This article is available online at http://www.jlr.org increasing P:S (respectively, р 0.33 to >0.65; 0.34 to >0.65) in Ala12 allele carriers. There were no signifi cant differences between carriers and noncarriers after the 4-week HS diet or 24-week interventions. Plasma TC and TG concentrations in PPARG Ala12 allele carriers decrease as P:S increases, but they are not dependent on a reduction in SFA intake. The transcription factor peroxisome proliferator-activated receptor-␥ (PPAR ␥ ) is one of three PPARs and a member of the nuclear hormone receptor superfamily ( 1 ). The major natural ligands are polyunsaturated fatty acids and prostanoids ( 2 ), suggesting a role in transducing nutritional to metabolic signals ( 3 ). An increase in PPAR ␥ mRNA in adipose tissue of mice exposed to a high-fat diet ( 4 ) suggested that dietary modulation might infl uence Abstract The PPAR ␥ 2 gene single nucleotide polymorphism (SNP) Pro12Ala has shown variable association with metabolic syndrome traits in healthy subjects. The RISCK Study investigated the effect of interaction between genotype and the ratio of polyunsaturated:saturated (P:S) fatty acid intake on plasma lipids in 367 white subjects (ages 30-70 years) at increased cardiometabolic risk. Interaction was determined after habitual diet at recruitment, at baseline after a 4-week high-SFA (HS) diet, and after a 24-week reference (HS), high-MUFA (HM), or low-fat (LF) diet. At recruitment, there were no signifi cant associations between genotype and plasma lipids; however, P:S × genotype interaction infl uenced plasma total cholesterol (TC) ( P = 0.02), LDL-cholesterol (LDL-C) ( P = 0.002), and triglyceride (TG) ( P = 0.02) concentrations. At P:S ratio р 0.33, mean TC and LDL-C concentrations in Ala12 allele carriers were significantly higher than in noncarriers (respectively, P = 0.003; P = 0.0001). Signifi cant trends in reduction of plasma TC ( P = 0.02) and TG ( P = 0.002) concentrations occurred with This work was supported by the UK Food Standards Agency Project NO2031 (G.S.F., B.A.G., J.A.L., S.A.J., and T.A.B.S.) 's Global Nutrition Advisory Panel. T.A.B.S., B.A.G., J.A.L., S.A.J., and G.S.F purposes, including Archer Daniel Mills, Croda, Matthews Foods, Nestlé, PepsiCo, Jordan, GSK, and Unilever. A.A. and S.D.O. reported PPARG Pro12Ala, dietary fat and plasma lipids 2299 jects completed the study. Self-reported ethnicity was recorded as White, South Asian, Black African, or Other.
Study designThe RISCK Study is a parallel 2 × 2 factorial design compared with a control intervention ( 16 ). At screening, unweighed 4-day food diaries (3 week days and 1 weekend day) were collected to record the habitual diet. Nutrient intakes were estimated by using the food-composition database software DINO as described previously ( 18 ). The intervention diets were planned to provide similar intakes of dietary energy but to vary in the amount and type of fats and carbohydrates. All participants followed a 4-week run-in period during which they consumed a high-saturated...