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Int. J. Mol. Sci. 2018, 19(1), 49;

Relationship between Lipid Phenotypes, Overweight, Lipid Lowering Drug Response and KIF6 and HMG-CoA Genotypes in a Subset of the Brisighella Heart Study Population

Department of Pharmacy and Biotechnology, via Irnerio 48, University of Bologna, 40126 Bologna, Italy
Department of Medical and Surgical, University of Bologna, 40126 Bologna, Italy
Department of Public Health, Epidemiological Service, Local Health Authority of Bologna, 40126 Bologna, Italy
Department of Biotechnology, Faculty of Biology and Biotechnology, Кazakh National University Named after al-Farabi, 050040 Almaty, Kazakhstan
Department for Life Quality Studies, Corso d’Augusto 237, University of Bologna, 47921 Rimini, Italy
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
These two authors jointly directed this work.
Received: 4 December 2017 / Revised: 19 December 2017 / Accepted: 20 December 2017 / Published: 24 December 2017
(This article belongs to the Special Issue Cholesterol and Lipoprotein Metabolism)
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The existence of genetic traits might explain the susceptibility to develop hypercholesterolemia and the inter-individual differences in statin response. This study was performed to evaluate whether individuals’ polymorphisms in HMG-CoA and KIF6 genes are independently associated with hypercholesterolemia, other lipid-associated traits, and statin response in unselected individuals enrolled in the Brisighella heart study (Survey 2012). A total of 1622 individuals, of which 183 under statin medication, were genotyped for a total of five polymorphisms (KIF6 rs20455, rs9471077, rs9462535; HMG-CoA rs3761740, rs3846662). The relationships between the five loci and clinical characteristics were analyzed. The principal basic parameters calculated on 12 h fasting blood included total cholesterol (TC), High Density Lipoprotein Cholesterol (HDL-C), Low-Density Lipoprotein Cholesterol (LDL-C), and triglycerides (TG). Hypercholesterolemia was defined as a TC >200 mg/dL or use of lipid-lowering medication. 965 individuals were characterized by hypercholesterolemia; these subjects were significantly older (p < 0.001), with body mass index (BMI) and waist circumference significantly higher (p < 0.001) compared to the others. HMG-CoA rs3846662 GG genotype was significantly over-represented in the hypercholesterolemic group (p = 0.030). HMG-CoA rs3846662 genotype was associated with the level of TC and LDL-C. Furthermore, in the same subset of untreated subjects, we observed a significant correlation between the KIF6 rs20455 and HDL-C. KIF6 variants were associated with a significantly lower (rs20455) or higher (rs9471077 and rs9462535) risk of obesity, in males only. No association between responsiveness to statins and the polymorphisms under investigation were observed. Our results showed associations between HMG-CoA rs3846662 and KIF6 rs20455 and lipid phenotypes, which may have an influence on dyslipidemia-related events. Moreover, this represents the first study implicating KIF6 variants with obesity in men, and point to the possible involvement of this genetic locus in the known gender-related differences in coronary artery disease. View Full-Text
Keywords: HMG-CoA; KIF6; polymorphisms; hypercholesterolemia; waist circumference; Brisighella heart study HMG-CoA; KIF6; polymorphisms; hypercholesterolemia; waist circumference; Brisighella heart study

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Angelini, S.; Rosticci, M.; Massimo, G.; Musti, M.; Ravegnini, G.; Consolini, N.; Sammarini, G.; D’Addato, S.; Rizzoli, E.; Botbayev, D.; Borghi, C.; Cantelli-Forti, G.; Cicero, A.F.; Hrelia, P. Relationship between Lipid Phenotypes, Overweight, Lipid Lowering Drug Response and KIF6 and HMG-CoA Genotypes in a Subset of the Brisighella Heart Study Population. Int. J. Mol. Sci. 2018, 19, 49.

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