© 2002 Journal of Medical Genetics
LETTER TO JMG
A Val227Ala polymorphism in the peroxisome proliferator activated receptor
(PPAR
) gene is associated with variations in serum lipid levels
1 Department of Medical Genetics, Institute of Basic Medical Sciences, University of Tsukuba, Tsukuba, Ibaraki 305-8575, Japan
2 Department of Internal Medicine, Kudanzaka Hospital, Kudan-minami, Tokyo 102-0074, Japan
Correspondence to:
Correspondence to:
Dr K Yamakawa-Kobayashi, Department of Medical Genetics Institute of Basic Medical Sciences, University of Tsukuba, Tsukuba, Ibaraki 305-8575, Japan;
kkimiko@md.tsukuba.ac.jp
Keywords: PPAR
gene; Val227Ala polymorphism; serum lipid levels
Peroxisome proliferator activated receptors (PPARs) are ligand activated transcription factors that belong to the nuclear receptor superfamily.1, 2 PPARs regulate gene transcription by heterodimerising with retinoic X receptors and binding to DNA sequences, termed PPAR response elements (PPRE), in the promoters of target genes.2, 3
Three different PPAR genes (
,
/ß, and
), each displaying distinct tissue and developmental expression patterns, have been identified.4, 5 PPAR
, the first member of the PPAR family to be identified, was cloned as an orphan receptor activated by agents that induce peroxisome proliferation.6 It is expressed primarily in tissues with high levels of fatty acid oxidation, such as those in liver, kidney, heart, and muscle.4, 6 Most target genes of PPAR
encode enzymes involved in oxidation of cellular fatty acids, lipid transporters, and apolipoproteins.1, 7 Furthermore, PPAR
is known to mediate the actions of fibrates, which are hypolipidaemic drugs that decrease plasma triglycerides and increase high density
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