Cited by 36Lipid metabolism and disordersLipoproteins and Cardiovascular HealthDiabetes, Cardiovascular Risks, and Lipoproteins

Severe hypertriglyceridemia in Norway: prevalence, clinical and genetic characteristics

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Retterstøl, Kjetil, Narverud, Ingunn, Selmer, Randi, Berge, Knut E., Osnes, Ingvild V., Ulven, Stine M., Halvorsen, Bente, Aukrust, Pål +2 more·2017·Lipids in Health and Disease

Abstract

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.
Venue
Lipids in Health and Disease
Published
2017-06-12
Volume
16
Issue
1
Pages
115-115
ISSN
1476-511X (ISSN-L)
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
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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