1.The study of apolipoprotein a5 gene polymorphisms in relation tolipidslevel in people with metabolic syndrome
Ariunbold Ch ; Buyankhuu T ; Munkhtsetseg J
Mongolian Medical Sciences 2014;170(4):10-13
Background: Epidemiologic studies have shown a higher prevalenceof hypertriglyceridemia among
patients with CHDthan among unaffected populations. Dozens of polymorphisms in different genesthat
could have some effect on plasma TG levels havebeen analyzed.
The most promising results are connected withvariants within the apolipoproteins (APO) APOA1/APOC3/
APOA4 gene cluster. Transgenic mice overexpressing human apolipoprotein A5decreased plasma
triglyceride concentrations to one-third of those in control mice; conversely, knockout mice lacking
APOA5 had four times as much plasma triglycerides as controls.The human APOA5 gene consistsof
4 exons and codes 369 aminoacidprotein, which is expressed almost exclusively in the liver.A minor
allele of APOA5 (1259C, IVS3+476A and 1131C) which was independently associated with high plasma
triglyceride levels in African-American, non Hispanic whites, Hispanic, Caucasians and Japanese were
reported. Four polymorphisms in ApoA5 (1259T>C, IVS3+476G>A, S19W and 1131T>C) has been
correlatedwith high TG levels in diabetic women.
Materials and Methods: 162 people with MS for case group and 144 people for control group were
selected in this study. MS was diagnosed according to IDF criteria and serum triglyceride, total cholesterol
and HDL levels were determined. DNA from both case and control subjects were extracted from blood
samples (20μL) using “G-spin™ Total DNA Extraction Kit”(iNtRON Biotechnology, Inc).The genotypes
for fourpolymorphisms of ApoA5 were determined using a combination of PCR and sequence-specific
oligonucleotide probes.
Results: There were 304 total subjects included males 50.3% (153) and female 49.7% (151) in our study.
The appearance of risk genotypes of 1177C>T, 1259T>C, IVS3+476G>A and 1131T>C polymorphisms
in ApoA5 gene were higher in MS group than control group.Serum levels of triglycerides and total
cholesterol differed significantly (p<0.001, p=0.029) among APOA5-1131T>C genotypes.
Conclusion: TAG and TC level was higher in people with 1131T>C-CC genotype than other genotypes
in both groups (p=0.010, p=0.001). We determined that the odds ratio for the hypertriglyceridemia was
5.98 for ApoA5-1131T>C CC-genotype carriers.
2.The study of apolipoprotein A5 gene polymorphism in relation to serum triglyceride level in people with metabolic syndrome
Ariunbold Ch ; Khajidaa B ; Buyankhuu T ; Azzaya E ; Munkhtsetseg J
Mongolian Medical Sciences 2014;169(3):4-7
Background. A large number of longitudinal studies indicate significantly increased risk of cardiovascular
events and death in people with the MetSyn and high plasma levels of triglycerides are an independent
risk factor for the development of cardiovascular disease. Apolipoprotein A5 (APOA5) gene, a new
member of the APOA1/C3/A4 gene cluster, was identified by comparative sequencing of human and
mice DNA by Pennacchio and co-workers in 2001. Since this discovery, variants of ApoA5 gene have
been independently assiociated with level of plasma triglyceride in many countries. Human ApoA5 is
expressed in the liver then appears in plasma in association with VLDL and HDL and plays a major role
in TG catabolism. Variant at ApoA5 gene locus, 1177C>T is located in 3’ UTR which often contains
regulatory regions that influence post-transcriptional gene expression. One alteration can be responsible
for the altered expression of many genes.
Materials and Methods. 152 people with MS for case group and 152 people for control group were selected
in this study. MS was diagnosed according to IDF criteria and serum triglyceride levels were determined.
DNA from both case and control subjects were extracted from blood samples (200 ml) using “G-spin™ Total
DNA Extraction Kit”(iNtRON Biotechnology, Inc). To detect the 1177C>T variation of ApoA5 gene, using
High Pure PCR Template Preparation Kits, a forward primer 5’-CTCTGAGCCTCTAGCATGGTTGAGT-
3’ and the mismatch reverse primer 5’-GAGCATTCCCAAATGAGCAC-3’ were used to create the HinfI
restriction site.
Results. There were 304 total subjects included males 50.3% (153) and female 49.7% (151) in our
study. Incident of CC genotype was 71.1% (216), CT genotype was 25% (76) and TT genotype was
3.9%, TAG level was higher in males than females in both groups (p=0.016, ð=0.001) for CC genotype
and also, higher with MS in males for CT genotype (p=). But, TAG level was no significant difference
among three genotypes in group with MS subjects (male p=0.236, female p=0.881).
Conclusion: The TT genotype of the ApoA5 gene 1177C>T polymorphism frequency was 2.9% in control
subjects and 4.9% in subjects with MS. However, TG level was not differ in both groups for TT genotype,
TAG level in males was higher compared with females (p=0.016 in control, p=0.001 in group with MS).
3.The study of androgen receptor gene cag and ggn polymorphism in relation with androgen status
Munkhtogtokh J ; Buyankhuu T ; Tuul B ; Oyun-Erdene R ; Munkhtsetseg J
Mongolian Medical Sciences 2013;166(4):6-8
Background: Discrepancies in the sensitivity to biological effects of the androgens, exerted through the binding of the hormone to the androgen receptor (AR), may also be involved in the inter-individual variation of T as well as in age related decline. The human androgen receptor (AR), located on chromosome Xq11-12, is a transcription factor regulating the development of male reproductive organs in the fetus and secondary sex characteristics at puberty in response to testosterone (T) and 5a-dihydrotestosterone (DHT). The AR contains two polymorphic regions, the (CAG)nCAA repeat encoding polyglutamine, and the (GGT)3GGG(GGT)2(GGC)n repeat encoding polyglycine, commonly referred to as the CAG and GGN repeats respectively. The aim of this study is to investigate the effect of the human androgen receptor genes CAG and GGN repeat polymorphisms in relation with androgen level.Materials and Methods: Sample collection: 180 male, the medical data of these volunteers were obtained and determined some androgen hormones at first phase of study in 2010-2011 (total testosterone (TT), free testosterone (FT) and bioavailable testosterone (BAT)). To determine CAG/GGN repeats length in exon of androgen receptor gene, using frozen serum as a source of deoxyribonucleic acid (DNA). DNA was extracted from blood samples (200 ml) using High PurePCR Template Preparation Kits.Results: The 180 men whose age is at least 40 were involved in our research and their average age was 55.1±10.3. The 46.7% (84) of the participants presents CAG gene, the 6.1% (11) of the participants presents GGN gene while the 25.5% (46) of the participants presents both CAG and GGN genes. However, the 21.7% of 39 men not presents CAG and GGN genes.Conclusion: The free testosterone level was significantly decreasing with aging. However, the appearance of CAG gene polymorphism was significantly higher in more aged people. Decline of free testosterone level in participants with CAG and [CAG+GGN] combined form was stronger than in people with GGN gene polymorphism and CAG, GGN both undetected people. But the level of bioavailable testosterone was decreasing with aging and the appearance of CAG gene polymorphism (r=-0.425, p=0.01) and [CAG+GGN] combined form (r=-0.491, p=0.028) was also increasing.