Key result
Simvastatin-induced ZNF542P expression changes correlate with in vivo LDL cholesterol reduction.
Why the study?
Genetic factors identified to date explain only a small proportion of variation in LDL cholesterol lowering by statins, motivating the search for novel markers of statin response.
Does ZNF542P knock-down alter intracellular cholesterol ester levels upon simvastatin treatment in human hepatoma cell lines?
Observational (n=157)
Does ZNF542P knock-down alter intracellular cholesterol ester levels upon simvastatin treatment in human hepatoma cell lines?
Effect estimate: Spearman's ρ = -0.353
p-value: p=2.35 × 10^-4
The pseudogene ZNF542P may play a role in the inter-individual variation of LDL-C response to simvastatin, highlighting the potential significance of noncoding RNAs in pharmacogenetics.
May explain inter-individual simvastatin LDL-C response variability; hypothesis-generating for noncoding RNA pharmacogenetics.
Statins are the most commonly prescribed cardiovascular disease drug, but their inter-individual efficacy varies considerably. Genetic factors uncovered to date have only explained a small proportion of variation in low-density lipoprotein cholesterol (LDLC) lowering. To identify novel markers and determinants of statin response, we used whole transcriptome sequence data collected from simvastatin and control incubated lymphoblastoid cell lines (LCLs) established from participants of the Cholesterol and Pharmacogenetics (CAP) simvastatin clinical trial. We looked for genes whose statin-induced expression changes were most different between LCLs derived from individuals with high versus low plasma LDLC statin response during the CAP trial. We created a classification model of 82 "signature" gene expression changes that distinguished high versus low LDLC statin response. One of the most differentially changing genes was zinc finger protein 542 pseudogene (ZNF542P), the signature gene with changes most correlated with statin-induced change in cellular cholesterol ester, an in vitro marker of statin response. ZNF542P knock-down in a human hepatoma cell line increased intracellular cholesterol ester levels upon simvastatin treatment. Together, these findings imply a role for ZNF542P in LDLC response to simvastatin and, importantly, highlight the potential significance of noncoding RNAs as a contributing factor to variation in drug response.
No takes yet. Share an insight, caveat, or question.
Kim et al. (2018) conducted an observational in Hypercholesterolemia / Statin response (n=157). Simvastatin vs. Control buffer was evaluated on Correlation between ZNF542P expression change and in vivo plasma LDLC change (Spearman's ρ = -0.353, p=2.35 × 10^-4). Simvastatin-induced changes in ZNF542P expression in patient-derived cell lines were significantly correlated with in vivo plasma LDL cholesterol reduction (Spearman's ρ = -0.353).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: