Association of glutathione-S-transferase gene polymorphism and lipoprotein subclasses in hemodialysis patients

作者：Vekic Jelena^*; Zeljkovic Aleksandra; Jelic Ivanovic Zorana; Damjanovic Tatjana; Suvakov Sonja; Matic Marija; Savic Radojevic Ana; Simic Tatjana; Spasojevic Kalimanovska Vesna; Gojkovic Tamara; Spasic Slavica; Dimkovic Nada

来源：Clinical Biochemistry, 2014, 47(6): 398-403.

DOI：10.1016/j.clinbiochem.2013.11.011

• Glutathione-S-transferase polymorphism
• Small
• Dense LDL
• HDL subclasses
• End-stage renal disease
• Cardiovascular disease risk

Objectives: End-stage renal disease (ESRD) is characterized by profound dyslipidemia and enhanced oxidative stress. The patients also show evidence of exhausted and/or deficient anti-oxidative defense enzymes, one of them being glutathione-S-transferase (GST). This study investigates relationship between GST gene polymorphism and low-density lipoprotein (LDL) and high-density lipoprotein (HDL) subclasses in ESRD.
Design and methods: GSTM1, T1, and P1 genotypes were determined by polymerase chain reaction-restriction fragment length polymorphism in 160 patients undergoing hemodialysis. LDL and HDL subclasses were separated by gradient gel electrophoresis and biochemical parameters were measured by routine laboratory methods.
Results: GSTM1-positive patients had higher proportion of small, dense LDL III particles than those with GSTM1-null genotype (P < 0.05). Similarly, GSTP1-Ile/Ile patients had higher proportion of LDL III (P < 0.05), but more HDL 2b and less HDL 3a particles than GSTP1-Ile/Val and Val/Val carriers (P < 0.05). LDL subclass distribution in smokers with GSTM1-null genotype was shifted towards smaller particles, as compared to GSTM1-positive and GSTM1-null non-smokers. Smokers with GSTP1-Ile/Val and Val/Val genotypes had smaller LDL size than their non-smoking counterparts (P < 0.05). Both smokers and non-smokers with GSTP1 Ile/Ile genotype had more LDL III particles than non-smokers carrying Val allele. Non-smokers with GSTP1 Ile/Ile genotype had more HDL 2b subclasses than non-smokers with GSTP1-Ile/Val and Val/Val (P < 0.05), but less HDL 3a particles than smokers with GSTP1-Ile/Val and Val/Val genotypes (P < 0.05). GSTT1 gene polymorphism had no effect on lipoprotein subclass distributions.
Conclusions: Our results demonstrate significant associations between low activity GST genotypes and proatherogenic lipoprotein particles in hemodialysis patients which might further increase their cardiovascular disease risk.

• 出版日期2014-4
• 单位河北医科大学