Functional genomics in familial dyslipidaemia

Familial Hypercholesterolemia (FH) is a genetic autosomal dominant disorder characterized clinically by high LDL plasma concentrations from birth causing premature atherosclerosis and coronary heart disease (CHD). The genetic diagnosis is made by finding a functional mutation in one of 3 genes: LDLR...

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Detalhes bibliográficos
Autor principal: Graça, Rafael (author)
Formato: lecture
Idioma:eng
Publicado em: 2019
Assuntos:
Texto completo:http://hdl.handle.net/10400.18/5870
País:Portugal
Oai:oai:repositorio.insa.pt:10400.18/5870
Descrição
Resumo:Familial Hypercholesterolemia (FH) is a genetic autosomal dominant disorder characterized clinically by high LDL plasma concentrations from birth causing premature atherosclerosis and coronary heart disease (CHD). The genetic diagnosis is made by finding a functional mutation in one of 3 genes: LDLR (≈90%), APOB (<8%) and PCSK9 (<3%). FH has a frequency between 1/200 and 1/500 for heterozygous and 1/160 000 to 1/1 000 000 for homozygous in most European countries. However, only 40% of the patients enrolled in the Portuguese FH Study carry a putative pathogenic mutation. Other concern point is that less than 15% of the LDLR variants found worldwide in patients with FH diagnosis have functional evidence supporting its pathogenicity.