APOE polymorphism and its effect on plasma C-reactive protein levels in a large general population sample
Open accessAbstract
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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Hubacek et al. (2010) showed that ApoE4 genotype carriers have lower levels of plasma CRP than ApoE3 carriers.
“Hubacek et al. (2010) showed that ApoE4 genotype carriers have lower levels of plasma CRP than in ApoE3 carriers [53].”
From Recent Advancements in Pathogenesis, Diagnostics and Treatment of Alzheimer’s Disease (2020) · cites this paper as [53]
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“described lower plasma CRP levels in ApoE4 carriers than in ApoE3 carriers [31].”
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On a Western diet, APOE ɛ4 is associated with low innate immune sensing, but not APOE ɛ3
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APOE, Cardiovascular Surgery, and Cognitive Outcomes
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APOE, Cardiovascular Surgery, and Cognitive Outcomes
Smith, C. J., SMITH, R. S., & Perfetti, T. A. (2026) · Springer eBooks · doi:10.1007/978-3-031-96089-5_81
- 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)
- PMC
- PMC2837141
- 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
- hybrid
- doi.org
- Licence
- 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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