The contribution of 17 polymorphisms within 13 candidate genes on lipid tra
it variability was investigated by a multiplex assay in 772 men and 780 wom
en coming for a health checkup examination. The studied genes were APOE, AP
OB, APOC3, CETP, LPL, PON, MTHFR, FGB, GpIIIa, SELE, ACE, and AGT. We found
that APOB-Thr71Ile, APOE-(112/158), APOC3-1100C/T, and SELE-98G/T polyp mo
rphisms had a significant effect on lipid traits (P less than or equal to 0
.001 to P less than or equal to 0.01). Genetic effects accounted for 3.5-5.
7% of variation in apolipoprotein B (apoB)-related traits among men, and fo
r 5.7-9.0% among women. The contribution of APOE polymorphism on apoB-relat
ed traits variability was two to three times more important in women than i
n men. We found suggestive evidence for interactive effects between genetic
s and age, smoking status, and oral contraceptives. Increase of LDL-cholest
erol and apoB concentrations with age was stronger among the epsilon4 carri
ers in women, and apolipoprotein A-I (apoA-I) concentration decreased with
age in epsilon4 male carriers. The effect of epsilon2 allele on LDL-cholest
erol was more important in the oral contraceptive users. In nonsmokers only
, the APOC3-1100C allele in women was related to lower apoB-related traits
concentrations, and in men to higher apoA-I and HDL-cholesterol concentrati
ons. In conclusion, this work, in addition to the reinforcement of the alre
ady known associations between APOB, APOE, and APOC3 genes and lipids, lead
s to new perspectives in the complex relationships among genes and environm
ental factors. The newly observed relationships between E-selectine gene an
d lipid concentrations support the hypotheses of multiple metabolic pathway
s contributing to the complexity of lipids variability.