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Gene & Protein in Disease





                                        REVIEW ARTICLE
                                        Single-nucleotide polymorphism rs670 in the

                                        promoter region of the apolipoprotein A-I gene



                                                                                       1
                                                                   1
                                        Mac Dionys Rodrigues da Costa , Bruna Ribeiro Duque ,
                                                                                            1
                                        Natasha Maria Lima Pinheiro , Izabell Maria Martins Teixeira ,
                                                                 1
                                        Emanuel Paula Magalhães , Felipe Ramon Cunha da Silva ,
                                                               1
                                                                                          1
                                        Mateus Edson da Silva , Alice Maria Costa Martins ,
                                                           1
                                                                                   2
                                        Ramon Róseo Paula Pessoa Bezerra de Menezes , and Tiago Lima Sampaio *
                                                                                 1,2
                                                                                                         1,2
                                        1 Postgraduate Programme in Pharmaceutical Sciences, Federal University of Ceará, Fortaleza,
                                        Ceará, Brazil
                                        2 Department of Clinical and Toxicological Analyses, Federal University of Ceará, Fortaleza, Ceará,
                                        Brazil
                                        Abstract
                                        Apolipoprotein A-I (Apo A-I) plays a central role in the function of high-density
                                        lipoprotein (HDL). The rs670 single-nucleotide polymorphism (SNP) was identified as
                                        a cytosine-to-thymine (C>T) transition in a cytosine–phosphate–guanine site within
                                        the promoter region of APOA1. Given its location, studies have hypothesized that
                                        this polymorphism may influence APOA1 expression, potentially impacting lipid and
                                        carbohydrate metabolism. The aim of this integrative review was to summarize all
                                        observational and experimental studies on the rs670 SNP available in the Scopus,
                                        ScienceDirect, dbSNP, and LitVar2 databases up to July 2024. In total, 162 articles
            *Corresponding author:
            Tiago Lima Sampaio          were identified, of which 28 met the inclusion criteria. Most studies originated from
            (tiagosampaio@ufc.br)       Asia and were published between 2009 and 2023. Of the selected studies, 14 (50%)
            Citation: da Costa MDR,     examined the association of the rs670 SNP with metabolic disorders. Among
            Duque  BR, Pinheiro NML, et al.   these, eight (28.57%) reported an association between the polymorphic allele
            Single-nucleotide polymorphism   and  alterations in  lipid profiles, proinflammatory markers,  and insulin  resistance.
            rs670 in the promoter region of
            the apolipoprotein A-I gene. Gene   The remaining studies explored associations between the polymorphic allele and
            Protein Dis. 2025;4(1):4354.   ischemic events, pharmacological therapies, diet, neurodegenerative diseases,
            doi: 10.36922/gpd.4354      pancreatitis, and breast cancer. The rs670 SNP occurs in more than 20% of the global
            Received: July 29, 2024     population. Its position within the promoter region enables it to potentially regulate
            1st revised: August 20, 2024   the APO cluster on chromosome 11. This review underscores the need for further
            2nd revised: November 15, 2024   investigation into the impact of this polymorphism on gene expression and its role in
            Accepted: November 20, 2024
            Published online: December 13,   the pathogenesis of metabolic syndrome, cardiovascular disease, and cancer.
            2024
            Copyright: © 2024 Author(s).   Keywords: Apolipoprotein A-I; High-density lipoprotein; Lipid metabolism; Single-
            This is an Open-Access article
            distributed under the terms of the   nucleotide polymorphism
            Creative Commons Attribution
            License, permitting distribution,
            and reproduction in any medium,
            provided the original work is
            properly cited.             1. Introduction
            Publisher’s Note: AccScience   The proper functioning of lipid metabolism involves several key components, such as
            Publishing remains neutral with   lipoproteins, apolipoproteins (Apo), enzymes, and tissue receptors. Apo play crucial
            regard to jurisdictional claims in
            published maps and institutional   roles in the orientation and stabilization of lipoproteins, serving as ligands for receptors
            affiliations.               and acting as enzyme activators or inhibitors. Apo A-I, predominantly synthesized in

            Volume 4 Issue 1 (2025)                         1                               doi: 10.36922/gpd.4354
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