Yıl: 2009 Cilt: 34 Sayı: 4 Sayfa Aralığı: 250 - 255 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

PON192 polymorphism and LDL-oxidation as risk factors for coronary artery disease in young Turkish population

Öz:
Amaç: Kardiyovasküler hastalık risk faktörü olarak paraoksonaz1 (PON1) polimorfizminin rolüyle ilgili çok sayıda çelişkili rapor bulunmaktadır. Koroner arter hastalığı ilePON1-55L ya da PON1-192R alelleri arasında ilişki olduğu öne sürülmüştür. Diğer yandan son yayınlarda farklı popülasyonların PON1 aktivitesi ve konsantrasyonları arasında büyük farklılıklar olduğu gösterilmiştir. Bu çalışmada PON192 polimorfizmine göredüşük-dansiteli-lipoprotein (LDL) oksidasyon belirteçleri ve PON1 aktivitelerinin (paraoksonaz ve aril esteraz) özellikle Türk popülasyonunda koroner arter hastalığı bulunan gençlerde bu hastalık açısından yararlı belirteçler olup olmadıklarının araştırılması amaçlandı. Gereç ve Yöntem: Koroner arter hastalığı olan 60 hasta (38.1±5.0 yaşında) ve 52 sağlıklı kontrol (32.5±6.1 yaşında) çalışmaya alındı. Tüm hastalarda PON192 polimorfizmi, paraoksonaz aktivitesi, serum oksidasyon düzeyi belirlendi.Bulgular: Koroner arter hastalarında total kolesterol, trigliserid, bazal-dien ve stimüle-LDL tiobarbitürik asidle reaksiyon veren yapıların (TBARS) düzeyleri kontrolleregöre yüksek bulunurken PON1 ve arilesteraz aktivitelerinin düşük olduğu tespit edildi (p<0.001). Kontrol grubu içinde bakılan hiçbir parametrede polimorfizm açısındanbir farklılık saptanmazken, RR polimorfizmlilerde stimüle LDL-TBARS düzeylerinindaha yüksek olduğu görüldü (RR için 5,27 ± 2,4 nmol/mg LDL protein, QR için 3,64 ±1.28 nmol/mg LDL protein for QR ve QQ için 4,95 ± 2,8 nmol/mg LDLprotein). RR polimorfizmine hasta grubunda daha sık rastlanmakla birlikte istatistiksel anlamlılık saptanamadı. Sonuç: Bulgularımız RR polimorfizminin erken yaşlarda aterosklerozun belirlenebilmesi için yararlı bir gösterge olabileceğini düşündürmektedir.
Anahtar Kelime:

Konular: Biyokimya ve Moleküler Biyoloji

Genç türk popülasyonunda koroner arter hastalığı risk faktörü olarak PON192 polimorfizmi ve LDL-oksidasyonu

Öz:
Purpose: There are conflicting reports on paraoxonase1 (PON1) polymorphism as arisk factor for cardiovascular disease. It&#8217;s been proposed that there is relationship between coronary artery disease and PON1-55L or PON1-192R alleles. Nevertheless recentpublications showed major differences of PON1 activity and concentration in differentpopulations. We aimed to study low-density-lipoprotein (LDL) oxidation and PON1 activities (paraoxonase/arylesterase) regarding to PON192 polymorphism, in order to determine if they might be useful markers especially for young patients with coronary artery disease in Turkish population. Methods: 60 patients (38.1±5.0 years) with coronary artery disease and 52 healthy control subjects (32.5±6.1 years) were taken into study. Paraoxonase192 polymorphism, paraoxonase activity and oxidation status of all patients were analyzed. Results: Total cholesterol, triglyceride, basal-LDL-diene and stimulatedLDL-TBARSlevels were higher, paraoxonase and arylesterase activities were lower in patients withcoronary artery disease compared to controls(p<0.001). While there was no difference in any parameters within control group in regard to polymorphism, stimulated-LDLTBARS levels were higher in patients with RR polymorphism (5,27±2,4nmol/mg LDLprotein for RR; 3,64±1.28nmol/mg LDL protein for QR and 4,95±2,8nmol/mg LDL protein for QQ). RR polymorphism was more common in patient group than controls butnot statistically significant. Conclusion: Our data suggest that presence of RR polymorphism might be a predictivemarker for determination of atherosclerosis in early ages.
Anahtar Kelime:

Konular: Biyokimya ve Moleküler Biyoloji
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • [1] Onat A. (2001) Risk factors and cardiovascular disease in Turkey. Atherosclerosis.156(1):1-10.
  • [2] Mahley RW, Pepin J, Palaoğlu KE, Malloy MJ, Kane JP, Bersot TP. (2000) Low levels of high density lipoproteins in Turks, a population with elevated hepatic lipase: high density lipoprotein characterization and gender-specific effects of apolipoprotein E genotype. J Lipid Res. 41: 1290-1301.
  • [3] Ng CJ, Shih DM, Hama SY, Villa N, Navab M, Reddy ST. (2005) The paraoxonase gene family and atherosclerosis. Free Rad Biol Med. 38:153-63.
  • [4] Mackness B, Mackness MI, Durrington PN. (2000) Paraoxonase activity in two healthy populations with differing rates of coronary heart disease. Eur J Clin Invest. 30(1): 4-10.
  • [5] Sanghera DK, Saha N, Aston CE and Kamboh MI. (1997) Genetic polymorphism of paraoxonase and the risk of coronary heart disease. Arterioscler Thromb Vasc Biol. 17: 1067-73.
  • [6] Serrato M, Marian AJ. (1995) A variant of human paraoxonase/ arylesterase (HUMPONA) gene is a risk factor for coronary artery disease. J Clin Invest. 96: 3005-08.
  • [7] Wheeler JG, Keavney BD, Watkins H, Collins R, Danesh J. (2004) Four paraoxonase gene polymorphisms in 11212 cases of coronary heart disease and 12786 controls: meta analysis of 43 studies. Lancet. 363: 689-95.
  • [8] Senti M, Tomas M, Vila J, Marrugat J, Elousa R, Sala J, Masia R. (2001) Relationship of age-related myocardial infarction risk and Gln/Arg 192 variants of the human paraoxonase 1 gene: the REGICOR study. Atherosclerosis. 156: 443-449.
  • [9] Chen Q, Reis SE, Kammerer CM, McNamara DM, Holubkov R, Sharaf BL, Sopko G, Pauly DF, Merz CNB, Kamboh I. (2003) For the WISE study group. Associatişon between the secerity of angiographic coronary artery disease and paraoxonase gene polymorphisms in the National Heart, Lung and Blood Institute-sponsored women’s ischemia syndrome evaluation (WISE)study. Am J Hum Genet. 72: 13-22.
  • [10] Herrmann SM, Blanc H, Poirier O, Arveiler D, Luc G, Evans A, Marques-Vidal P, Bard JM, Cambien F. (1996) The Gln/Arg polymorphism of human paraoxonase (PON 192) is not related to myocardial infarction in the ECTIM Study. Atherosclerosis.126(2): 299-303.Karvonen J, Kauma HM, Paivansalo M and Kesaniemi YA. (2004) Paraoxonase-1 gene Le-Met55 and GlnArg192 polymorphisms are not associted with carotid artery atherosclerosis in a population-based cohort. Eur J Cardiovasc Prevention and Rehabilitation. 11: 511-12.
  • [11] Ko YL, Ko YS, Wang SM, Hsu LA, Chang CJ, Chu PH, Cheng NJ, Chen WJ, Chiang CW, Lee YS. (1998) The Gln-Arg 191 polymorphism of the human paraoxonase gene is not associated with the risk of coronary artery disease among Chinese in Taiwan. Atherosclerosis. 141(2): 259-64.
  • [12] Lawlor DA, Day INM, Gaunt TR, Hinks LJ, Briggs PJ, Kiessling M, Timpson N, Smith GD, Ebrahim S. (2004) The association of the PON1 Q192R polymorphism with coronary heart disease: findings from the British Women’s Heart and Health cohort study and a meta-analysis. BMC Genet. 5: 17.
  • [13] Wang X , Fan Z, Huang J, Su S, Yu Q, Zhao J, Hui R, Yao Z, Shen Y, Qiang B, Gu B. (2003) Extensive Association Analysis Between Polymorphisms of PON Gene Cluster With Coronary Heart Disease in Chinese Han Population. Arterioscler Thromb Vasc Biol. 23: 328-334.
  • [14] Baum L, Ng HK, Woo KS, Tomlinson B, Rainer TH, Chen X, Cheung WS, Chan DKY, Thomas GN, Tong CSW, Wong KS. (2006) Paraoxonase 1 gene Q192R polymorphism affects stroke and myocardial infarction risk. Clin Biochem. 39: 191-5.
  • [15] Heijmans BT, Westendorp RGJ, Lagaay AM, Knook DL, Kluft C, Slagboom PE. (2000) Common paraoxonase gene variants, mortality risk and fatal cardiovascular events in elderly subjects. Atherosclerosis. 149: 91-97.
  • [16] Sen-Banerjee S, Siles X and Campos H. (2000) Tobacco Smoking Modifies Association Between Gln-Arg192 Polymorphism of Human Paraoxonase Gene and Risk of Myocardial Infarction. Arterioscler Thromb Vasc Biol. 20: 2120-2126.
  • [17] Voetsch B, Benke KS, Damasceno BP, Siqueira LH, Loscalzo J. (2002) Paraoxonase 192 Gln-->Arg polymorphism: an independent risk factor for nonfatal arterial ischemic stroke among young adults. Stroke 33(6): 1459-64.
  • [18] Ross R. (1999) Atherosclerosis is an inflammatory disease. Am Heart J. 38(5 Pt 2): 419-20.
  • [19] Aviram M. (1996) Interaction of oxidized low density lipoprotein with macrophages in atherosclerosis and the atheroge- nicity of antioxidants. Eur J Clin Biochem. 34: 599-608.
  • [20] Chisolm GM and Steinberg D. (2000) The oxidative modification hypothesis of atherogenesis: an overview. Free Rad Biol Med. 28(12): 1815-26.
  • [21] Jialal I and Devaraj S. (1996) Low density lipoprotein oxidation, antioxidants and atherosclerosis. A clinical biochemistry perspective. Clin Chem. 42(4): 498-506.
  • [22] Kaplan M and Aviram M. (1999) Oxidized low density lipoprotein: atherogenic and proinflamatory characteristics during macrophage foam cell formation. An inhibitory role for nutritional antioxidants and serum paraoxonase. Clin Chem Lab Med. 37(8): 777-87.
  • [23] Azarsiz E, Kayikcioglu M, Payzin S and Sozmen EY. (2003) PON1 Activities and Oxidative Markers of LDL in Patients With Angiographically Proven Coronary Artery Disease. Int J Car-diol. 91: 43-51.
  • [24] Kayikcioglu M, Saygi S, Azarsiz E, Can LH, Kultursay H, Sozmen EY. (2007) Serum paraoxonase 1 activity and oxidative markers of LDL in patients with cardiac syndrome X. Acta Cardiologica. 62(3): 245-9.
  • [25] Mackness B, Durrington P, McElduff P, Yarnell J, Azam N, Watt M, Mackness M. (2003) Low paraoxonase activity predicts coronary events in the Caerphilly prospective study. Circulation.107: 2775-9.
  • [26] Graner M, James RW, Kahri J, Nieminen MS, Syvanne M, Taskinen MR. (2006) Association of paraoxonase-1 activity and concentration with angiographic severity and extent of coronary artery disease. J Am Coll Cardiol. 47(2): 2429-35.
  • [27] Jaouad L, Milochevitch C and Khalil A. (2003) PON1 activity is reducued during HDL oxidation and is an indicator of HDL antioxidant capacity. Free Rad Res. 37 (1): 77-83.
  • [28] Mackness MI, Mackness B and Durrington PN. (2002) Paraoxonase and coronary heart disease. Atherosclerosis. suppl 3: 49-55.
  • [29] Akcay YD, Sendag F, Sagin F, Ozen K, Sozmen EY. (2006) Effects of estrogen-only therapy on LDL oxidatıon in women with hysterectomy: does paraoxonase genotype play a role? Maturitas. 53(3): 325-32.
  • [30] Taus M, Ferretti G, Dousset N, Moreau J, Battino M, Solera ML, Valdiguie P, Curatola G. (1994) Susceptibility to in vitro lipid peroxidation of low density lipoproteins and erythrocyte membranes from liver cirrhotic patients. Scand J Clin Lab Invest. 54: 147-53.
  • [31] Buege JA, Aust SD. (1978) Microsomal lipid peroxidation. Methods Enzymol. 52:302-10.
  • [32] Ferre N, Camps J, Fernandez-Ballart J, Arija V, Murphy MM, Ceruleo S, Biarnes E, Vilella E, Tous M, Joven J (2003). Regulation of serum paraoxonase activity by genetic, nutritional and lifestyle factors in the general population. Clin Chem. 49(9): 1491-7.
  • [33] Rosenblat M, Oren R and Aviram M. (2006) Lysophosphatidylcholine (LPC) attenuates macrophage mediated oxidation of LDL. Biochem Biophys Res Comm. 344: 1271-7.
  • [34] Watson AD, Berliner JA, Hama SY, La Du BN, Faull KF, Fogelman AM, Navab M. (1995) Protective effect of high density lipoprotein associated paraoxonase. Inhibition of the biological activity of minimally oxidized low density lipoprotein. J Clin Invest. 96(6): 2882-91.
  • [35] Cherki M, Berrougui H, Isabeel M, Cloutier M, Koumbadinga GA, Khaii A. (2007) Effect of PON1 polymorphism on HDL antioxidant potential is blunted with aging. Exp Gerontol. 42(8): 815-2.
APA SÖZMEN E, Kayikcioglu M, SEZER E, İLANBEY B, AKÇAY Y, KULTURSAY H (2009). PON192 polymorphism and LDL-oxidation as risk factors for coronary artery disease in young Turkish population. , 250 - 255.
Chicago SÖZMEN Eser Y.,Kayikcioglu Meral,SEZER Ebru,İLANBEY BİLAL,AKÇAY Yasemin D.,KULTURSAY HAKAN PON192 polymorphism and LDL-oxidation as risk factors for coronary artery disease in young Turkish population. (2009): 250 - 255.
MLA SÖZMEN Eser Y.,Kayikcioglu Meral,SEZER Ebru,İLANBEY BİLAL,AKÇAY Yasemin D.,KULTURSAY HAKAN PON192 polymorphism and LDL-oxidation as risk factors for coronary artery disease in young Turkish population. , 2009, ss.250 - 255.
AMA SÖZMEN E,Kayikcioglu M,SEZER E,İLANBEY B,AKÇAY Y,KULTURSAY H PON192 polymorphism and LDL-oxidation as risk factors for coronary artery disease in young Turkish population. . 2009; 250 - 255.
Vancouver SÖZMEN E,Kayikcioglu M,SEZER E,İLANBEY B,AKÇAY Y,KULTURSAY H PON192 polymorphism and LDL-oxidation as risk factors for coronary artery disease in young Turkish population. . 2009; 250 - 255.
IEEE SÖZMEN E,Kayikcioglu M,SEZER E,İLANBEY B,AKÇAY Y,KULTURSAY H "PON192 polymorphism and LDL-oxidation as risk factors for coronary artery disease in young Turkish population." , ss.250 - 255, 2009.
ISNAD SÖZMEN, Eser Y. vd. "PON192 polymorphism and LDL-oxidation as risk factors for coronary artery disease in young Turkish population". (2009), 250-255.
APA SÖZMEN E, Kayikcioglu M, SEZER E, İLANBEY B, AKÇAY Y, KULTURSAY H (2009). PON192 polymorphism and LDL-oxidation as risk factors for coronary artery disease in young Turkish population. Türk Biyokimya Dergisi, 34(4), 250 - 255.
Chicago SÖZMEN Eser Y.,Kayikcioglu Meral,SEZER Ebru,İLANBEY BİLAL,AKÇAY Yasemin D.,KULTURSAY HAKAN PON192 polymorphism and LDL-oxidation as risk factors for coronary artery disease in young Turkish population. Türk Biyokimya Dergisi 34, no.4 (2009): 250 - 255.
MLA SÖZMEN Eser Y.,Kayikcioglu Meral,SEZER Ebru,İLANBEY BİLAL,AKÇAY Yasemin D.,KULTURSAY HAKAN PON192 polymorphism and LDL-oxidation as risk factors for coronary artery disease in young Turkish population. Türk Biyokimya Dergisi, vol.34, no.4, 2009, ss.250 - 255.
AMA SÖZMEN E,Kayikcioglu M,SEZER E,İLANBEY B,AKÇAY Y,KULTURSAY H PON192 polymorphism and LDL-oxidation as risk factors for coronary artery disease in young Turkish population. Türk Biyokimya Dergisi. 2009; 34(4): 250 - 255.
Vancouver SÖZMEN E,Kayikcioglu M,SEZER E,İLANBEY B,AKÇAY Y,KULTURSAY H PON192 polymorphism and LDL-oxidation as risk factors for coronary artery disease in young Turkish population. Türk Biyokimya Dergisi. 2009; 34(4): 250 - 255.
IEEE SÖZMEN E,Kayikcioglu M,SEZER E,İLANBEY B,AKÇAY Y,KULTURSAY H "PON192 polymorphism and LDL-oxidation as risk factors for coronary artery disease in young Turkish population." Türk Biyokimya Dergisi, 34, ss.250 - 255, 2009.
ISNAD SÖZMEN, Eser Y. vd. "PON192 polymorphism and LDL-oxidation as risk factors for coronary artery disease in young Turkish population". Türk Biyokimya Dergisi 34/4 (2009), 250-255.