Review Article

Apolipoprotein E Gene Variants and Risk of Coronary Heart Disease: A Meta-Analysis

Table 1

Distribution of the CHD cases and controls selection in the studies of APOE gene polymorphisms and CHD risk.

First author
(year)
EthnicCase distributionPercentage (%)Control distributionPercentage (%)HW (Pvalue)NOS score

(1) Wang (2004)Mongoloid (China)146 cases of coronary heart disease confirmed by coronary angiography: 90 male cases and 56 females, mean ages 64 ± 11 years30.0340 control people had noncardiovascular disease and removed the body lipid metabolism disorder, cancer, and cerebrovascular disease population; 184 men and 156 women, mean age 63 ± 12 years70.00.4106
(2) Bai (2001)Mongoloid (China)All 65 patients with coronary heart disease patients were men, aged years on average58.047 controls were noncardiovascular disease; mean age 46 ± 6 years42.00.9397
(3) Wang (2004)Mongoloid (China)110 cases were male and 76 females, aged 41 to 88 years, mean ages 65.0 ± 10.6 years34.7350 controls (185 males, 165 females), aged 40 to 87 years, mean 63.56 ± 8.32 years, were in the same hospital during the same period by the past medical history, physical examination, and ECG and other methods of noncardiac diagnosis of vascular disease cases65.30.4327
(4) Peng (2001)Mongoloid (China)213 cases of coronary heart disease and 52 cases of early-onset CHD and 161 cases of late CHD; early-onset group included 30 males and 22 females, mean age 47.4 ± 3.9 years; the late CHD group included 97 male cases and 64 female cases, mean age 69.8 ± 7.9 years54.2180 healthy persons acted as controls: 94 males and 86 females, mean age 53.1 ± 5.7 years45.80.4368
(5) Yang (2001)Mongoloid (China)204 cases of myocardial infarction and angina pectoris (coronary angiography showed stenosis greater than or equal to 70%) patients, 55 cases of early-onset group, the average age of 45.14 ± 8.18 years, 136 cases of late-onset group, the average age of 70.1 ± 6.4 years60136 control patients from the local companies and confirmed noncoronary heart disease; the average age of 52.15 ± 12.18 years400.7387
(6) Ouyang (2005)Mongoloid (China)A total of 200 cases of coronary heart disease; 105 cases were male and 95 cases were female; average age (63.6 ± 5.8) years66.7100 healthy people as control group: male 55 and female 45; average age 62.1 ± 7.8 years; no coronary heart disease symptoms; ECG and echocardiography tests were normal33.30.3997
(7) Heide (2009)Caucasian (Germany)121 cases of coronary heart disease: 100 cases of men, average age 33.7 ± 5.8 years; 21 females, mean age 39.1 ± 5.4 years32.6250 blood donors as controls, mean age 31.8 ± 6.7 years67.40.5298
(8) Kolovou (2009)Caucasian (Greek)359 cases were male patients with coronary heart disease; coronary angiography showed occlusion greater than or equal to 50%59248 health people were recruited as control, with no cardiovascular disease and no family history of cardiovascular disease410.5797
(9) Bahri (2008)Caucasian (Tunisian)80 cases (diagnosed after coronary angiography and ECG): 64 males and 16 females, mean age 57.42 ± 8.37 years; 56 were smoking, 51 had diabetes, 35 had hypertension, and 22 had high blood lipid44.4100 controls without coronary heart disease and other cardiovascular diseases, and cases from the same region in which 24 men and 76 women were randomly selected55.60.8156
(10) Akanji (2007)Caucasian (Kuwaiti)50 cases had evidence of acute myocardial infarction, the average age of 54 years43.565 controls were randomly selected blood donors; the average age was 39 years without CHD family history; physical examination and blood examination ruled out other systemic diseases56.50.4417
(11) Aydogan (2009)Caucasian (Turkey)41 cases: 19 women and 22 men have undergone coronary angiography; patients with atherosclerosis risk factors such as diabetes, high blood pressure, and smoking55.433 controls: 12 males and 11 females, no family history of coronary heart disease and coronary heart disease symptoms44.60.7547
(12) Ranjith (2004)Caucasian (India)195 cases were patients with acute myocardial infarction39.4300 controls from the same community, without cardiovascular disease and no associated risk factors60.6<0.0017
(13) Peng (2003)Mongoloid (China)150 cases were diagnosed after coronary angiography or myocardial infarction48.9157 control patients from the hospital’s medical examination, age and sex matched with cases51.10.4248
(14) Singh (2008)Caucasian (India)193 cases are diagnosed after coronary angiography; the average age of 54.94 ± 11.43 years56.3150 patients: 105 males and 45 females, mean age 53.42 ± 12.47 years43.70.3276
(15) Keavney (2003)Caucasian4484 cases of patients, mean age 50.5 ± 7.3 years, of which 1706 are smokers43.85757 cases were of an average age of 45.7 ± 9.7 years, including 1151 smokers56.20.4638
(16) Freitas (2002)Caucasian640 cases were diagnosed by coronary angiography and (or) a history of myocardial infarction, mean age 44 ± 4 years,
male 561, female 79, and 300 smokers
50.6624 healthy people were randomly selected from the same community; no history of cardiovascular disease, mean age 40 ± 6 years, 322 men, 302 women, 183 smokers49.40.7678
(17) Kawakami (2001)Mongoloid (Japan)225 cases, of which 76 were vasospasm angina patients and 149 were ischemic heart disease, male 171, female 5451.4213 controls, average age 58.4 years, 152 male, 61 female; they were randomly selected from the hospital when they had an annual physical examination; no history of cardiovascular disease48.60.5107
(18) Attila (2001)Caucasian (Turkey)107 patients have undergone coronary angiography: 73 men and 34 women; the average age of 55.1 ± 10.2 years, 53 patients with hypertension, 22 with diabetes, 52 smokers53.892 controls, after coronary angiography for the exclusion of noncoronary heart disease, of whom 51 were men and 41 women, average age 51.6 ± 9.5 years, 33 patients with hypertension, 6 with diabetes mellitus, 29 smokers46.2<0.0016
(19) Kharrazi (2006)Caucasian (Iran)115 cases of 34 men and 81 women, mean age 54.4 ± 8.9 years46135 controls: 50 females and 85 males, mean age 55 ± 12.3 years540.8347
(20) Gamboa (2008)Caucasian (Mexico)156 patients, 124 males, 32 females, mean age 56.2 ± 9.8 years43.8200 controls: 150 males and 50 females, mean age 55.7 ± 4.16 years56.2<0.0018
(21) Al-Yahyaee (2007)Caucasian67 cases who were diagnosed as rheumatoid arthritis patients with coronary heart disease27.5177 controls were cases of noncoronary heart disease patients with rheumatoid arthritis72.50.9036
(22) Al-Bustan (2009)Caucasian (Kuwaiti)143 patients: 91 were males and 52 females; mean age was 60.88 ± 12.1 years54.0122 controls: 65 males and 57 females, mean age 57.18 ± 13.0 years46.0<0.0016
(23) Vaisi-Raygani (2010)Caucasian (Iran)162 patients were diagnosed by angiographic documented CAD and without diabetes 89 males and 73 females, mean age 56.3 ± 8.5 years47.5179 unrelated control subjects: 88 males and 91 females, mean age 55.7 ± 12.9 years52.50.0357
(24) Corella (2011)Caucasian (Spain)534 cases were participants who developed an incident CHD event during follow-up
32.21123 controls were healthy matched subjects67.80.1698
(25) Fallah (2011)Caucasian (Iran)190 patients: 140 males and 50 females; age range: 49–70 years48.7200 controls: 100 males and 100 females, age range: 36–62 years51.30.0596
(26) Gustavsson (2012)Caucasian (Sweden)1735 CHD cases included the INTERGENE study with upper age limit of 75 years and the SHEEP study with age of 45–70 years27.24654 controls: the INTERGENE study: 3614 people aged 25–74 years; the SHEEP study: 1561 control subjects free from earlier MI diagnosis and matched for age and sex72.80.7657
(27) Heidari (2013)Caucasian (Iran)66 patients with significant lesions, male gender 35, mean age ± SD 52.5 ± 7.952.460 controls with normal coronary artery, male gender 32, mean age ± SD 51.2 ± 7.147.6<0.0016
(28) Marrzoq (2011)Caucasian (Czech)69 subjects (24 female and 45 male) with coronary artery disease50.468 controls: 35 female and 33 male49.60.7086
(29) Afroze (2015)Caucasian (India)200 CAD patients (130 female and 70 male) were recruited from a cohort of patients undergoing clinically indicated coronary angiography30.8450 control subjects (260 female and 190 male)69.2<0.0018
(30) Sapkota (2015)Caucasian (USA)723 CAD patients were diagnosed by nitrate medication, electrocardiographic evidence of angina pain, coronary angiographic evidence of severe (greater than 50%) stenosis, or echocardiographic evidence of myocardial infarction37.41212 controls were healthy subjects without T2D or CAD62.60.087