Viewing Study NCT00005183



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Last Modification Date: 2024-10-26 @ 9:04 AM
Study NCT ID: NCT00005183
Status: COMPLETED
Last Update Posted: 2017-12-21
First Post: 2000-05-25

Brief Title: Apolipoprotein A-I Gene Polymorphism and Atherosclerosis
Sponsor: Tufts University
Organization: Tufts University

Study Overview

Official Title: Apolipoprotein A-I Gene Polymorphism and Atherosclerosis
Status: COMPLETED
Status Verified Date: 2017-12
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: To further define the linkage of the Apo A-I gene polymorphism to genetic high density lipoprotein HDL deficiency and premature coronary artery disease Also to utilize this gene marker to define the prevalence of genetic HDL deficiency in patients with premature coronary disease and to determine the relative risk of premature coronary disease associated with the Apo A-I gene polymorphism
Detailed Description: BACKGROUND

Apolipoprotein apo A-I is the major protein constituent of plasma high density lipoproteins HDL HDL has been shown to promote cholesterol efflux from cells in vitro Decreased plasma concentrations of HDL cholesterol and Apo A-I have been associated with premature coronary artery disease due to atherosclerosis in our society A genetic HDL deficiency familial hypoalphalipoproteinemia appears to be fairly common in patients with premature coronary artery disease The gene for Apo A-I has been isolated and characterized Preliminary studies indicate that a specific Apo A-I gene polymorphism detected following Pst I restriction enzyme digestion utilizing a specific probe is significantly more common in subjects with premature coronary artery disease than in normal control subjects and in some kindreds is associated with genetic HDL deficiency This Apo A-I gene polymorphism is due to an alteration in the Apo A-I Apo C-III intergenic region near the 3 end of the coding region for Apo A-I These observations have important implications for the detection of individuals genetically predisposed to premature coronary disease as well as for providing insights into the mechanism leading to atherosclerosis

DESIGN NARRATIVE

Questionnaires were used to obtain information from each patient on known risk factors and diet Fasting blood samples were obtained for lipoprotein analysis Standard clinical and cardiological information and fasting blood samples were also collected for the cases Blood was drawn for the DNA studies A determination was made as to whether the Pst I Apo A-I gene polymorphism was associated with diminished levels of plasma Apo A-I or HDL cholesterol by analysis of the distribution of these variables in cases and controls after controlling for other known risk factors Linkage analysis was used to determine whether the Pst I Apo A-I gene polymorphism co-segregates with premature coronary disease or with diminished levels of plasma Apo A-I or HDL cholesterol in 50 kindreds A characterization was made of the abnormality in the Apo A-I Apo C-III Apo A-IV gene complex in patients with HDL deficiency premature coronary disease and the Pst I Apo A-I gene polymorphism

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: False
Is a FDA Regulated Device?: False
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None
Secondary IDs
Secondary ID Type Domain Link
R01HL035243 NIH None httpsreporternihgovquickSearchR01HL035243