Severe hypertriglyceridemia in Norway: prevalence, clinical and genetic characteristics
Open accessAbstract
BACKGROUND: There is a lack of comprehensive patient-datasets regarding prevalence of severe hypertriglyceridemia (sHTG; triglycerides ≥10 mmol/L), frequency of co-morbidities, gene mutations, and gene characterization in sHTG. Using large surveys combined with detailed analysis of sub-cohorts of sHTG patients, we here sought to address these issues. METHODS: We used data from several large Norwegian surveys that included 681,990 subjects, to estimate the prevalence. Sixty-five sHTG patients were investigated to obtain clinical profiles and candidate disease genes. We obtained peripheral blood mononuclear cells (PBMC) from six male patients and nine healthy controls and examined expression of mRNAs involved in lipid metabolism. RESULTS: The prevalence of sHTG was 0.13 (95% CI 0.12-0.14)%, and highest in men aged 40-49 years and in women 60-69 years. Among the 65 sHTG patients, a possible genetic cause was found in four and 11 had experienced acute pancreatitis. The mRNA expression levels of carnitine palmitoyltransferase (CPT)-1A, CPT2, and hormone-sensitive lipase, were significantly higher in patients compared to controls, whereas those of ATP-binding cassette, sub-family G, member 1 were significantly lower. CONCLUSIONS: In Norway, sHTG is present in 0.1%, carries considerable co-morbidity and is associated with an imbalance of genes involved in lipid metabolism, all potentially contributing to increased cardiovascular morbidity in sHTG.
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Hypertriglyceridaemia prevalence is approximately 10% in the adult population, with considerable interregional variation.
“Its prevalence is ∼10% in the adult population with considerable interregional variation.1–5”
From Clinical review on triglycerides (2020) · cites this paper as [4]
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- Authors
- Retterstøl, K., Narverud, I., Selmer, R., Berge, K. E., Osnes, I. V., Ulven, S. M., Halvorsen, B., Aukrust, P., Holven, K. B., & Iversen, P. O.
- Affiliations
- Oslo University Hospital (NO)
- Norwegian Institute of Public Health (NO)
- University of Oslo (NO)
- Corresponding author
- Iversen, Per O.
- ORCID
- Venue
- Lipids in Health and Disease
- Published
- 2017-06-12
- Volume
- 16
- Issue
- 1
- Pages
- 115-115
- ISSN
- 1476-511X (ISSN-L)
- PMC
- PMC5469061
- OpenAlex
- W2627090023
- Cited by
- 36
- References
- 23
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 5 · 2023: 7 · 2022: 2 · 2021: 5 · 2020: 2 · 2019: 4 · 2018: 4 · 2017: 1
- FWCI
- 2.32
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Lipids in Health and Disease (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- BIBSYS Brage (BIBSYS (Norway)) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- Funders
- Throne Holst Foundation for Nutrition Research
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- severe hypertriglyceridemia, prevalence, acute pancreatitis, lipid metabolism, CPT1A, CPT2, hormone-sensitive lipase, ABCG1, mRNA expression, cardiovascular risk, Norway
- MeSH terms
- Adult, Aged, Sterol Esterase, Female, Humans, Leukocytes, Mononuclear, Male, Metabolic Diseases, Middle Aged, Mutation, Norway, Pancreatitis, Triglycerides, Hypertriglyceridemia, Lipid Metabolism
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