Cited by 2Lipid metabolism and disordersLipoproteins and Cardiovascular HealthPancreatitis Pathology and Treatment

Hypertriglyceridemia and pancreatitis in a patient with apolipoprotein E7 (p.[E244K; E245K])/E4

Arai, Makoto, Nishimura, Akihiro, Mori, Yasumichi, Ebara, Tetsu, Okubo, Minoru·2014·Clinica Chimica Acta

Abstract

Background The etiology of hypertriglyceridemia is complex and one of the common variants in affecting plasma lipid levels is apolipoprotein (apo) E isoform. Scores of apo E variants have been reported, including apo E7. However, a clinical lipid phenotype of apo E7 has not been fully elucidated. Methods A 48-year-old Japanese male had hypertriglyceridemia and a history of repeated episodes of acute pancreatitis. The measurement of serum apolipoproteins and apo E phenotyping, and the sequencing analyses of several genes regulating triglyceride metabolism were performed in the patient. Results The apo E phenotype of the patient was E7/E4. Apo E7 had the same point mutations p.[E244K; E245K] in APOE as reported previously. In addition, he had APOA5 haplotypes associated with hypertriglyceridemia. Laboratory examinations excluded deficiency of apolipoproteins, lipoprotein lipase, and GPI-HBP1 in this patient. Conclusions This is, to our knowledge, the first report of severe hypertriglyceridemia and acute pancreatitis in a patient with apo E7.

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Crossref · 10.1016/j.cca.2014.06.001

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Authors
Arai, M., Nishimura, A., Mori, Y., Ebara, T., & Okubo, M.
Affiliations
  • Toranomon Hospital (JP)
  • Okinaka Memorial Institute for Medical Research (JP)
Corresponding author
Okubo, Minoru
Venue
Clinica Chimica Acta
Publisher
Elsevier BV
Published
2014-09
Volume
436
Pages
188-192
ISSN
0009-8981 (ISSN-L)
OpenAlex
W2033324391
Cited by
2
References
25
Citations by year
2020: 1 · 2017: 1
FWCI
0.23
Type
journal article
Language
en
Open access
closed
Locations
  • Clinica Chimica Acta (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
  • Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
  • Health Sciences › Medicine › Surgery › Pancreatitis Pathology and Treatment
Keywords
hypertriglyceridemia, acute pancreatitis, triglyceride metabolism
MeSH terms
Acute Disease, Adult, Apolipoproteins E, Base Sequence, Humans, Male, Middle Aged, Pancreatitis, Phenotype, Hypertriglyceridemia, Sequence Analysis, Protein Isoforms

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