Cf. Xu et al., ASSOCIATION BETWEEN GENETIC-VARIATION AT THE APO AI-CIII-AIV GENE-CLUSTER AND FAMILIAL COMBINED HYPERLIPIDEMIA, Clinical genetics, 46(6), 1994, pp. 385-397
By using chemical cleavage mismatch analysis and the single strand con
formation polymorphism technique, DNA fragments of the apo CIII gene,
including the 5' flanking region and all the exons, were screened for
sequence changes underlying the observed association between familial
combined hyperlipidaemia (FCHL) and the ape AI-CIII-AIV gene cluster i
n affected individuals from eight FCHL families. A C-1100-T transition
in the wobble position of codon 14 in exon 3 and a T-3206-G transvers
ion in the non-translated region of exon 4 were identified, occurring
in four and all probands, respectively. Using these variants and the G
(-75)-A transition in the apo AI promoter, co-segregation of the gene
cluster with hyperlipidaemia could be excluded in all eight families (
lod score -(infinity) at theta=0). No support for co-segregation was o
btained using the affected pedigree member method of linkage analysis
(overall T= -0.77 for f (p)=1 root p), The frequencies of T-1100 and G
(3206) in a group of 55 patients with combined hyperlipidaemia were 0.
35 and 0.52, respectively, which were significantly higher compared to
360 controls (0.21, p<0.01 and 0.35, p<0.005 respectively). In patien
ts homozygous for the T-1100 allele, levels of plasma triglyceride wer
e 2.5-fold higher (868 mg/dl) than those homozygous for the C-1100 all
ele (337 mg/dl), while patients heterozygous for the polymorphism had
intermediate values (443 mg/dl) (p<0.01). A similar association was se
en in controls (p<0.04). The three polymorphisms studied were in stron
g linkage disequilibrium in both the group of CHL patients and the unr
elated individuals. This study confirms the association between common
variation in the gene cluster and differences in plasma lipid levels
in the general population and in patients with combined hyperlipidaemi
a, but fails to confirm co-segregation with FCHL, suggesting the role
of other genetic or environmental factors in the aetiology of FCHL.