Common Apolipoprotein E Gene Mutations Contribute to Lipoprotein Glomerulopathy in China
Abstract
Background: Lipoprotein glomerulopathy (LPG) is a unique disease characterized by thrombus-like lipoprotein deposition in glomeruli and an increased serum apolipoprotein E level (ApoE protein or APOE gene). Several APOE mutations contribute to the occurring of LPG. Methods: We confirmed LPG in 7 individuals by renal biopsy, and investigated families of 2 patients with urinalysis, serum creatinine and serum lipid examination. Exons of APOE of all individuals as well as their relatives were amplified and sequenced directly. Results: Two types of APOE mutations were identified in the 7 patients and their relatives. APOE Maebashi (Arg142-Leu144→0) heterozygotes were found in 5 individuals who were from 4 different families. APOE Kyoto (Arg25-Cys) was confirmed heterogeneous in another 2 individuals. Both mutations present incomplete penetrance. Conclusion: Our research indicates that APOE Maebashi (Arg142-Leu144→0) is a common mutation in Chinese LPG. However, not all carriers of the 2 mutations have LPG, although hyperlipidemia and high serum ApoE level are tested. There are likely other reasons, such as a local mechanism in the glomeruli, which participated in the renal injury.
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LPG-related mutations found in China include APOE-Kyoto, APOE-Tokyo/Maebashi, APOE-Guangzhou, and APOE-Chengdu.
“LPG‐related mutations found in China include APOE‐Kyoto, APOE‐Tokyo/Maebashi, APOE‐Guangzhou, and APOE‐Chengdu (Han et al., 2010; Wu, Yang, & Hu, 2018).”
From Clinical and genetic analysis of lipoprotein glomerulopathy patients caused by <i>APOE</i> mutations (2020) · cites this paper as Han et al., 2010
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APOE Lipoprotein Glomerulopathy
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- Authors
- Han, J., Pan, Y., Chen, Y., Li, X., Xing, G., Shi, J., Hou, P., Zhang, H., & Wang, H.
- Affiliations
- Peking University (CN)
- Peking University First Hospital (CN)
- Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine (CN)
- Fifth Tianjin Central Hospital (CN)
- Venue
- Nephron Clinical Practice
- Publisher
- S. Karger AG
- Published
- 2010-01-20
- Volume
- 114
- Issue
- 4
- Pages
- c260-c267
- ISSN
- 1660-2110 (ISSN-L)
- OpenAlex
- W2024626536
- Cited by
- 13
- References
- 23
- Citations by year
- 2024: 1 · 2022: 2 · 2020: 1 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 4
- FWCI
- 1.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nephron Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Nephrology › Renal Diseases and Glomerulopathies
- Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
- Keywords
- lipoprotein glomerulopathy, apolipoprotein E, incomplete penetrance, hyperlipidemia, familial renal disease, Chinese patients
- MeSH terms
- Adult, Apolipoproteins E, China, Female, Glomerulonephritis, Genetic Carrier Screening, Humans, Kidney Glomerulus, Lipoproteins, Male, Middle Aged, Mutation, Pedigree, Asian People
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