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The APOB insertion/deletion polymorphism (rs17240441) influences postprandial lipaemia in healthy adults

机译:APOB插入/缺失多态性(rs17240441)影响健康成年人的餐后血脂

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Background Apolipoprotein (apo)B is the structural apoprotein of intestinally- and liver- derived lipoproteins and plays an important role in the transport of triacylglycerol (TAG) and cholesterol. Previous studies have examined the association between the APOB insertion/deletion (ins/del) polymorphism (rs17240441) and postprandial lipaemia in response to a single meal; however the findings have been inconsistent with studies often underpowered to detect genotype-lipaemia associations, focused mainly on men, or with limited postprandial characterisation of participants. In the present study, using a novel sequential test meal protocol which more closely mimics habitual eating patterns, we investigated the impact of APOB ins/del polymorphism on postprandial TAG, non-esterified fatty acids, glucose and insulin levels in healthy adults. Findings Healthy participants (n?=?147) consumed a standard test breakfast (0 min; 49 g fat) and lunch (330 min; 29 g fat), with blood samples collected before (fasting) and on 11 subsequent occasions until 480 min after the test breakfast. The ins/ins homozygotes had higher fasting total cholesterol, LDL-cholesterol, TAG, insulin and HOMA-IR and lower HDL-cholesterol than del/del homozygotes (P?
机译:背景载脂蛋白(apo)B是肠道和肝脏来源的脂蛋白的结构载脂蛋白,在三酰甘油(TAG)和胆固醇的运输中起重要作用。先前的研究已经检查了APOB插入/缺失(ins / del)多态性(rs17240441)与餐后脂肪血症对单餐反应的关系。然而,该发现与通常不足以检测基因型-血脂关联的研究不一致,这些研究主要集中于男性,或参与者的餐后特征有限。在本研究中,我们使用一种新型的顺序测试膳食方案,该方案更接近于习惯性的饮食习惯,我们调查了APOB ins / del多态性对健康成年人餐后TAG,非酯化脂肪酸,葡萄糖和胰岛素水平的影响。调查结果健康参与者(n?=?147)食用了标准的测试早餐(0分钟; 49克脂肪)和午餐(330分钟; 29克脂肪),在(禁食)之前和随后的11次场合采集血液样本,直到480分钟测试早餐后。与del / del纯合子相比,ins / ins纯合子具有更高的空腹总胆固醇,LDL-胆固醇,TAG,胰岛素和HOMA-IR,以及更低的HDL-胆固醇(P << 0.017)。相对于del / del纯合子,ins / ins纯合子中餐后TAG(P <0.001)和胰岛素(P == 0.032)反应的时间响应曲线(AUC)明显更高。基因型分别解释了TAG和胰岛素AUC变异的35%和7%。结论总之,我们的发现表明,APOB ins / del多态性很可能是餐后TAG和胰岛素对饮食脂肪摄入的较大个体间差异的重要遗传决定因素。

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