Additional Common Polymorphisms in thePONGene Cluster Predict PON1 Activity but Not Vascular Disease
Background. Paraoxonase 1 (PON1) enzymatic activity has been consistently predictive of cardiovascular disease, while the genotypes at the four functional polymorphisms atPON1have not. The goal of this study was to identify additional variation at thePONgene cluster that improved prediction of PON1 activity and determine if these variants predict carotid artery disease (CAAD).Methods. We considered 1,328 males in a CAAD cohort. 51 tagging single-nucleotide polymorphisms (tag SNPs) across thePONcluster were evaluated to determine their effects on PON1 activity and CAAD status.Results. Six SNPs (four inPON1and one each inPON2/3) predicted PON1 arylesterase (AREase) activity, in addition to the four previously known functional SNPs. In total, the 10 SNPs explained 30.1% of AREase activity, 5% of which was attributable to the six identified predictive SNPs. We replicate rs854567 prediction of 2.3% of AREase variance, the effects of rs3917510, and aPON3haplotype that includes rs2375005. While AREase activity strongly predicted CAAD, none of the 10 SNPs predicting AREase predicted CAAD.Conclusions. This study identifies new genetic variants that predict additional PON1 AREase activity. Identification of SNPs associated with PON1 activity is required when evaluating the many phenotypes associated with genetic variation near PON1.