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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 Harst
  • P. I W De Bakker, A. De Boer, C. Verstuyft, A. H. Maitland-Van Der Zee*
*Corresponding author for this work
  • Ohio State University
  • University of Cambridge
  • University Medical Center Groningen
  • University of Gothenburg
  • External unknown
  • Utrecht University
  • University Medical Center Utrecht
  • EMGO Institute for Health and Care Research
  • South Korea
  • University of Groningen
  • AstraZeneca Sweden
  • Global Epidemiology
  • Assistance Publique Hôpitaux de Paris
  • Hopital St. Antoine
  • URC-EST
  • Centre for Pharmacogenomics
  • University of Dundee
  • Program in Pharmacogenomics
  • Hôpital européen Georges Pompidou
  • Université Paris 5
  • Harvard University
  • Sorbonne Université
  • Hopital Bicetre
  • Service de Genetique Moleculaire
  • Université Paris-Sud

Research output: Contribution to journal › Article › Academic › peer-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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