APOA5 variant Ser19Trp influences a decrease of the total cholesterol in a male 8 year cohort

Objectives: To evaluate whether the relationship between dietary composition and plasma lipid levels is genetically determined. Design and methods: We have evaluated the influence of common apolipoprotein A5 (APOA5) variants (T-1131 > C, Ser19 > Trp and Val153 > Met) on plasma lipid concentrations in 117 males for whom dietary composition markedly changed and total cholesterol decreased (from 6.21 ± 1.31 mmol/L in 1988 to 5.43 ± 1.06 mmol/L in 1996) over an 8 year follow-up study. Results: APOA5 T-1131 > C and Val153 > Met variants did not influence the change in lipid measures over time. In Ser/Ser19 homozygotes, the plasma cholesterol was relatively stable over the years (6.1 ± 1.2 mmol/L in 1988 and 5.6 ± 1.0 mmol/L in 1996, − 8%, P < 0.01). In contrast, in the Trp19 carriers, the decrease of the plasma cholesterol was more than 20% (6.5 ± 1.6 mmol/L in 1988 and 5.1 ± 1.0 mmol/L in 1996) (P < 0.001). The difference of the changes is significant (8% vs. 20%, P < 0.005). Changes in other analyzed lipid parameters have not been significantly associated with APOA5 variants. Conclusions: Ser19 > Trp variant in the APOA5 gene may play an important role in an individualʹs sensitivity to dietary composition