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March 9, 2019Lipids in Health and DiseaseOpen Access

In patients with chronic kidney disease, APOE serum concentration positively correlated with eGFR in the E2 genotype subgroup (r = 0.7, p < 0.001) but inversely correlated in the E3 subgroup (r = -0.29, p = 0.02).

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Why the study?

Data concerning the link between APOE polymorphism and APOE levels in patients with chronic kidney disease were inconclusive.

Population

90 non-dialysed CKD patients

Comparison

APOE genotype subgroups: E2(ε2ε3) vs E3(ε3ε3) vs E4(ε3ε4)

Design

Observational cross-sectional study

Key result

In patients with chronic kidney disease, APOE serum concentration positively correlated with eGFR in the E2 genotype subgroup (r = 0.7, p < 0.001) but inversely correlated in the E3 subgroup (r = -0.29, p = 0.02).

Authors

MCMonika CzaplińskaAĆAgnieszka ĆwiklińskaMSMonika Sakowicz‐Burkiewicz

Discussion

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Member takes

Overview

APOE genotype may modify lipid-renal links in CKD; leaves open implications for CV risk stratification.

Study Design

Type

Cross-Sectional (n=90)

Multicenter

No

Structured PICO

P
Population
90 non-dialyzed adult patients with stage 3a to 4 chronic kidney disease, free of diabetes and active neoplasm, evaluated for APOE gene polymorphism and serum APOE concentrations.
O
Outcome
Relationship between APOE gene polymorphism and APOE concentration and its redistribution among lipoproteins along with CKD progression (assessed by eGFR)surrogate

Main Result

Effect estimate: r = 0.7 (E2 subgroup); r = -0.29 (E3 subgroup)

p-value: p=<0.001 (E2); 0.02 (E3)

In patients with chronic kidney disease, APOE genotype and renal function are significantly associated with APOE concentration and its redistribution among lipoprotein classes, which may influence cardiovascular risk.

Limitations

  • Small number of participants in the E4 subgroup due to low prevalence of the ε4 allele
  • Many exclusion criteria limiting the overall sample size
  • Cross-sectional design limits the ability to establish causal relationships

Cite This Study

Czaplińska et al. (2019) conducted a cross-sectional in Chronic kidney disease (n=90). APOE gene polymorphism (E2, E3, E4 genotypes) vs. Between APOE genotypes was evaluated on Correlation between APOE serum concentration and eGFR (r = 0.7 (E2 subgroup); r = -0.29 (E3 subgroup), p=<0.001 (E2); 0.02 (E3)). In patients with chronic kidney disease, APOE serum concentration positively correlated with eGFR in the E2 genotype subgroup (r = 0.7, p < 0.001) but inversely correlated in the E3 subgroup (r = -0.29, p = 0.02).

synapsesocial.com/papers/6a7dc9fb75afeb5dc5339691https://doi.org/10.1186/s12944-019-1003-x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Association of apolipoprotein A1 and B with kidney function and chronic kidney disease in two multiethnic population samples2012 · 60 citations
  2. 2Apolipoprotein E polymorphism modulation of asymmetric dimethylarginine in hypertensive patients is determined by renal function2016 · 3 citations
  3. 3Influence of apolipoprotein E gene polymorphisms on coronary artery disease in patients undergoing coronary angiography2024
  4. 4Association of Apolipoprotein E (APOE) Polymorphisms With Serological Lipid and Inflammatory Markers2024 · 9 citations
  5. 5Apolipoprotein variations across APOE genotypes in young and elderly patients with coronary heart disease2026