Preliminary evidence for a role of apolipoprotein E alleles in identifying haemodialysis patients at high vascular risk

Nephrol Dial Transplant. 1997 Apr;12(4):691-3. doi: 10.1093/ndt/12.4.691.

Abstract

Conventional risk factors have very low predictive power in identifying haemodialysis patients at high risk of vascular accidents. A role for apolipoprotein E isotypes was looked for in a small, but rigorously defined, cohort of longterm haemodialysis patients. In individuals with high vascular risk, as identified by higher common carotid intima/media thickness, we found an excess of apolipoprotein E4 alleles. This preliminary result requires confirmation in large patient cohorts.

MeSH terms

  • Adult
  • Aged
  • Alleles*
  • Apolipoprotein E4
  • Apolipoproteins E / genetics*
  • Apolipoproteins E / physiology
  • Arteriosclerosis / etiology
  • Arteriosclerosis / genetics
  • Arteriosclerosis / pathology
  • Carotid Artery, Common / diagnostic imaging
  • Carotid Artery, Common / pathology
  • Cohort Studies
  • Female
  • Humans
  • Lipids / blood
  • Male
  • Middle Aged
  • Renal Dialysis / adverse effects*
  • Risk Factors
  • Ultrasonography
  • Vascular Diseases / etiology*
  • Vascular Diseases / genetics*
  • Vascular Diseases / pathology

Substances

  • Apolipoprotein E4
  • Apolipoproteins E
  • Lipids