2019
DOI: 10.3390/jcm8111860
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Lipid Profile Rather Than the LCAT Mutation Explains Renal Disease in Familial LCAT Deficiency

Abstract: Renal complications are the major cause of morbidity and mortality in patients with familial lecithin–cholesterol acyltransferase (LCAT) deficiency (FLD). We report three FLD patients, two of them siblings—only one of whom developed renal disease—and the third case being a young man with early renal disease. The aim of this study was to analyze the clinical characteristics and possible mechanisms associated with renal disease in these patients. Plasma lipid levels, LCAT activity, lipoprotein particle profile b… Show more

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Cited by 12 publications
(14 citation statements)
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“…Furthermore, chronic inflammation induces a variety of alterations in lipid metabolism, which are accompanied by an altered ratio of free cholesterol to cholesterol ester and associated with an abnormal lipoprotein profile [29]. This study confirms the previously reported association between an atypical lipoprotein profile with cholestatic jaundice [34], suggesting that the detection of abnormal lipoprotein profile might be used to identify cholestatic jaundice in PDAC patients. We hypothesize that altered lipid metabolism observed in PDAC patients [56] could be due to the effects of cholestatic jaundice in these patients.…”
Section: Discussionsupporting
confidence: 88%
See 1 more Smart Citation
“…Furthermore, chronic inflammation induces a variety of alterations in lipid metabolism, which are accompanied by an altered ratio of free cholesterol to cholesterol ester and associated with an abnormal lipoprotein profile [29]. This study confirms the previously reported association between an atypical lipoprotein profile with cholestatic jaundice [34], suggesting that the detection of abnormal lipoprotein profile might be used to identify cholestatic jaundice in PDAC patients. We hypothesize that altered lipid metabolism observed in PDAC patients [56] could be due to the effects of cholestatic jaundice in these patients.…”
Section: Discussionsupporting
confidence: 88%
“…The patients classified in one of the other two clusters (A and B) showed an atypical lipoprotein profile. To verify if patients belonging to clusters A or B showed signs of cholestatic jaundice, as suggested by Lamiquiz-Moneo et al [34], the concentration of cholesterol ester and free cholesterol was evaluated in the lipid extracts (Figure 4B). The ratio between free cholesterol and cholesterol ester was used as a marker to identify the presence of an abnormal lipoprotein produced in patients with cholestatic jaundice [29].…”
Section: Impact Of Raised Bilirubin Levels On Metabolites and Lipoproteins In Pdacmentioning
confidence: 99%
“…However, not all cases of FLD showed significant proteinuria or reduced eGFR; this suggests that the rate of progression to renal failure may be highly variable. Lamiquiz-Moneo et al state that this clinical variability is likely to be related to the biochemical /lipid phenotype rather than to the inherited mutation [ 80 ]. In addition, an unclassified clinical phenotype was present in 9.3 % of our cases; the authors could not confirm either FLD or FED (supplementary Tables 4 and 5 ).…”
Section: Discussionmentioning
confidence: 99%
“…ey are also involved in many cellular processes in health and disease. Various diseases have been reported to correlate with lipid metabolism [1][2][3][4][5] and several studies revealed changes in lipid regulation in animal and human tissues for different diseases [6][7][8][9][10]. e primary function of the highly abundant phospholipids and glycerolipids though is to support the structure of the cellular membrane.…”
Section: Introductionmentioning
confidence: 99%