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The MTP -493TT genotype is associated with peripheral arterial disease: results from the Linz Peripheral Arterial Disease (LIPAD) Study
Authors:Schgoer Wilfried  Eller Philipp  Mueller Thomas  Tancevski Ivan  Wehinger Andreas  Ulmer Hanno  Sandhofer Anton  Ritsch Andreas  Haltmayer Meinhard  Patsch Josef R
Affiliation:a Department of Internal Medicine, Medical University Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria
b Department of Laboratory Medicine, Konventhospital Barmherzige Brueder, Linz, Austria
c Department of Medical Statistics, Informatics and Health Economics, Medical University Innsbruck, Austria
Abstract:

Objectives

Microsomal triglyceride transfer protein (MTP) transfers lipids into apoprotein B-containing lipoproteins for secretion from liver, intestine, and heart. We hypothesized the −493T single nucleotide polymorphism in the MTP promoter region to be associated with altered lipoprotein levels and with presence of peripheral arterial disease (PAD).

Design and methods

433 patients with symptomatic PAD and 433 controls matched for sex and age from the Linz Peripheral Arterial Disease (LIPAD) study were genotyped cross-sectionally for the −493T single nucleotide polymorphism in the promoter region of the MTP gene.

Results

The frequency of the −493T allele in patients with PAD was 0.320, whereas it was 0.255 in controls (p < 0.001). The MTP −493TT genotype was independently associated with PAD, even after adjustment for LDL cholesterol. The odds ratio of the −493TT MTP genotype for PAD was 3.18 (95% CI, 1.76-5.71) when adjusted for current smoking, arterial hypertension, LDL cholesterol, triglycerides, glycohemoglobin, C-reactive protein, and homocysteine. Furthermore, we found an association between the MTP promoter polymorphism and the apolipoprotein B-containing lipoproteins total-cholesterol (p = 0.011), LDL cholesterol (p = 0.002) and apolipoprotein B (p = 0.034).

Conclusions

Our results provide preliminary evidence for a potential role of the MTP −493TT genotype in the pathogenesis of PAD.
Keywords:MTP   Peripheral vascular disease   Polymorphism   Risk factors
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