1p13peningkatan resikonya mencapai 29% per alel Kromosom 1p13 Gen pada kromosom 1p13 CAD dikaitkan dengan peningkatan kadar LDL dan VLDL (kolesterol)
Bagaimana mekanisme nya???
Basic research carried out by Musunuru et al Kromosom 1p13
Modulasi berbagai gen oleh alel yang
mengalami kerusakan pada kromosom 1p13 diperkirakan mempengaruhi Regulator Element VLDL dan LDL tinggi CAD Kromosom 1p13 SNP (Single Nucleotide Polymorphism) SNP Perubahan satu nukleotida pada varian sekuen DNA Terjadi mutasi pada mikrosatelitMenyebar disepanjang 23 pasang kromosom manusia frekuensinya kira-kira > 1% Kombinasi SNP di sepanjang kromosomHaplotype Map of 1p13 SNPs genotyped in ~20,000 individuals of European descent relative to CELSR2 and PSRC1 genes. The six SNPs with strongest association with LDL (indicated with boxes), Musunuru, et al. (2010): determined that a noncoding polymorphism SNP rs12740374 in 1p13 impacts a transcription factor binding site that alters hepatic expression of SORT1. The risk allele G in rs12740374 disrupts the C/EBP transcription factor binding site and is significantly associated hepatic expression of SORT1 C/EBP (CAAT Enhancer Binding Protein
The PPARg and C/EBP
family of transcription factors are considered as the master regulators of adipogenesis (Experimental Biology and Medicine) the G (risk) allele of rs12740374 disrupts a binding site for the transcription factor CCAAT/enhancer binding protein (C/EBP). This in turn leads to reduced expression of sortilin 1 (SORT1) and less sortilin 1 protein. Sortilin 1 is an intracellular protein localized in the in the Golgi apparatus, where it is involved in the processing of particles containing apolipoprotein Sortilin 1 Receptor decreased leads to increased levels VLDL and LDL cholesterol in the blood and increased risk of coronary disease. Mechanism of Sortilin 1 :new player in lipoprotein metabolism Sort 1 interacts with APO-B in the Golgi and facilitates the formation and hepatic export of VLDL lipoproteinsthereby regulating plasma LDL concentration Kjolby et Sort 1 overexpression stimulated hepatic release of lipoproteins and al increased plasma LDL
Inverse relationship between Sort1 1 expression and circulating LDL
cholesterol. Musunuru Sort 1 in mice decreased serum LDL cholesterol whereas knockdownhad et al. opposite effect
Sort 1 enhanced LDL endocytosis
Linsel- Nitschke Mechanism of Sortilin 1 :new player in lipoprotein metabolism SEKIAN & TERIMA KASIH MATUR NUUN