CIDE--A gene expression in patients with abdominal obesity and LDL hyperlipoproteinemia qualified for surgical revascularization in chronic limb ischemia

Pol Przegl Chir. 2013 Nov;85(11):644-8. doi: 10.2478/pjs-2013-0097.

Abstract

According to the latest data, CIDE -A gene plays a key role in the regulation of body weight in both humans and mice, and therefore it is regarded a potential candidate gene for human obesity. The aim of the study was to define the role of CIDEA gene in patients with dyslipidemia and symptomatic limb ischemia.

Material and methods: The study group contained 28 patients, including 17 men and 11 women. Patients were enrolled in the study group, depending on the value of body mass index (BMI); there was BMI>30 for obese patients. The group included untreated patients (n=14) and patients (n=14) receiving atorvastatin 20 mg/day for at least three months prior to the initiation of the study. The control group (n=16) contained patients with no lipid disorders. A one-step isolation of RNA from lymphocytes and adipose tissue cells was carried out using the TRI method modified by Chomczyński and Sacchi. Next, gene expression was tested using real-time PCR.

Results: The highest mean relative expression of CIDE -A gene occurred in patients with normal body weight. The lowest mean relative expression of CIDE-A gene was observed in obese patients with lipid disorders. A high negative correlation (r=-0.7919) of CIDE -A gene expression, depending on BMI, was reported in the group of obese patients with lipid disorders.

Conclusions: Due to an important role of Cide-A protein demonstrated in the development of metabolic diseases such as obesity, metabolic syndrome, type 2 diabetes and their vascular complications, CIDE -A gene and protein are potential therapeutic targets in the case of these diseases.

MeSH terms

  • Aged
  • Apoptosis Regulatory Proteins / genetics*
  • Atorvastatin / therapeutic use*
  • Body Mass Index
  • Diabetes Mellitus, Type 2 / complications
  • Diabetes Mellitus, Type 2 / genetics
  • Female
  • Gene Expression Regulation
  • Humans
  • Hyperlipoproteinemias / complications
  • Hyperlipoproteinemias / drug therapy*
  • Hyperlipoproteinemias / genetics*
  • Ischemia / complications
  • Ischemia / genetics
  • Ischemia / surgery
  • Leg / blood supply
  • Lipoproteins, LDL / genetics*
  • Male
  • Metabolic Syndrome / genetics
  • Middle Aged
  • Obesity, Abdominal / complications
  • Obesity, Abdominal / genetics*

Substances

  • Apoptosis Regulatory Proteins
  • CIDEA protein, human
  • Lipoproteins, LDL
  • Atorvastatin