Familial combined hyperlipidemia (FCHL) is a common, complex genetic disorder characterized by a pernicious lipoprotein profi le that markedly increases the risk of premature coronary heart disease (CHD) ( 1-3 ). Affected individuals within families display elevated levels of serum cholesterol and/or triglyceride, plus raised apoB ( 1,(4)(5)(6)(7)(8). Patients may also exhibit high concentrations of cholesterol-enriched VLDL, triglyceride-enriched-HDL and small dense LDL ( 2, 3 ). Precise defi nition, however, is somewhat contentious, refl ecting etiological uncertainty.Abstract The purpose of this study was to determine the core biological processes perturbed in the subcutaneous adipose tissue of familial combined hyperlipidemia (FCHL) patients. Annotation of FCHL and control microarray datasets revealed a distinctive FCHL transcriptome, characterized by gene expression changes regulating fi ve overlapping systems: the cytoskeleton, cell adhesion and extracellular matrix; vesicular traffi cking; lipid homeostasis; and cell cycle and apoptosis. Expression values for the cell-cycle inhibitor CDKN2B were increased, replicating data from an independent FCHL cohort. In 3T3-L1 cells, CDKN2B knockdown induced C/EBP ␣ expression and lipid accumulation. The minor allele at SNP site rs1063192 (C) was predicted to create a perfect seed for the human miRNA-323b-5p. A miR323b-5p mimic signifi cantly reduced endogenous CDKN2B protein levels and the activity of a CDKN2B 3 ′ UTR luciferase reporter carrying the rs1063192 C allele. Although the allele displayed suggestive evidence of association with reduced CDKN2B mRNA in the MuTHER adipose tissue dataset, family studies suggest the association between increased CDKN2B expression and FCHL-lipid abnormalities is driven by factors external to this gene locus. In conclusion, from a comparative annotation analysis of two separate FCHL adipose tissue transcriptomes and a subsequent focus on CDKN2B, we propose that dysfunctional adipogenesis forms an integral part of FCHL pathogenesis. -Horswell, S.