Yonsei Med J.  2004 Jun;45(3):375-379. 10.3349/ymj.2004.45.3.375.

Apolipoprotein E Gene Polymorphism and Serum Lipids in Patients with Superficial Fungal Disease

Affiliations
  • 1Department of Dermatology, Mersin University, School of Medicine, Mersin, Turkey. utursen@mersin.edu.tr
  • 2Department of Biochemistry, Mersin University, School of Medicine, Mersin, Turkey.
  • 3Department of Biostatistics, Mersin University, School of Medicine, Mersin, Turkey.

Abstract

Superficial mycosis, including dermatophytic infections, tinea versicolor, and cutaneous candidiasis is mostly limited to the outer layers of the skin, nails, and mucous membranes. In this study, Apolipoprotein E (ApoE) polymorphism and lipoprotein cholesterol concentrations were compared between 42 patients with superficial fungal disease and 27 control subjects. Both the patients and controls were found to be normolipemic. The patients with superficial fungal disease had significantly higher concentrations of high-density cholesterol (HDL) compared to the control group (p=0.0462). However, there was no difference in the serum triglyceride, low-density lipoprotein (LDL) and very low-density lipoprotein (VLDL) cholesterol concentrations. A significantly higher incidence of heterozygosity E2/3 was found in the patients (p=0.0228), and significantly lower incidence of homozygosity E3/3 in all patients, and those with candidiasis and dermatophytosis (p=0.0139, 0.0194 and 0.0337, respectively) compared to the control group. The E3/4 genotype differences between patients and controls were not statistically significant. There were slight differences in the allele frequencies between the two groups, but these did not reach statistically significant levels. It was concluded that the presence of apoE2/3 genotype, high HDL-cholesterol levels and the absence of apoE3/3 genotype can be regarded as risk factors for superficial fungal disease, especially dermatophytosis.

Keyword

Apolipoprotein E; lipoprotein; dermatophyte; Candida; Malassezia

MeSH Terms

Apolipoproteins E/*genetics
Candidiasis, Cutaneous/blood/epidemiology/*genetics
Gene Frequency
Genetic Predisposition to Disease/epidemiology
Genotype
Human
Lipids/*blood
*Polymorphism (Genetics)
Prospective Studies
Risk Factors
Tinea Versicolor/blood/epidemiology/*genetics
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