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Prevalence of ANGPTL3 and APOB Gene Mutations in Subjects With Combined Hypolipidemia
Abstract
Objective—: Mutations of the ANGPTL3 gene have been associated with a novel form of primary hypobetalipoproteinemia, the combined hypolipidemia (cHLP), characterized by low total cholesterol and low HDL-cholesterol levels. The aim of this work is to define the role of ANGPTL3 gene as determinant of the combined hypolipidemia phenotype in 2 large cohorts of 913 among American and Italian subjects with primary hypobetalipoproteinemia (total cholesterol <5th percentile). Methods and Results—: The combined hypolipidemia cut-offs were chosen according to total cholesterol and HDL-cholesterol levels reported in the ANGPTL3 kindred described to date: total cholesterol levels, <2nd percentile and HDL-cholesterol, levels <2nd decile. Seventy-eight subjects with combined hypolipidemia were analyzed for ANGPTL3 and APOB genes. We identified nonsense and/or missense mutations in ANGPTL3 gene in 8 subjects; no mutations of the APOB gene were found. Mutated ANGPTL3 homozygous/compound heterozygous subjects showed a more severe biochemical phenotype compared to heterozygous or ANGPTL3 negative subjects, although ANGPTL3 heterozygotes did not differ from ANGPTL3 negative subjects. Conclusion—: These results demonstrated that in a cohort of subjects with severe primary hypobetalipoproteinemia the prevalence of ANGPTL3 gene mutations responsible for a combined hypolipidemia phenotype is about 10%, whereas mutations of APOB gene are absent.
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Mice and humans lacking ANGPTL3 have lower plasma cholesterol levels.
“In addition to decreased plasma triglycerides, mice and humans lacking ANGPTL3 also have lower plasma cholesterol levels (16, 18, 106, 108, 109, 116–118).”
From Regulation of lipoprotein metabolism by ANGPTL3, ANGPTL4, and ANGPTL8 (2021) · cites this paper as [117]
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Regulation of lipoprotein metabolism by ANGPTL3, ANGPTL4, and ANGPTL8
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“patients with ANGPTL3 mutations with similarly low LDL cholesterol levels.(146) In the Open-Label Study of Long-Term Evaluation Against LDL Cholesterol (OSLER) study, among those on evolocumab, 3 patients (1%) reported amnesia and 5 (1%) reported either memory or mental impairment”
Background
Metadata
- Authors
- Noto, D., Cefalù, A. B., Valenti, V., Fayer, F., Pinotti, E., Ditta, M., Spina, R., Vigna, G., Yue, P., Kathiresan, S., Tarugi, P., & Averna, M. R.
- Affiliations
- From the Department of Internal Medicine and Medical Specialties (D.N., A.B.C., V.V., F.F., M.D., R.S., M.R.A.), University of Palermo, Italy; Department of Biomedical Sciences (E.P., P.T.), University of Modena & Reggio Emilia, Italy; Department of Clinical and Experimental Medicine (G.V.), University of Ferrara, Ferrara, Italy; School of Medicine, Washington University, St. Louis, MO (P.Y.); Cardiovascular Research Center and Center for Human Genetic Research (S.K.), Massachusetts General...
- Venue
- Arteriosclerosis, Thrombosis, and Vascular Biology
- Published
- 2012-03
- Volume
- 32
- Issue
- 3
- Pages
- 805-809
- ISSN
- 1079-5642
- 1524-4636
- Cited by
- 81
- References
- 5
- Language
- en
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