Coronary heart disease (CHD) is a major health problem and a major cause of death in most countries. Evidence has been presented that gene polymorphisms (
HindIII,
PvuII and Ser447Ter) of lipoprotein lipase (LPL) are risk factors of coronary artery disease (CAD).
Aim: Our objective of the present investigation was to determine whether 3 LPL polymorphisms (LPL-
HindIII, LPL-
PvuII and LPL-Ser447Ter) can be considered as independent risk factors for CAD in the Saudi population.
Methods: We recruited 120 CAD subjects, confirmed angiographically with identical ethnic backgrounds and 65 control subjects. Polymerase chain reaction-restriction fragment length polymorphisms (RFLP) technique was used to detect the polymorphisms of the LPL gene.
Results and conclusion: For the
HindIII genotype, within the CAD group, the frequencies of the H
+H
+ were found in 50.8%, whereas 44.2% carried the H
−H
+ genotype, and 5% carried the H
−H
− genotype. Within the control group, the H
+H
+ genotype was found in 44.6%, whereas 35.4% carried the H
−H
+ genotype, 20% carried the H
−H
− genotype. The odds ratio (OR) of
HindIII genotype H
+H
+ vs. H
−H
− genotype at 95% Confidence Interval (CI) were 4.6 (1.57–13.2) and
p < 0.005, hence showing no significant association with CAD. For the
PvuII genotype, within the CAD group the frequencies of the P
+P
+ found in 41.7% whereas 43.3.2% carried the P
−P
+ genotype, and 15% carried the P
−P
− genotype. Within the control group the P
+P
+ was found in 38.5%, 43.0% carried the P
−P
+ genotype, and 18.5% carried the P
−P
− genotype. The OR of
PvuII genotype P
+P
+ vs. P
−P
− genotypes (95% CI) is 1.33 and
p = 0.52; hence, it was also insignificant to show association with the disease. For the Ser447Ter genotype, within the CAD group, the frequencies of the C/C found in 83.3%, whereas 16.7% carried the C/G genotype. Within the control group, the C/C was found in 87.7% and 12.3% carried the C/G genotype. We did not get any GG genotypes in control as well as patients for this gene. It can be concluded that C allele of gene masks the presence of G allele in the Saudi population. The OR of CG + GG
vs. CC (95% CI) is 1.43 from 0.59 to 3.44 which is insignificant. Hence this gene also has no significant association with CAD in the Saudi population.
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