Obesity

DNA Methylation Near CPT1A and Changes in Triglyceride-rich Lipoproteins in Response to Weight-loss Diet Interventions

J Clin Endocrinol MetabPublished Secondary analysis of a randomised weight-loss diet trial

Authors' conclusion

Participants with a higher regional DNAm level at CPT1A benefit more in long-term improvement in triglycerides, particularly in the TRLs and related apolipoproteins when consuming a low-fat weight-loss diet.

Study context

Population
White participants randomly assigned to 1 of 4 weight-loss diets varying in macronutrient components
Participants
538 participants
Comparison
Low-fat vs high-fat weight-loss diet, by baseline regional DNA methylation at CPT1A
Primary endpoint
Association of baseline regional DNA methylation at CPT1A with change in total plasma TG
Follow-up
2 years
Methodological details4 diets varying in macronutrient components
  • 4 diets varying in macronutrient components

Primary result

As reported in the abstract

Higher regional DNA methylation at CPT1A and reduction in total plasma TG
Low-fat diet: higher methylation associated with greater TG reduction
P = .01
High-fat diet: association
P = .64

Further findings

Diet fat × methylation interaction for 2-year changes in very low-density lipoprotein (VLDL) lipids and apolipoproteins

VLDL-triglycerides, P interaction
.009
VLDL-cholesterol, P interaction
.002
VLDL-apolipoprotein B, P interaction
.016
VLDL-apoC-III, P interaction (no interaction)
.36

Original publication

DNA Methylation Near CPT1A and Changes in Triglyceride-rich Lipoproteins in Response to Weight-loss Diet Interventions. J Clin Endocrinol Metab. Published 17 February 2023. doi:10.1210/clinem/dgad086

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