Phenotypic expression of familial hypobetalipoproteinemia in three kindreds with mutations of apolipoprotein B gene

Autor: Amedeo Lonardo, Sebastiano Calandra, G. Ballarini, Franca Sala, Patrizia Tarugi, Carlo Gabelli, L. Previato, I. Cortella, Renzo Cordera, Stefano Bertolini
Rok vydání: 2001
Předmět:
Zdroj: Europe PubMed Central
Journal of Lipid Research, Vol 42, Iss 10, Pp 1552-1561 (2001)
Scopus-Elsevier
Publons
ISSN: 0022-2275
Popis: We report the clinical phenotype in three kin- dreds with familial heterozygous hypobetalipoproteinemia (FHBL) carrying novel truncated apolipoprotein Bs (apoBs) of different sizes (apoB-8.15, apoB-33.4 and apoB-75.7). In D.A. kindred, we found three carriers of a C-deletion in exon 10 leading to the synthesis of apoB-8.15 not detectable in plasma. They showed steatorrhea and fatty liver. In N.L. kindred, the proband is heterozygous for a nonsense muta- tion in exon 26, leading to the formation of apoB-33.4. He had premature cerebrovascular disease and fatty liver; two apoB-33.4 carriers in this kindred showed only fatty liver. In B.E. kindred, the proband is heterozygous for a T-deletion in exon 26, which converts tyrosine at codon 3435 into a stop codon, resulting in apoB-75.7. The proband, a heavy al- cohol drinker, had steatohepatitis, whereas his teetotaller daughter, an apoB-75.7 carrier, had no detectable fatty liver. This study suggests that: i ) fatty liver invariably de- velops in FHBL carriers of short and medium-size trun- cated apoBs ( , apoB-48), but its occurrence needs additional environmental factors in carriers of longer apoB forms; ii ) in- testinal lipid malabsorption develops only in carriers of short truncated apoBs, which are not secreted into the plasma; and iii ) cerebrovascular disease due to premature athero- sclerosis may occur even in FHBL subjects. — Tarugi, P., A. Lonardo, C. Gabelli, F. Sala, G. Ballarini, I. Cortella, L. Previato, S. Bertolini, R. Cordera, and S. Calandra. Pheno- typic expression of familial hypobetalipoproteinemia in three kindreds with mutations of apolipoprotein B gene. J. Lipid Res. 2001. 42: 1552-1561.
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