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ABSTRACT: Background
Inuit are considered to be vulnerable to cardiovascular disease because their lifestyles are becoming more Westernized. During sequence analysis of Inuit individuals at extremes of lipid traits, we identified 2 nonsynonymous variants in low-density lipoprotein receptor (LDLR), namely p.G116S and p.R730W.Methods and results
Genotyping these variants in 3324 Inuit from Alaska, Canada, and Greenland showed they were common, with allele frequencies 10% to 15%. Only p.G116S was associated with dyslipidemia: the increase in LDL cholesterol was 0.54 mmol/L (20.9 mg/dL) per allele (P=5.6×10(-49)), which was >3× larger than the largest effect sizes seen with other common variants in other populations. Carriers of p.G116S had a 3.02-fold increased risk of hypercholesterolemia (95% confidence interval, 2.34-3.90; P=1.7×10(-17)), but did not have classical familial hypercholesterolemia. In vitro, p.G116S showed 60% reduced ligand-binding activity compared with wild-type receptor. In contrast, p.R730W was associated with neither LDL cholesterol level nor altered in vitro activity.Conclusions
LDLR p.G116S is thus unique: a common dysfunctional variant in Inuit whose large effect on LDL cholesterol may have public health implications.
SUBMITTER: Dube JB
PROVIDER: S-EPMC4560235 | biostudies-literature | 2015 Feb
REPOSITORIES: biostudies-literature
Dubé Joseph B JB Wang Jian J Cao Henian H McIntyre Adam D AD Johansen Christopher T CT Hopkins Scarlett E SE Stringer Randa R Hosseinzadeh Siyavash S Kennedy Brooke A BA Ban Matthew R MR Young T Kue TK Connelly Philip W PW Dewailly Eric E Bjerregaard Peter P Boyer Bert B BB Hegele Robert A RA
Circulation. Cardiovascular genetics 20141120 1
<h4>Background</h4>Inuit are considered to be vulnerable to cardiovascular disease because their lifestyles are becoming more Westernized. During sequence analysis of Inuit individuals at extremes of lipid traits, we identified 2 nonsynonymous variants in low-density lipoprotein receptor (LDLR), namely p.G116S and p.R730W.<h4>Methods and results</h4>Genotyping these variants in 3324 Inuit from Alaska, Canada, and Greenland showed they were common, with allele frequencies 10% to 15%. Only p.G116S ...[more]