Objective-Stearoyl-CoA desaturase 1 (SCD1) is the rate-limiting enzyme involved in the synthesis of monounsaturated fatty acids, and in mice SCD1 activity is associated with plasma triglyceride levels. We used the fatty acid desaturation index (the plasma ratio of 18:1/18:0) as a marker of SCD1 activity to investigate the relationship of SCD1 to familial combined hyperlipidemia (FCHL). Methods and Results-The fatty acid desaturation index was measured in 400 individuals from 18 extended FCHL pedigrees. FCHL-affected individuals exhibited increased SCD1 activity when compared to unrelated controls (PϽ0.0001). The fatty acid desaturation index was found to be highly heritable (h 2 ϭ0.48, Pϭ2.2ϫ10 Ϫ11 ) in this study sample. QTL analysis in 346 sibling pairs from 18 FCHL families revealed suggestive linkage of the desaturation index to chromosomes 3p26.1 to 3p13 (zϭ2.7, Pϭ0.003), containing the peroxisome proliferator-activated receptor gamma (PPAR␥) gene, and 20p11.21 to 20q13.32 (zϭ1.7, Pϭ0.04), containing the hepatocyte nuclear factor 4, alpha (HNF4␣) gene. A specific haplotype of HNF4␣ was found to be associated with the desaturation index in these FCHL families (Pϭ0.002).
Conclusion-Our results demonstrate that the fatty acid desaturation index is a highly heritable trait that is associated with the dyslipidemia observed in FCHL. (Arterioscler Thromb Vasc Biol 2008;28:1193-1199)Key Words: familial combined hyperlipidemia Ⅲ genetics Ⅲ Stearoyl-CoA desaturase 1 Ⅲ peroxisome proliferator-activated receptor gamma Ⅲ hepatocyte nuclear factor 4 alpha S tearoyl-coenzyme A (CoA) desaturase (SCD) is the major enzyme which catalyzes the conversion of saturated fatty acids to monounsaturated fatty acids. The primary products of SCD-1, palmitate and oleate, are the most abundant monounsaturated fatty acids of phospholipids, triglycerides, wax esters, and cholesterol esters. 1 Mice homozygous for either a naturally occurring mutation or a targeted disruption of the SCD1 gene exhibit a marked reduction in VLDL triglycerides. 2 SCD1 Ϫ/Ϫ mice on a leptin-deficient ob/ob background exhibit reduced adiposity and increased fatty acid oxidation when compared to control animals, demonstrating a key role for SCD1 in the regulation of lipid homeostasis. 2 Familial combined hyperlipidemia (FCHL) is characterized by elevated plasma triglyceride or cholesterol levels. 3 FCHL often occurs in combination with insulin resistance, central adiposity, altered fatty acid metabolism, and other dyslipidemic phenotypes that predispose to early coronary artery disease (CAD). 4,5 The observed role of SCD1 in the regulation of VLDL metabolism and its involvement in many of the lipid parameters that are perturbed in FCHL suggest that the activity of this enzyme may be altered in FCHL subjects. In fact, the desaturation index was strongly correlated with both triglyceride and HDL levels in a human cohort of which approximately 60% of the subjects had FCHL. 6 In mice, studies of SCD activity in the HYPLIP mouse model of hyperlipidemia showed that hepa...