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Clue found as to why small babies have increased risk of heart disease as adults

August 14, 2003

The reason why small babies have an increased risk of heart disease as adults may lie in abnormal parental gene transfer, suggests preliminary research in the Journal of Medical Genetics.

The researchers studied almost 500 babies born after 24 weeks of pregnancy whose weight was below what would be expected for their developmental stage and gender. All the babies were born at one centre between 1998 and 2000.




Genetic material was extracted from blood samples taken from mothers and babies, and from mouth swabs taken from the fathers. The researchers tested for the presence of the APOE gene in 440 mother and baby pairs and 194 fathers.

The APOE gene encodes for the protein component of the fat and protein complexes found in blood plasma. It comes in three varieties (℮2, ℮3, and ℮4 alleles). APOE is involved in various immune processes, control of cell growth, and brain development.

Animal studies have shown that deficient APOE expression increases susceptibility to narrowing and hardening of the arteries; when the gene is ‘overexpressed’, it exerts anti-inflammatory effects and protects against furring up of the arteries.

When the researchers looked at APOE variants in the DNA samples, they found that the parental transmission of ℮2 was significantly reduced in the small babies; ℮3 was passed on marginally more than would be expected, while ℮4 conformed to expectations.

Overall, these patterns were not what would have been expected when taking into account race, gender, smoking history of the mother, and birthweight and other pregnancy complications.

On the basis of their results, the authors speculate that ℮2 is the critical variant of the APOE gene, and that it seems to protect against low birthweight (intrauterine growth restriction). Given that it is transmitted less frequently to small babies, and given that small babies are more prone to cardiovascular disease as adults, the ℮2 allele could be the missing link in the puzzle, the authors suggest.

British Medical Journal (BMJ)



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