Roundtable on etiology of familial chylomicronemia syndrome
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The sole long-term treatment is dietary fat restriction to less than 10 to 15% of daily calories (15 to 20 g/day), which frequently fails to prevent chylomicronemia and acute pancreatitis.
“the only current long-term therapy is restriction of total fat intake to less than 10 to 15% of daily calories (15 to 20 g per day), which is often ineffective in preventing chylomicronemia and acute pancreatitis.2,3,11,12”
From Volanesorsen and Triglyceride Levels in Familial Chylomicronemia Syndrome (2019) · cites this paper as [3]
Familial chylomicronemia syndrome causes many physical and cognitive complications from sustained chylomicronemia, but recurrent and potentially fatal acute pancreatitis is the most feared complication.
“Although patients with familial chylomicronemia syndrome have many physical and cognitive complications from sustained chylomicronemia, 3,11,28,29 potentially recurrent and even fatal acute pancreatitis is the complication that is most feared.”
From Volanesorsen and Triglyceride Levels in Familial Chylomicronemia Syndrome (2019) · cites this paper as [3]
Cites
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Genetic determinants of plasma triglycerides
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Self-citationMutations in LPL, APOC2, APOA5, GPIHBP1 and LMF1 in patients with severe hypertriglyceridaemia
Surendran, R. P., Visser, M. E., Heemelaar, S., Wang, J., Peter, J., Defesche, J. C., Kuivenhoven, J. A., Hosseini, M., Péterfy, M., Kastelein, J. J. P., et al. (2012) · Journal of Internal Medicine · doi:10.1111/j.1365-2796.2012.02516.x · Cited by 251 · see citing works
Self-citationGene therapy for lipoprotein lipase deficiency
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Self-citationAPOA5 and triglyceride metabolism, lesson from human APOA5 deficiency
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Self-citationLipase maturation factor 1: A lipase chaperone involved in lipid metabolism
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Hypertriglyceridaemia, LPL deficiency and pancreatitis -pathogenesis and therapeutic options
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Volanesorsen and Triglyceride Levels in Familial Chylomicronemia Syndrome
Witztum, J. L., Gaudet, D., Freedman, S. D., Alexander, V. J., Digenio, A., Williams, K. R., Yang, Q., Hughes, S. G., Geary, R. S., Arca, M., et al. (2019) · New England Journal of Medicine · doi:10.1056/nejmoa1715944 · Cited by 669 · see citing works
“Platelet count decreased 1 (3) 11 (33)”
Self-citationMoulin, P., Dufour, R., Averna, M., Arca, M., Cefalù, A. B., Noto, D., D'Erasmo, L., Di Costanzo, A., Marçais, C., Alvarez-Sala Walther, L. A., et al. (2018) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2018.06.814 · Cited by 247 · see citing works
“Indeed, the condition is very rare and high levels of TGs are more often due to multifactorial chylomicronaemia syndrome (MCS) [8,15].”
BackgroundGouni-Berthold, I., Alexander, V. J., Yang, Q., Hurh, E., Steinhagen-Thiessen, E., Moriarty, P. M., Hughes, S. G., Gaudet, D., Hegele, R. A., O'Dea, L. S. L., et al. (2021) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(21)00046-2 · Cited by 232 · see citing works
Self-citationFamilial chylomicronemia syndrome: an under‐recognized cause of severe hypertriglyceridaemia
Baass, A., Paquette, M., Bernard, S., & Hegele, R. A. (2020) · Journal of Internal Medicine · doi:10.1111/joim.13016 · Cited by 144 · see citing works
Self-citationEsan, O., & Wierzbicki, A. S. (2020) · Drug Design Development and Therapy · doi:10.2147/dddt.s224771 · Cited by 80 · see citing works
RNA Interference Therapy Targeting Apolipoprotein C-III in Hypertriglyceridemia
Gaudet, D., Clifton, P., Sullivan, D., Baker, J., Schwabe, C., Thackwray, S., Scott, R., Hamilton, J., Given, B., Melquist, S., et al. (2023) · NEJM Evidence · doi:10.1056/evidoa2200325 · Cited by 71 · see citing works
Self-citationCurrent Diagnosis and Management of Primary Chylomicronemia
Okazaki, H., Gotoda, T., Ogura, M., Ishibashi, S., Inagaki, K., Daida, H., Hayashi, T., Hori, M., Masuda, D., Matsuki, K., et al. (2021) · Journal of Atherosclerosis and Thrombosis · doi:10.5551/jat.rv17054 · Cited by 44 · see citing works
Reeskamp, L. F., Tromp, T. R., & Stroes, E. S. G. (2020) · Current Opinion in Lipidology · doi:10.1097/mol.0000000000000679 · Cited by 37 · see citing works
“com mentioned genes, via accumulated common smalleffect variants in multiple genes (polygenic hypertriglyceridemia) [14] to multifactorial causes such as lifestyle related factors (high-fat or high-glycemic diet, alcohol consumption, metabolic syndrome, diabetes mellitus type 2) [12 & ].”
BackgroundSafety and efficacy of therapies for chylomicronemia
Shamsudeen, I., & Hegele, R. A. (2022) · Expert Review of Clinical Pharmacology · doi:10.1080/17512433.2022.2094768 · Cited by 37 · see citing works
“Furthermore, the low levels of smaller atherogenic lipoprotein species in FCS does not raise ASCVD risk [20,24].”
BackgroundInfluentialSelf-citationRoundtable discussion: Familial chylomicronemia syndrome: Diagnosis and management
Brown, W. V., Goldberg, I., Duell, B., & Gaudet, D. (2018) · Journal of Clinical Lipidology · doi:10.1016/j.jacl.2018.02.018 · Cited by 21 · see citing works
Self-citationSantos, R. D., Lorenzatti, A. J., Corral, P., Nogueira, J. P., Cafferata, A., Aimone, D., Lourenço, C. M., Izar, M. C. D. O., Lima, J. G., Lottenberg, A. M., et al. (2021) · Journal of clinical lipidology · doi:10.1016/j.jacl.2021.10.004 · Cited by 10 · see citing works
Clinical Lipidology and the Prevention of Vascular Disease: Time for Personalized Therapy
Brown, W. V. (2018) · Clinical Pharmacology & Therapeutics · doi:10.1002/cpt.1127 · Cited by 7 · see citing works
“The elevation into these very high levels is attributable to the accumulation of chylomicrons due to impaired clearance from the plasma by the LPL system.(86) A small minority of these individuals will have major gene defects that are the fundamental cause of failure in LPL function.”
BackgroundSelf-citationPosicionamento Brasileiro sobre Síndrome da Quilomicronemia Familiar – 2023
Izar, M. C. D. O., Santos, R. D., Assad, M. H. V., Chagas, A. C. P., Toledo, A. D. O., Nogueira, A. C. C., Souto, A. C. C. F., Lottenberg, A. M., Chacra, A. P. M., Ferreira, C. E. D. S., et al. (2023) · Arquivos Brasileiros de Cardiologia · doi:10.36660/abc.20230203 · Cited by 7 · see citing works
Bardey, F., Rieck, L., Spira, D., März, W., Binner, P., Schwab, S. K., Kleber, M. E., Danyel, M., Barkowski, R., Bobbert, T., et al. (2024) · Journal of Lipid Research · doi:10.1016/j.jlr.2024.100589 · Cited by 4 · see citing works
“Despite advances in genetic testing, studies consistently report a fraction of about 50% of patients with hyperchylomicronaemic phenotype without a detected genetic cause (1, 5, 12, 15, 17 – 19).”
Influentialden Hollander, B., Brands, M. M. M. G., Nijhuis, I. J. M., van Troostwijk, L. J. A. E. D., van Essen, P., Hofsteenge, G. H., Koot, B. G. P., Müller, A. R., Tseng, L. A., Stroes, E. S. G., et al. (2024) · Molecular Genetics and Metabolism · doi:10.1016/j.ymgme.2024.108347 · Cited by 4 · see citing works
Polygenic Architecture of Common Severe Hypertriglyceridemia
Yamamoto, T., & Gotoda, T. (2020) · Journal of Atherosclerosis and Thrombosis · doi:10.5551/jat.ed133 · Cited by 3 · see citing works
Yoo, J. H. (2025) · Cardiovascular Prevention and Pharmacotherapy · doi:10.36011/cpp.2025.7.e19 · Cited by 1 · see citing works
“Familial chylomicronemia syndrome (FCS) is an ultrarare disorder, with a prevalence estimated at approximately one to two cases per million individuals [1,2].”
Síndrome da Quilomicronemia Familiar
Galvão-Alves, J., Galvão-Alves, M., & Souza, B. (2021) · Anais da Academia Nacional de Medicina · doi:10.52130/27639878-aanm2021v192n3p184-190
- Authors
- Brown, W. V., Gaudet, D., Goldberg, I., & Hegele, R.
- Affiliations
- Emory University (US)
- Génome Québec (CA)
- NYU Langone Health (US)
- Western University (CA)
- Corresponding author
- Brown, William Virgil
- Venue
- Journal of Clinical Lipidology
- Publisher
- Elsevier BV
- Published
- 2018-01
- Volume
- 12
- Issue
- 1
- Pages
- 5-11
- ISSN
- 1876-4789 (ISSN-L)
- 1933-2874
- OpenAlex
- W2908761591
- Cited by
- 18
- References
- 13
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 4 · 2020: 3 · 2019: 2 · 2018: 3
- FWCI
- 1.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of clinical lipidology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
- Health Sciences › Medicine › Surgery › Lymphatic Disorders and Treatments
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Keywords
- familial chylomicronemia syndrome, hypertriglyceridemia, plasma triglycerides, genetic etiology, genetic disorders, diabetes mellitus, triglyceride transport, lipid metabolism disorders
- MeSH terms
- Humans, Lipoprotein Lipase, Hyperlipoproteinemia Type I, Triglycerides, Polymorphism, Single Nucleotide, Apolipoprotein C-II, Genome-Wide Association Study
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