rs5882

mixedMag 4.5

This is a variant in the CETP gene that changes a valine to an isoleucine.

Key Literature Trait Associations

HDL Cholesterol Levels

The G allele reduces CETP activity, leading to higher HDL cholesterol levels. Carriers tend to have a more favorable lipid profile and potentially lower cardiovascular risk. The variant changes isoleucine to valine at position 405.

Sinnott-Armstrong N et al. Genetics of 35 blood and urine biomarkers in the UK Biobank. Nature Genetics 53(2):185-194 (2021)
Allele G
OR
β -0.089 ±0.002
p 9.0e-246
N 325,634
Major Consortium StudyLarge GWAS
multi-ancestry
Allele G
OR
β 2.100
p 1.0e-30
Large GWAS
van Leeuwen EM et al. Fine mapping the CETP region reveals a common intronic insertion associated to HDL-C. Npj Aging and Mechanisms of Disease (2015)
Allele G
OR
p
N 59,432
Preliminary work
European
Allele G
OR
β -0.090 ±0.010
p 1.0e-17
N 22,000
Large GWAS
South Asian

Longevity

The G (Val/V) allele of rs5882 — particularly in the homozygous G/G (VV) state — is enriched among individuals with exceptional longevity. A landmark JAMA study of 213 Ashkenazi Jewish centenarians (mean age 98.2) found V/V homozygosity 2.9- to 3.6-fold more frequent in long-lived probands and their offspring versus controls, accompanied by lower CETP levels and larger HDL/LDL particles. A 2013 meta-analysis of 8 studies (including 1,021 Han Chinese) showed ethnic heterogeneity: the V allele is protective in Ashkenazi Jewish populations but may be a longevity risk factor in East Asians. The association has not been consistently replicated in broad European populations.

Allele G
OR 3.20
p
N 1,276
Preliminary work
Ashkenazi Jewish

Apolipoprotein B levels

The A (Ile) allele of rs5882 is associated with higher circulating apolipoprotein B levels in large-scale GWAS. In the UK Biobank multi-ancestry GWAS (n=354,097), the A allele showed a beta of +0.023 SD per allele for ApoB (p=9×10⁻²⁰), consistent with the known CETP biology whereby higher CETP activity increases transfer of cholesteryl esters to ApoB-containing particles. This association mirrors the opposing directionality seen for HDL-C at the same locus.

Sinnott-Armstrong N et al. Genetics of 35 blood and urine biomarkers in the UK Biobank. Nature Genetics 53(2):185-194 (2021)
Allele A
OR
β 0.023 ±0.003
p 9.0e-20
N 354,097
Major Consortium StudyLarge GWAS
multi-ancestry

LDL cholesterol

The A (Ile) allele of rs5882 is associated with modestly higher LDL-cholesterol levels. In the UK Biobank GWAS (n=355,197), the A allele showed a beta of +0.017 SD per allele (p=4×10⁻¹¹), consistent with CETP-mediated transfer of cholesteryl esters from HDL to LDL. A pharmacogenomic study (n=252) found that rs5882 carriers on rosuvastatin achieved 13% greater LDL-C reduction compared to non-carriers, suggesting the variant may interact with statin therapy response.

Sinnott-Armstrong N et al. Genetics of 35 blood and urine biomarkers in the UK Biobank. Nature Genetics 53(2):185-194 (2021)
Allele A
OR
β 0.017 ±0.003
p 4.0e-11
N 355,197
Major Consortium StudyLarge GWAS
multi-ancestry
Allele A
OR
β -0.133
p 3.2e-2
N 252
Candidate gene study
European

Cognitive function

The G (Val/V) allele, especially the VV homozygous genotype, has been associated with better cognitive preservation in old age. A study of 158 exceptionally long-lived Ashkenazi Jews found VV individuals twice as likely to score above 25 on the MMSE and showed a fivefold enrichment of VV among those with superior memory in a younger cohort, mediated in part by elevated HDL and larger lipoprotein particles. However, a Scottish cohort study (n=525, tested at ages 11 and 79) found no significant association between CETP I405V genotype and cognitive function or lifetime cognitive change, highlighting inconsistent replication outside Ashkenazi Jewish populations.

Allele G
OR 2.00
p
N 158
Candidate gene study
Ashkenazi Jewish
Allele G
OR
p
N 525
Preliminary work
European

Total cholesterol

The A (Ile) allele of rs5882 is associated with modestly altered total cholesterol levels in large GWAS. In the UK Biobank (n=355,858 multi-ancestry), the A allele showed a beta of +0.020 SD per allele for total cholesterol (p=2×10⁻¹⁵). The direction of effect reflects the net balance of CETP's actions: while it lowers HDL-C, it also increases ApoB-containing particles, resulting in a net upward shift in total cholesterol.

Sinnott-Armstrong N et al. Genetics of 35 blood and urine biomarkers in the UK Biobank. Nature Genetics 53(2):185-194 (2021)
Allele A
OR
β 0.020 ±0.003
p 2.0e-15
N 355,858
Major Consortium StudyLarge GWAS
multi-ancestry

GWAS Catalog Trait Associations (5)

Genome-wide significant associations (p < 5×10⁻⁸) from the NHGRI-EBI GWAS Catalog.

ClinVar annotation

Benign★★★
10 submitters5 publications

High density lipoprotein cholesterol level quantitative trait locus 10; Hyperalphalipoproteinemia 1; not provided; not specified; Coronary artery disorder

View on ClinVar →

Research that mentions this SNP (2)

Association of a Functional Polymorphism in the Cholesteryl Ester Transfer Protein (&lt;emph type="ital"&gt;CETP&lt;/emph&gt;) Gene With Memory Decline and Incidence of Dementia
AssociationN=593Sanders AE et al.(2010)· JAMA

This prospective cohort study of 593 older adults (≥70 years) examined associations between the CETP rs5882 (V405, valine/isoleucine) polymorphism and cognitive decline and dementia risk. Valine homozygotes showed 51% slower episodic memory decline compared to isoleucine homozygotes and had significantly lower risk for incident dementia (HR 0.28, 95% CI 0.10-0.85, P=0.02) and Alzheimer's disease (HR 0.31, 95% CI 0.10-0.95, P=0.03), suggesting a potential protective association of CETP valine homozygosity.

Traits studied:Alzheimer's diseaseDementiaMemory decline
Association of Cholesteryl Ester Transfer Protein Genotypes With CETP Mass and Activity, Lipid Levels, and Coronary Risk
Meta-analysisN=195,833Thompson A. et al.(2008)· JAMA

Systematic review of 92 lipid studies (113,833 participants) and 46 coronary disease studies (82,534 participants) examining CETP polymorphisms. TaqIB rs708272 A allele associated with 9.7% decreased CETP mass, 8.6% decreased CETP activity, 4.5% increased HDL-C (95% CI: 3.8%-5.2%), and weakly inverse association with coronary disease (OR 0.95, 95% CI: 0.92-0.99).

Traits studied:Apolipoprotein A-ICETP activityCETP massCoronary artery diseaseHDL cholesterol

Gene information from NCBI Gene. Variant classifications from ClinVar.

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