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