2021
DOI: 10.1016/j.jlr.2021.100062
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Lipoprotein metabolism in familial hypercholesterolemia

Abstract: Familial hypercholesterolemia (FH) is one of the most common genetic disorders in humans. It is an extremely atherogenic metabolic disorder characterized by lifelong elevations of circulating LDL-C levels often leading to premature cardiovascular events. In this review, we discuss the clinical phenotypes of heterozygous and homozygous FH, the genetic variants in four genes ( LDLR/APOB/PCSK9/LDLRAP1 ) underpinning the FH phenotype as well as the most recent in vitro experimental approache… Show more

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Cited by 36 publications
(29 citation statements)
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References 132 publications
(151 reference statements)
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“…Beyond LDL cholesterol, female sex, non-smoking, high HDL cholesterol and hyperadiponectinemia were the main markers of longer CVD risk-free survival in HeFH. By contrast, no differences in HDL cholesterol concentrations were found in other studies when HeFH were compared with non-FH populations [28][29][30]. Therefore, environmental and genetic interactions involved in HDL metabolism could explain, at least in part, these discrepancies [17,18].…”
Section: Low Hdl Cholesterol Phenotype In Hefhmentioning
confidence: 67%
See 1 more Smart Citation
“…Beyond LDL cholesterol, female sex, non-smoking, high HDL cholesterol and hyperadiponectinemia were the main markers of longer CVD risk-free survival in HeFH. By contrast, no differences in HDL cholesterol concentrations were found in other studies when HeFH were compared with non-FH populations [28][29][30]. Therefore, environmental and genetic interactions involved in HDL metabolism could explain, at least in part, these discrepancies [17,18].…”
Section: Low Hdl Cholesterol Phenotype In Hefhmentioning
confidence: 67%
“…Notable evidence points to an altered macrophage-specific RCT in HeHF [43] (Figure 4). An impaired RCT, specifically related to the HDL2 subclass, with an inverse relationship between HDL efflux capacity and the development of atherosclerosis has been described in homozygous and HeFH patients [30]. Nevertheless, those patients were on high-intensity hypocholesterolemic therapy including LDL apheresis and RCT was assessed ex vivo.…”
Section: Defective Reverse Cholesterol Transport (Rct)mentioning
confidence: 99%
“…The hepatic LDL receptor (LDLR) is a key regulator of LDL-apoB catabolism and genetic variants that reduce LDLR expression or function lead to elevated plasma LDL-C levels (24). Both male and female Trib1 Δhep mice on chow diets had significantly reduced hepatic abundance of Ldlr mRNA compared with control mice (Figure 2G and Supplemental Figure 3E), as well as reduced levels of LDLR protein (Figure 2H and Supplemental Figure 3F).…”
Section: Resultsmentioning
confidence: 99%
“…LDLR could combine with LDLC and transport it to the lysosome for metabolism. The LDLR subsequently returns to the surface of liver cells for recycling ( van de Sluis et al, 2017 ; Chemello et al, 2021 ). Therefore, the pathogenic variants in LDLR could directly lead to protein dysfunction and LDLC metabolic disorders.…”
Section: Introductionmentioning
confidence: 99%