Aims: The CD36 gene encodes for a membrane receptor that facilitates fatty-acid uptake and utilization. Genetic variants of the CD36 gene have been associated with metabolic syndrome (MetS). We aimed to evaluate the association between the rs10499859A > G and rs13246513C > T polymorphisms and MetS components. Methods: For this case-control study, 140 MetS and 187 normal subjects were randomly selected from the Tehran Lipid and Glucose Study participants. Biochemical and anthropometrical variables were measured. Genotyping for both single nucleotide polymorphisms (SNPs) was performed by polymerase chain reactionrestriction fragment length polymorphism. Results: Case and control groups were not different in allele and genotype frequencies for these SNPs. However, the A and T alleles of these SNPs were significantly associated with elevated levels of high-density lipoprotein cholesterol (HDL-C) before age and sex adjustment (p = 0.027 and 0.016, respectively). Association between the A allele and body mass index (BMI) was also significant after adjustment for MetS under the dominant model (p = 0.009, b 2 = 0.68). Conclusions: Based on our results, these polymorphisms do affect HDL-C level and BMI (MetS components), although the effect may be slight and restricted specifically to an environment-genotype.
Introduction
Metabolic syndrome (MetS) is a group of risk factors that increase susceptibility to atherosclerotic cardiovascular disease and type 2 diabetes (Klein et al., 2002;Malik et al., 2004). Both genetic and environmental factors influence all components of the syndrome which include hypertension, obesity, insulin resistance, and dyslipidemia (Ford et al., 2002;Love-Gregory et al., 2008). Prevalence of the MetS is increasing to epidemic proportions not only in developed countries but also in developing nations. Thus, improved understanding of the genetic variations that increase susceptibility to the MetS is important and requisite for effective prevention and intervention. Several recent genome-wide linkage scans identified the 7q11.2-7q21.11 region of chromosome 7 as strongly linked to MetS components (Arya et al., 2002;An et al., 2005;Malhotra et al., 2007;Love-Gregory et al., 2008). This region contains the CD36 gene that encodes a glycoprotein of the class B scavenger receptor family. CD36 is an 88-kDa glycoprotein, which is expressed in many cell types such as cardiac and skeletal muscles, adipocytes, macrophages, and microvascular endothelial cells (Coburn et al., 2000;Collot-Teixeira et al., 2007). CD36 binds with many ligands including native lipoproteins, oxidized low-density lipoproteins (LDLs) and highdensity lipoproteins (HDLs), and long-chain fatty acids (Calvo et al., 1998;Connelly et al., 1999;Feng et al., 2000;Hirano et al., 2003;Nassir et al., 2007). Further, CD36 plays an important role in cholesterol uptake by enterocytes (Nassir et al., 2007). The presented functions suggest a critical role for CD36 in lipid metabolism and insulin resistance that is the major condition linked with the Met...