Cited by 42Lipoproteins and Cardiovascular HealthLipid metabolism and disordersCholesterol and Lipid Metabolism

Effects of a Frequent Apolipoprotein E Isoform, ApoE4 Freiburg (Leu28→Pro), on Lipoproteins and the Prevalence of Coronary Artery Disease in Whites

Orth, Matthias, Weng, Wei, Funke, Harald, Steinmetz, Armin, Assmann, Gerd, Nauck, Matthias, Dierkes, Jutta, Ambrosch, Andreas +4 more·1999·Arteriosclerosis, Thrombosis, and Vascular Biology

Abstract

Abstract —Different isoforms of apoE modulate the concentrations of plasma lipoproteins and the risk for atherosclerosis. A novel apoE isoform, apoE4 Freiburg , was detected in plasma by isoelectric focusing because its isoelectric point is slightly more acidic than that of apoE4. ApoE4 Freiburg results from a base exchange in the APOE4 gene that causes the replacement of a leucine by a proline at position 28. Analysis of the allelic frequencies in whites in southwestern Germany revealed that this isoform is frequent among control subjects (10:4264 alleles) and is even more frequent in patients with coronary artery disease (21:2874 alleles; P =0.004; adjusted odds ratio, 3.09; 95% confidence interval, 1.20 to 7.97). ApoE4 Freiburg affects serum lipoproteins by lowering cholesterol, apoB, and apoA-I compared with apoE4 ( P <0.05). Our 4 apoE4 Freiburg homozygotes suffered from various phenotypes of hyperlipoproteinemia (types IIa, IIb, IV, and V). In vitro binding studies excluded a binding defect of apoE4 Freiburg , and in vivo studies excluded an abnormal accumulation of chylomicron remnants. ApoE4 Freiburg and apoE4 accumulated to a similar extent in triglyceride-rich lipoproteins. HDLs, however, contained about 40% less apoE4 Freiburg than apoE4. In conclusion, our data indicate that apoE4 Freiburg exerts its possible atherogenic properties by affecting the metabolism of triglyceride-rich lipoproteins and HDL.

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Crossref · 10.1161/01.atv.19.5.1306

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Research works printed but not linked: 9

  1. 10.1161/atv91.11.5.1680392 · DOI
  2. 1995, Am J Hum Genet, 56, 1379
  3. 1992, Clin Chem, 38, 168
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  6. 1991, Ann Biol Clin (Paris), 49, 1
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  9. 10.1161/circ.97.11.1029 · DOI

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Authors
Orth, M., Weng, W., Funke, H., Steinmetz, A., Assmann, G., Nauck, M., Dierkes, J., Ambrosch, A., Weisgraber, K. H., Mahley, R. W., Wieland, H., & Luley, C.
Affiliations
University of Freiburg (DE)
Venue
Arteriosclerosis, Thrombosis, and Vascular Biology
Published
1999-05
Volume
19
Issue
5
Pages
1306-1315
ISSN
  • 1079-5642 (ISSN-L)
  • 1524-4636
OpenAlex
W2026860413
Cited by
42
References
61
Citations by year
2026: 1 · 2025: 3 · 2024: 2 · 2023: 2 · 2022: 5 · 2020: 3 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 1 · 2013: 2 · 2012: 1
FWCI
2.41
Type
journal article
Language
en
Open access
closed
Locations
  • Arteriosclerosis Thrombosis and Vascular Biology (publishedVersion)
  • PubMed (publishedVersion)
  • FreiDok plus (Universitätsbibliothek Freiburg) (submittedVersion)
Funders
  • Deutsche Forschungsgemeinschaft (79 1-1)
  • National Institutes of Health
  • National Heart, Lung, and Blood Institute (HL-41633, P01HL041633)
Topics
  • Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
  • Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
Keywords
apolipoprotein E isoforms, coronary artery disease, hyperlipoproteinemia, triglyceride-rich lipoproteins, HDL cholesterol, apolipoprotein B, apolipoprotein A-I, serum cholesterol, atherosclerosis risk, genetic polymorphism, white
MeSH terms
Adult, Aged, Alleles, Apolipoproteins, Apolipoproteins E, Blood Protein Electrophoresis, Chylomicrons, Coronary Disease, Eating, Female, Gene Frequency, Genotype, Germany, Humans, Hyperlipoproteinemias, Isoelectric Focusing, Lipids, Lipoproteins, Lipoproteins, HDL, Male, Middle Aged, Myocardial Infarction, Phenotype, Receptors, LDL, Polymorphism, Restriction Fragment Length, Risk Factors, Triglycerides, Comorbidity, Prevalence, Odds Ratio, Amino Acid Substitution, Protein Isoforms, White People, Apolipoprotein E4

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