Cited by 539Lipoproteins and Cardiovascular HealthGenetic Associations and EpidemiologyParaoxonase enzyme and polymorphisms

Apolipoprotein E Alleles and Risk of Coronary Disease: A Meta-analysis

Wilson, Peter W.F., Schaefer, Ernst J., Larson, Martin G., Ordovas, Jose M.·1996·Arteriosclerosis, Thrombosis, and Vascular Biology

Abstract

A meta-analysis was undertaken to assess the impact of apolipoprotein E (apo E) alleles (ε2, ε3, and ε4) on coronary disease in 14 published observational studies (9 clinical coronary disease and 5 coronary angiography). In comparison with ε3, the ε4 allele was associated with greater odds for coronary heart disease, and summary estimates of the odds ratios (ORs) and (95% confidence intervals) for both sexes combined were OR=0.98 (0.85-1.14) for ε2 and OR=1.26 (1.13-1.41) for ε4. Separate analyses for men and women showed similar associations. In angiographic studies the relative odds for significant coronary artery disease among both sexes combined was OR=0.76 (0.55-1.05) for ε2 and OR=1.11 (0.88-1.40) for ε4. The overall impression is that ε4 is associated with clinical and coronary disease and that results are similar in men and women.

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Crossref · 10.1161/01.atv.16.10.1250

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  • The ɛ4 allele has been associated with an increased risk of cardiovascular disease in a meta-analysis of studies up to 1996.

    “the ɛ4 allele has been associated with an increased risk of cardiovascular disease in a meta-analysis of studies up to 1996 [ 43].”
  • The results of individual studies on the association of the ɛ2 allele and cardiovascular disease have been conflicting.

    “The results of individual studies on the association of the ɛ2 allele and cardiovascular disease have been conflicting.”

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Authors
Wilson, P. W. F., Schaefer, E. J., Larson, M. G., & Ordovas, J. M.
Affiliations
  • Boston University (US)
  • the Framingham Heart Study, National Heart, Lung, and Blood Institute (P.W.F.W.) and Boston University (M.G.L.), Framingham, and Tufts USDA Nutrition Center, Boston (E.J.S., J.M.O.), Mass.
Venue
Arteriosclerosis, Thrombosis, and Vascular Biology
Published
1996-10
Volume
16
Issue
10
Pages
1250-1255
ISSN
  • 1079-5642 (ISSN-L)
  • 1524-4636
OpenAlex
W2070901692
Cited by
539
References
2
Citations by year
2026: 2 · 2025: 2 · 2024: 7 · 2023: 4 · 2022: 5 · 2021: 9 · 2020: 5 · 2019: 6 · 2018: 7 · 2017: 9 · 2016: 9 · 2015: 10 · 2014: 17 · 2013: 9 · 2012: 13
FWCI
18.71
Type
journal article
Language
en
Open access
closed
Locations
  • Arteriosclerosis Thrombosis and Vascular Biology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Paraoxonase enzyme and polymorphisms
Keywords
apolipoprotein E, coronary artery disease, genetic risk factors, sex differences
MeSH terms
Adolescent, Adult, Alleles, Apolipoproteins E, Coronary Disease, Female, Humans, Male, Risk Factors

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