2014
DOI: 10.1016/j.jocn.2013.04.016
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Clinical features and molecular genetics of two Tunisian families with abetalipoproteinemia

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Cited by 9 publications
(4 citation statements)
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“…Vitamin E is thought to be incorporated into CM and transported by lipoproteins in serum. Despite the normal concentration of apoB48 in the patient presented herein, supporting secretion of apoB48-LP from the intestine, her vitamin E plasma concentrations were as low as those reported in other ABL patients in agreement with the very low level of its serum transporter, the LDL [11,13,20,29,42,[48][49][50][51][52][53][54]. However, the normal concentration of vitamin E in red blood cells despite the absence of CM detected after fat load, supports additional mechanisms allowing the saving of vitamin E absorption in the context of vitamin E supplementation under a strict low-fat diet and poorly-lipidated apoB48 secretion.…”
Section: Discussionsupporting
confidence: 78%
“…Vitamin E is thought to be incorporated into CM and transported by lipoproteins in serum. Despite the normal concentration of apoB48 in the patient presented herein, supporting secretion of apoB48-LP from the intestine, her vitamin E plasma concentrations were as low as those reported in other ABL patients in agreement with the very low level of its serum transporter, the LDL [11,13,20,29,42,[48][49][50][51][52][53][54]. However, the normal concentration of vitamin E in red blood cells despite the absence of CM detected after fat load, supports additional mechanisms allowing the saving of vitamin E absorption in the context of vitamin E supplementation under a strict low-fat diet and poorly-lipidated apoB48 secretion.…”
Section: Discussionsupporting
confidence: 78%
“…Other MTTP splicing mutations have previously been described in abetalipoproteinemia. 11,12 The sister of our proband had a lipid profile similar to the proband and she was also found to be homozygous for MTTP c.394-2A>C. As expected, the parents were heterozygous carriers of the mutation.…”
Section: Discussionsupporting
confidence: 76%
“…Without early treatment with vitamin E, patients may not survive past the third decade 2,41,43) . Mental retardation has been reported in some cases, although the evidence for causality is lacking 2,17,26) . There might be other domains in the large subunit of MTTP: an N-terminal -barrel domain (amino acids 22-297), which interacts with the N-terminus of apoB; a central -helical domain (298-603), which interacts with apoB as well as PDI; and a C-terminal domain (604-894) 7,[37][38][39] .…”
Section: Genetic and Molecular Basismentioning
confidence: 99%
“…Loss of vitamin E's anti-oxidant activity may cause autohemolysis, by accelerating hydroperoxidation of fatty acids 2) . Decreases in the levels of vitamin K-dependent coagulation factors ( , rare mutations due to consanguinity that could cause mental retardation 2,17) .…”
Section: Symptoms Related To Vitamin Deficienciesmentioning
confidence: 99%