Abstract
The association of nonfunctional variants of the cholesteryl ester transfer protein (CETP) with efficacy of statins has been a subject of debate. We evaluated whether three functional CETP variants influence statin efficacy. The effect of CETP genotype on achieved levels of high-density lipoprotein cholesterol (HDLc), low-density lipoprotein cholesterol (LDLc), and total cholesterol during statin treatment was estimated by meta-analysis of the linear regression outcomes of three studies (11,021 individuals). The effect of these single-nucleotide polymorphisms (SNPs) on statin response in protecting against myocardial infarction (MI) was estimated by meta-analysis of statin x SNP interaction terms from logistic regression in five studies (16,570 individuals). The enhancer SNP rs3764261 significantly increased HDLc by 0.02 mmol/l per T allele (P = 6 x 10-5) and reduced protection against MI by statins (interaction odds ratio (OR) = 1.19 per T allele; P = 0.04). Focusing on functional CETP variants, we showed that in carriers of the rs3764261 T variant, HDLc increased more during statin treatment, and protection against MI by statins appeared to be reduced as compared with those in noncarriers.
Original language | English |
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Pages (from-to) | 314-320 |
Number of pages | 7 |
Journal | Clinical Pharmacology & Therapeutics |
Volume | 95 |
Issue number | 3 |
DOIs | |
Publication status | Published - Mar-2014 |
Keywords
- DENSITY-LIPOPROTEIN CHOLESTEROL
- HDL-CHOLESTEROL
- CORONARY ATHEROSCLEROSIS
- HEART-DISEASE
- RISK
- GENE
- CETP
- METAANALYSIS
- REDUCTION
- VARIANT