Simultaneously analysing genotype effects at several closely-linked loci may be preferable to
analysing them separately, but can be difficult, due to multiple genotype classes, small class sizes,
and non-independence induced by associations among loci. Analysis of haplotype effects offers an
alternative approach. We studied effects of haplotypes comprising 3 loci (5′ to 3′: PvuII, HindIII,
and Ser447-Stop) in the lipoprotein lipase (LPL) gene on plasma lipid levels and LPL activity, in 807
Dutch males with coronary atherosclerosis. We analysed haplotype effects in individuals for whom
haplotypes could either be determined unequivocally or inferred with high probability, using
contrasts suggested by likely evolutionary relationships among the haplotypes. One haplotype was
associated with significantly higher total cholesterol, while another was associated with significantly
lower triglyceride levels. Though these two haplotypes had generally opposite effects on lipids, both
were associated with significantly higher LPL activity. In genotype analyses, the HindIII (−) allele
was associated with higher LPL activity; however, one haplotype bearing it had no significant effect
on LPL activity. Haplotypes thus provided more information than genotypes alone would have. The
two haplotypes with consistently different effects on lipid levels despite similar effects on LPL
activity, provide further evidence that aspects of LPL biology, apart from its catalytic function in
lipolysis, may mediate its effects on plasma lipids at least in coronary artery disease patients.