CD36 polymorphisms and cardiovascular diseases

Pathological findingsCD36 variantsPopulationSample sizeEffect size (OR/HR, 95% CI)Key notes/observationsReferences
Abnormal serum fatty acidsrs3211938, rs1761667African AmericansHDL < 5.2 mg/dL (P = 0.00018); FA > 2.7 mg/dL/A-allelers3211938 reduces CD36 protein (41%), rs1761667 increases FA uptake[47, 51]
30294G>C polymorphismCaucasians585FFA levels (P = 0.02)Men carrying the AGGIG haplotype had 31% higher FFA (P = 0.0002) and 20% higher triglycerides[44]
Abnormal LDLsrs1761665, rs7755Caucasians1,117LDL particle numbers/20% (P < 0.01)3'UTR, rs7755 (A-allele), previously linked to risk of MetS and stroke was associated with higher LDL[52]
SNP +30215/G-alleleJapanese494Difference in LDL-cholesterol concentrations was 10 mg/dL between GG- and AA-genotype carriers (P < 0.05)Maker of the variation of LDL-cholesterol levels in male population[45]
Ischemic stroke riskrs1761667, rs10499859Chinese1,387Increased risk of ischemic stroke with a 1.38 (95% CI 1.06–1.78, P = 0.020); rs10499859 risk was increased by 1.39 (95% CI 1.08–1.81, P = 0.012)Dominant model risk independent of lipid levels[53]
rs1761667Korean759Higher stroke risk of AG + AA genotypes (16.3% vs. 10.2%, respectively; P = 0.049)No significant association with microvascular complication[54]
CADrs1761667 (AG genotype)Egyptian147AG genotype rs1761667 association with increased risk of CAD (OR = 17.97, 95% CI 3.19–87.85, P = 0.001)Plasma LDL levels in CAD patients with the AG genotype were significantly higher than those with the GG and AA genotypes (P = 0.046); AG genotype was significantly more prevalent among T2DM and metabolic syndrome patients (P < 0.05)[55]
rs1761667 (G > A)Iranian238Risk of CAD increased with rs1761667 (G > A) (OR = 5.677, 95% CI = 1.053–30.601, P = 0.043)Dominant model of CD36 rs1761667 was found to have a protective role in hypertensive and CAD patients[56]
Insulin resistance & T2DMrs3211938 (TG genotype)Mexican Mestizos115HOMA-IR 3.2-fold (P = 0.001)BMI 4.1 kg/m2 in diabetics vs. TT carriers[47]
Stroke risk (LV mass & obesity)rs1527479, rs1984112Australian275LV mass/2 g/m2 (P < 0.05)Linked to exercise-induced lipid oxidation[57]
rs1761663Finnish1,425rs1761663 effect on left ventricular mass measured either by echo (P = 0.017) or ECG (P = 0.007)rs1761663 polymorphism has independent effects both on BMI and left-ventricular mass[58]

LDL: low-density lipoprotein; SNP: single nucleotide polymorphism; CAD: coronary artery disease; T2DM: type 2 diabetes mellitus; OR: odds ratio; HR: heart rate; HDL: high-density lipoprotein; FA: fatty acids; FFA: free fatty acids; 3'UTR: 3' untranslated region; HOMA-IR: homeostatic model assessment for insulin resistance; BMI: body mass index; ECG: electrocardiogram