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Associations between APOE Variants and Metabolic Traits and the Impact of Psychological Stress

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  • Sofia I Iqbal Kring
  • John Barefoot
  • Beverly H Brummett
  • Stephen H Boyle
  • Ilene C Siegler
  • Søren Toubro
  • Torben Hansen
  • Arne Astrup
  • Oluf Pedersen
  • Redford B Williams
  • Thorkild I A Sørensen

Abstract

Objective: In a previous study, we observed that associations between APOE rs439401 and metabolic traits were moderated by chronic stress. Thus, in a population of stressed and non-stressed Danish men, we examined whether associations between APOE rs439401 and a panel of metabolic quantitative traits, all metabolic traits which may lead to T2D and CVD were moderated by psychological stress. Methods: Obese young men (n = 475, BMI≥31.0 kg/m2) and a randomly selected control group (n = 709) identified from a population of 141,800 men were re-examined in two surveys (S-46: mean age 46, S-49: mean age 49 years) where anthropometric and biochemical measures were available. Psychological stress factors were assessed by a self-administered 7-item questionnaire. Each item had the possible response categories “yes” and “no” and assessed familial problems and conflicts. Summing positive responses constituted a stress item score, which was then dichotomized into stressed and non-stressed. Logistic regression analysis, applying a recessive genetic model, was used to assess odds ratios (OR) of the associations between APOE rs439401 genotypes and adverse levels of metabolic traits. Results: The APOE rs439401 TT-genotype associated positively with BMI (OR = 1.09 [1.01; 1.17]), waist circumference (OR = 1.09 [1.02; 1.17]) in stressed men at S-46. Positive associations were observed for fasting plasma glucose (OR = 1.42 [1.07; 1.87]), serum triglycerides (OR = 1.41 [1.05; 1.91]) and with fasting plasma insulin (OR = 1.48 [1.05; 2.08]) in stressed men at S-49. Rs439401 TT-genotype also associated positively with surrogate measures of insulin resistance (HOMA-IR; OR = 1.21 [1.03; 1.41]) and inversely with insulin sensitivity (Stumvoll index; OR = 0.90 [0.82; 0.99], BIGTT-SI; OR = 0.60 [0.43; 0.85]) in stressed men. No significant associations were observed in non-stressed men, albeit the estimates showed similar but weaker trends as in stressed men. Conclusion: The present results suggest that the APOE rs439401 TT-genotype is associated with an adverse metabolic profile in a population of psychologically stressed Danish men.

Suggested Citation

  • Sofia I Iqbal Kring & John Barefoot & Beverly H Brummett & Stephen H Boyle & Ilene C Siegler & Søren Toubro & Torben Hansen & Arne Astrup & Oluf Pedersen & Redford B Williams & Thorkild I A Sørensen, 2011. "Associations between APOE Variants and Metabolic Traits and the Impact of Psychological Stress," PLOS ONE, Public Library of Science, vol. 6(1), pages 1-5, January.
  • Handle: RePEc:plo:pone00:0015745
    DOI: 10.1371/journal.pone.0015745
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    1. Steven E. Kahn & Rebecca L. Hull & Kristina M. Utzschneider, 2006. "Mechanisms linking obesity to insulin resistance and type 2 diabetes," Nature, Nature, vol. 444(7121), pages 840-846, December.
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