Genetic aspects of decreased low-density lipoprotein cholesterol values

Aim. To study genetic causes of decreased low-density lipoprotein cholesterol (LDL-C) in Russian patients.Material and methods. The study included the following Epidemiology of Cardiovascular Diseases and their Risk Factors in Regions of Russian Federation (ESSE-RF) participants: individuals with LD...

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Main Authors: A. N. Meshkov, A. I. Ershova, A. V. Kiseleva, V. I. Mikhailina, S. A. Smetnev, А. G. Soplenkova, V. A. Kutsenko, Е. A. Sotnikova, Yu. V. Vyatkin, A. A. Zharikova, M. Zaichenoka, V. E. Ramensky, O. P. Skirko, M. S. Pokrovskaya, O. A. Litinskaya, S. A. Shalnova, O. M. Drapkina
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2023-12-01
Series:Кардиоваскулярная терапия и профилактика
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Online Access:https://cardiovascular.elpub.ru/jour/article/view/3846
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author A. N. Meshkov
A. I. Ershova
A. V. Kiseleva
V. I. Mikhailina
S. A. Smetnev
А. G. Soplenkova
V. A. Kutsenko
Е. A. Sotnikova
Yu. V. Vyatkin
A. A. Zharikova
M. Zaichenoka
V. E. Ramensky
O. P. Skirko
M. S. Pokrovskaya
O. A. Litinskaya
S. A. Shalnova
O. M. Drapkina
author_facet A. N. Meshkov
A. I. Ershova
A. V. Kiseleva
V. I. Mikhailina
S. A. Smetnev
А. G. Soplenkova
V. A. Kutsenko
Е. A. Sotnikova
Yu. V. Vyatkin
A. A. Zharikova
M. Zaichenoka
V. E. Ramensky
O. P. Skirko
M. S. Pokrovskaya
O. A. Litinskaya
S. A. Shalnova
O. M. Drapkina
author_sort A. N. Meshkov
collection DOAJ
description Aim. To study genetic causes of decreased low-density lipoprotein cholesterol (LDL-C) in Russian patients.Material and methods. The study included the following Epidemiology of Cardiovascular Diseases and their Risk Factors in Regions of Russian Federation (ESSE-RF) participants: individuals with LDL-C<5th percentile, taking into account sex and age (n=52), who underwent targeted sequencing of protein-coding regions of 6 genes (APOB, PCSK9, MTTP, ANGPTL3, SAR1B, APOC3) and determination of the genetic risk score (GRS) for hypercholesterolemia; and a representative sample of the Ivanovo region population (ESSEIvanovo, n=1667), for which only GRS was determined. Genetic testing was performed using next generation sequencing.Results. In 10 (19,2%) of 52 participants with decreased LDL-C levels, the following rare variants potentially associated with hypocholesterolemia were identified: 8 — leading to a premature termination codon in the APOB gene, 1 — leading to a premature termination codon in the APOC3 gene and 1 missense variant in the PCSK9 gene. Of the 10 identified variants, 6 are described by us for the first time. GRS in the LDL-C group (0,27±0,25) was significantly lower than in the ESSE-Ivanovo population sample (0,43±0,27) (p=4,7×10-06).Conclusion. Genetic reasons explain decreased LDL-C levels (<5th percentile) in 32,7% of patients, of which only monogenic variants were identified in 13,5%, a combination of monogenic and polygenic hypocholesterolemia — in 5,7%, and polygenic hypocholesterolemia — in 13,5%.
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issn 1728-8800
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publishDate 2023-12-01
publisher «SILICEA-POLIGRAF» LLC
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series Кардиоваскулярная терапия и профилактика
spelling doaj-art-058dd6f74572472ebdc94e25fbded0d92025-08-20T03:18:35Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252023-12-01221210.15829/1728-8800-2023-38462843Genetic aspects of decreased low-density lipoprotein cholesterol valuesA. N. Meshkov0A. I. Ershova1A. V. Kiseleva2V. I. Mikhailina3S. A. Smetnev4А. G. Soplenkova5V. A. Kutsenko6Е. A. Sotnikova7Yu. V. Vyatkin8A. A. Zharikova9M. Zaichenoka10V. E. Ramensky11O. P. Skirko12M. S. Pokrovskaya13O. A. Litinskaya14S. A. Shalnova15O. M. Drapkina16National Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive Medicine; Lomonosov Moscow State UniversityNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive Medicine; Lomonosov Moscow State UniversityNational Medical Research Center for Therapy and Preventive Medicine; Lomonosov Moscow State UniversityMoscow Institute of Physics and TechnologyNational Medical Research Center for Therapy and Preventive Medicine; Lomonosov Moscow State UniversityNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineAim. To study genetic causes of decreased low-density lipoprotein cholesterol (LDL-C) in Russian patients.Material and methods. The study included the following Epidemiology of Cardiovascular Diseases and their Risk Factors in Regions of Russian Federation (ESSE-RF) participants: individuals with LDL-C<5th percentile, taking into account sex and age (n=52), who underwent targeted sequencing of protein-coding regions of 6 genes (APOB, PCSK9, MTTP, ANGPTL3, SAR1B, APOC3) and determination of the genetic risk score (GRS) for hypercholesterolemia; and a representative sample of the Ivanovo region population (ESSEIvanovo, n=1667), for which only GRS was determined. Genetic testing was performed using next generation sequencing.Results. In 10 (19,2%) of 52 participants with decreased LDL-C levels, the following rare variants potentially associated with hypocholesterolemia were identified: 8 — leading to a premature termination codon in the APOB gene, 1 — leading to a premature termination codon in the APOC3 gene and 1 missense variant in the PCSK9 gene. Of the 10 identified variants, 6 are described by us for the first time. GRS in the LDL-C group (0,27±0,25) was significantly lower than in the ESSE-Ivanovo population sample (0,43±0,27) (p=4,7×10-06).Conclusion. Genetic reasons explain decreased LDL-C levels (<5th percentile) in 32,7% of patients, of which only monogenic variants were identified in 13,5%, a combination of monogenic and polygenic hypocholesterolemia — in 5,7%, and polygenic hypocholesterolemia — in 13,5%.https://cardiovascular.elpub.ru/jour/article/view/3846apobapoc3pcsk9hypocholesterolemialow-density lipoprotein cholesterolgenetic risk score
spellingShingle A. N. Meshkov
A. I. Ershova
A. V. Kiseleva
V. I. Mikhailina
S. A. Smetnev
А. G. Soplenkova
V. A. Kutsenko
Е. A. Sotnikova
Yu. V. Vyatkin
A. A. Zharikova
M. Zaichenoka
V. E. Ramensky
O. P. Skirko
M. S. Pokrovskaya
O. A. Litinskaya
S. A. Shalnova
O. M. Drapkina
Genetic aspects of decreased low-density lipoprotein cholesterol values
Кардиоваскулярная терапия и профилактика
apob
apoc3
pcsk9
hypocholesterolemia
low-density lipoprotein cholesterol
genetic risk score
title Genetic aspects of decreased low-density lipoprotein cholesterol values
title_full Genetic aspects of decreased low-density lipoprotein cholesterol values
title_fullStr Genetic aspects of decreased low-density lipoprotein cholesterol values
title_full_unstemmed Genetic aspects of decreased low-density lipoprotein cholesterol values
title_short Genetic aspects of decreased low-density lipoprotein cholesterol values
title_sort genetic aspects of decreased low density lipoprotein cholesterol values
topic apob
apoc3
pcsk9
hypocholesterolemia
low-density lipoprotein cholesterol
genetic risk score
url https://cardiovascular.elpub.ru/jour/article/view/3846
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