摘要
目的:观察载脂蛋白CⅠ(ApoCⅠ)基因多态性对低剂量阿托伐他汀调脂疗效的影响。方法:选择高脂血症患者387例,其中94例服用阿托伐他汀10mg,每晚1次;于治疗前及治疗开始后第4、8、12周抽血化验血脂指标。采用聚合酶链式反应-限制性片段长度多态性(PCR-RFLP)方法检测ApoCⅠ基因多态性。结果:387例高脂血症患者中H2等位基因相对频率为31.65%,H1等位基因相对频率为68.35%。服用阿托伐他汀8周后,非H2携带者的低密度脂蛋白胆固醇降低水平明显高于H2携带者(P<0.05),但未发现TC、TG及载脂蛋白B(ApoB)水平降低程度的基因型间差异(P均>0.05)。结论:ApoCⅠ基因多态性对阿托伐他汀的调脂疗效的影响不显著。
AIM:To investigate the effect of polymorphisms in ApoCⅠ gene on the treatment efficacy of small dose of atorvastatin on hyperlipidemia.METHODS:94 cases in 387 patients with hyperlipidemia were treated with oral administration of atorvastatin 10 mg/d.The TC,TG,LDL-C,apoA1 and apoB were measured before treatment and after 4,8,12 weeks of treatment.The polymorphisms of ApoCⅠgene on HpaⅠlocus were determined by using PCR-RFLP method.RESULTS:In 387 patients,the relative frequency of H2 allele and H1 allele were 0.3165 and 0.6835,respectively.After 8 weeks of treatment,the decreasing in level of LDL-C was more prominent in non H2 carriers than that in H2 carriers(P0.05),but this difference was not found in TC,TG and ApoB.CONCLUSION:The efficacy of lipid-lowering therapy was no difference in Apo CⅠ gene polymorphisms.
出处
《中国临床药理学与治疗学》
CAS
CSCD
2010年第10期1161-1165,共5页
Chinese Journal of Clinical Pharmacology and Therapeutics