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Correspondence to:
Patrizia Tarugi, To whom correspondence should be addressed., tarugi{at}unimo.it (E-mail)
We report the clinical phenotype in three kindreds with familial heterozygous hypobetalipoproteinemia (FHBL) carrying novel truncated apolipoprotein Bs (apoBs) of different sizes (apoB-8.15, apoB-33.4 and apoB-75.7). In D.A. kindred, we found three carriers of a C-deletion in exon 10 leading to the synthesis of apoB-8.15 not detectable in plasma. They showed steatorrhea and fatty liver. In N.L. kindred, the proband is heterozygous for a nonsense mutation in exon 26, leading to the formation of apoB-33.4. He had premature cerebrovascular disease and fatty liver; two apoB-33.4 carriers in this kindred showed only fatty liver. In B.E. kindred, the proband is heterozygous for a T-deletion in exon 26, which converts tyrosine at codon 3435 into a stop codon, resulting in apoB-75.7. The proband, a heavy alcohol drinker, had steatohepatitis, whereas his teetotaller daughter, an apoB-75.7 carrier, had no detectable fatty liver.
This study suggests that: i) fatty liver invariably develops in FHBL carriers of short and medium-size truncated apoBs (< apoB-48), but its occurrence needs additional environmental factors in carriers of longer apoB forms; ii) intestinal lipid malabsorption develops only in carriers of short truncated apoBs, which are not secreted into the plasma; and iii) cerebrovascular disease due to premature atherosclerosis may occur even in FHBL subjects. Tarugi, P., A. Lonardo, C. Gabelli, F. Sala, G. Ballarini, I. Cortella, L. Previato, S. Bertolini, R. Cordera, and S. Calandra. Phenotypic expression of familial hypobetalipoproteinemia in three kindreds with mutations of apolipoprotein B gene. J. Lipid Res. 2001. 42: 15521561.
Supplementary key words:
truncated apoBs, fatty liver, lipid malabsorption, carotid atherosclerosis
Copyright © 2001 by Lipid Research, Inc.
Original Article
Phenotypic expression of familial hypobetalipoproteinemia in three kindreds with mutations of apolipoprotein B gene
Patrizia Tarugia,
Amedeo Lonardob,
Carlo Gabellic,
Franca Salaa,
Giorgia Ballarinia,
Irene Cortellac,
Lorenzo Previatoc,
Stefano Bertolinid,
Renzo Corderae, and
Sebastiano Calandraa
a Dipartimento di Scienze Biomediche, Università di Modena e Reggio Emilia, Via Campi 287, I-41100 Modena, Italy
b Unità Operativa di Medicina Interna e Gastroenterologia, Ospedale Civile di Modena
c Dipartimento di Scienze Mediche e Chirurgiche, Università di Padova
d Dipartimento di Medicina Interna, Università di Genova
e Dipartimento di Scienze Endocrine e Metaboliche, Università di Genova, Italy
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