J. Lipid Res.
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Journal of Lipid Research, Vol. 42, 1552-1561, October 2001
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

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: 1552–1561.

Supplementary key words: truncated apoBs, fatty liver, lipid malabsorption, carotid atherosclerosis


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