Cholesteryl ester transfer protein polymorphisms, statin use, and their impact on cholesterol levels and cardiovascular events

M. Leusink, N. C. Onland-Moret, F. W. Asselbergs, B. Ding, S. Kotti, N. R. Van Zuydam, A. C. Papp, N. Danchin, L. Donnelly, A. D. Morris, D. I. Chasman, P. A F M Doevendans, O. H. Klungel, P. M. Ridker, W. H. Van Gilst, T. Simon, F. Nyberg, C. N A Palmer, W. Sadee, P. Van Der HarstP. I W De Bakker, A. De Boer, C. Verstuyft, A. H. Maitland-Van Der Zee*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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 × 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 × 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 languageEnglish
Pages (from-to)314-320
Number of pages7
JournalClinical Pharmacology and Therapeutics
Volume95
Issue number3
Publication statusPublished - 1 Mar 2014

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