of plasma hsCRP were observed in the carriers of the APOE epsilon 4 epsilon 4 and epsilon 4 epsilon 3 genotypes. The median (interquartile range, IQR) concentration of hsCRP in carriers of the most common APOE epsilon 3 epsilon 3 genotype (two-thirds of participants) was 1.13 mg/l (IQR, 0.56-2.33) in men and 1.23 mg/l (IQR, 0.61-2.65) in women, compared with 0.72 mg/l (IQR, 0.61-0.86) in male and 0.72 mg/l (IQR, 0.61-0.85) in female carriers of APOE epsilon 4 epsilon 3/epsilon 4 epsilon 4 genotypes; the differences were statistically significant (p < 0.001). The association between APOE and CRP was not materially affected by adjustment for age, sex, history of cardiovascular disease, or cardiovascular risk factors. This study, the largest to date, provides robust evidence of an association between plasma hsCRP and the APOE genotype, an association not explained by history of cardiovascular disease nor its risk factors.

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Authors
Hubacek, J. A., Peasey, A., Pikhart, H., Stavek, P., Kubinova, R., Marmot, M., & Bobak, M.
Affiliations
  • University of South Bohemia in České Budějovice (CZ)
  • University College London (GB)
Venue
Human Immunology
Publisher
Elsevier BV
Published
2010-03
Volume
71
Issue
3
Pages
304-308
ISSN
0198-8859 (ISSN-L)
OpenAlex
W2030153215
Cited by
83
References
45
Citations by year
2026: 3 · 2025: 4 · 2024: 4 · 2023: 7 · 2022: 12 · 2021: 10 · 2020: 9 · 2019: 4 · 2018: 5 · 2017: 4 · 2016: 1 · 2015: 2 · 2014: 5 · 2013: 3 · 2012: 5
FWCI
4.35
Type
journal article
Language
en
Open access
Locations
  • Human Immunology (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
Funders
  • Institute for Clinical and Experimental Medicine (00023001)
  • Wellcome Trust “Determinants of Cardiovascular Diseases (064947/Z/01/Z)
  • National Institute on Aging “Health disparities and aging in societies in transition (the HAPIEE study)” (1R01 AG23522-01)
  • MacArthur Foundation “Health and Social Upheaval (a research network)”
Topics
  • Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
  • Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
Keywords
apolipoprotein E, APOE polymorphism, C-reactive protein, high-sensitivity CRP, plasma CRP levels, APOE ε4, genetic association, cardiovascular risk factors, HAPIEE study, Czech population
MeSH terms
Aged, Apolipoproteins E, C-Reactive Protein, Female, Genotype, Humans, Male, Middle Aged, Polymorphism, Genetic, Czech Republic, Genetic Association Studies

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