Abstract
Lipid metabolism plays an essential role in the pathogenesis of cardiovascular and metabolic diseases.
Cholesteryl ester transfer protein (CETP) is a crucial glycoprotein involved in lipid metabolism by transferring
cholesteryl esters (CE) and triglycerides (TG) between plasma lipoproteins. CETP activity results in reduced
HDL-C and increased VLDL- and LDL-C concentrations, thus increasing the risk of cardiovascular and
metabolic diseases. In this review, we discuss the structure of CETP and its mechanism of action. Furthermore,
we focus on recent experiments on animal CETP-expressing models, deciphering the regulation and
functions of CETP in various genetic backgrounds and interaction with different external factors. Finally, we
discuss recent publications revealing the association of CETP single nucleotide polymorphisms (SNPs) with
the risk of cardiovascular and metabolic diseases, lifestyle factors, diet and therapeutic interventions. While
CETP SNPs can be used as effective diagnostic markers, diet, lifestyle, gender and ethnic specificity should also
be considered for effective treatment.
[2]
Yu Y, Song G. Lipopolysaccharide-binding protein and bactericidal/permeability-increasing protein in lipid metabolism and cardiovascular diseases. Lipid Transfer in Lipoprotein Metabolism and Cardiovascular Disease. Springer 2020.
[21]
Randomized Study of Obicetrapib as an Adjunct to Statin Therapy (ROSE). NCT04753606, 2021.
[22]
Randomized Study of Obicetrapib in Combination with Ezetimibe (OCEAN). NCT04770389, 2021.
[29]
Sun J, Cai R, Huang R, et al. Cholesteryl ester transfer protein intimately involved in dyslipidemia-related susceptibility to cognitive deficits in type 2 diabetic patients. JAD 2016; 54(1): 175-84.
[38]
Deng S, Liu J, Niu C. HDL and Cholesterol Ester Transfer Protein (CETP). HDL Metabolism and Diseases. Springer 2022.
[102]
Kayıkcıoglu M. Polymorphisms of lipid metabolism enzyme-coding genes in patients with diabetic dyslipidemia. Anatol J Cardiol 2017; 17(4): 313-21.
[109]
Goodarzynejad H, Boroumand M, Behmanesh M, Ziaee S, Jalali A. Cholesteryl ester transfer protein gene polymorphism (I405V) and premature coronary artery disease in an Iranian population. Biomol Biomed 2016; 16(2): 114-20.
[121]
Ganesan M, Nizamuddin S, Katkam SK, et al. A mutation in CETP is associated with coronary artery disease in South Indians. PLoS ONE 2016; 11(10): e0164151.
[123]
Kurnaz Gömleksi̇ ZÖ. Investigation of metabolic effects of CETP gene rs289714 variation in coronary artery patients: A case-control study. Turk Kardiyol Dern Ars 2020; 48(7): 673-82.
[142]
Lettre G, Palmer CD, Young T, et al. Genome-wide association study of coronary heart disease and its risk factors in 8,090 African Americans: The NHLBI CARe project. PLoS Genet 2011; 7(2): e1001300.