Supplementary key words high density lipoprotein • Mendelian genetics • lipids • high density lipoprotein metabolism • genetics • lipoproteinsHeritability estimates of 47-76% for plasma HDL cholesterol (HDLc) levels suggest that genetic variation plays a pivotal role in HDL metabolism ( 1-3 ). However, despite major advances in family-and population-based association studies ( 2, 4 ), most genetic causes of extreme HDLc levels in humans remain unknown. Cohen et al. ( 5 ) reported mutations in the established HDLc genes ABCA1 , APOA1 , and LCAT in only 12.4% of individuals with low HDLc (<5th percentile). Similarly, we reported that mutations in the known HDLc-regulating genes ABCA1 , APOA1 , and LCAT were found in 28.7% of unrelated individuals with low HDLc levels ( р 10th percentile) ( 6 ), consistent with
These studies were funded by Xenon Pharmaceuticals and Merck Research Laboratories. G.K.H. is the recipient of a Veni Grant (91612122) from the Netherlands Organization for Scientifi c Research (NWO), the CardioVascular Research Initiative (CVON GENIUS 2011-19; Genius), and the European Union (TransCard: FP7-603091-2). J.J.K. is the recipient of the Lifetime Achievement Award of the Dutch Heart Foundation Excellence (2010T082). R.R.S., I.T., P.L.F., C.R., I.M.S., M.W., M.M., A.L., and R.S. were employees at XenonPharmaceuticals at the time of these studies. K.W., M.vH., L.L., L.W., L.M., B.H., K.A., and A.P. were Abbreviations: CETP , cholesteryl ester transfer protein; dbSNP, database of SNPs; DNAH10 , dynein axonemal heavy chain 10; GALNT2 , UDP-N -acetyl-␣ -D-galactosamine:polypeptide N -acetylgalactosaminyltransferase 2; GCKR , glucokinase regulatory protein; GK, glucokinase; GWAS, genome-wide association study; HDLc, HDL cholesterol; HHDL, high HDL cholesterol or HDL cholesterol у 90th percentile; LHDL, low HDL cholesterol or HDL cholesterol р 10th percentile adjusted for age and gender; LILRA3 , leukocyte immunoglobulin-like receptor 3 subfamily A member 3; LIPG , endothelial lipase; RNASEL , RNase L; SCARB1 , scavenger receptor class B member 1.