The autosomal co-dominant disorder familial hypobetalipoproteinemia (FHBL) may be due to mutations in the APOB gene encoding apolipoprotein B (apoB), the main constituent peptide of chylomicrons, very low and low density lipoproteins. We describe an 11 month-old child with failure to thrive, intestinal lipid malabsorption, hepatic steatosis and severe hypobetalipoproteinemia, suggesting the diagnosis of homozygous FHBL, abetalipoproteinemia (ABL) or chylomicron retention disease (CMRD). The analysis of candidate genes showed that patientwas homozygous for a variant (c.1594 CNT) in the APOB gene causing arginine to tryptophan conversion at position 505 of mature apoB (Arg505Trp). No mutations were found in a panel of other potential candidate genes for hypobetalipoproteinemia. In vitro studies showed a reduced secretion of mutant apoB-48 with respect to the wild-type apoB-48 in transfected McA-RH7777 cells. The Arg505Trp substitution is located in the βα1 domain of apoB involved in the lipidation of apoB mediated by microsomal triglyceride transfer protein (MTP), the first step in VLDL and chylomicron formation. The patient's condition improved in response to a low fat diet supplemented with fat-soluble vitamins. Homozygosity for a rare missense mutation in the βα1 domain of apoB may be the cause of both severe hypobetalipoproteinemia and intestinal lipid malabsorption.

Homozygous familial hypobetalipoproteinemia: A Turkish case carrying a missense mutation in apolipoprotein B / Yilmaz, Berna Seker; Mungan, Neslihan Onenli; Di Leo, Enza; Magnolo, Lucia; Artuso, Lucia; Bernardis, Isabella; Tumgor, Gokhan; Kor, Deniz; Tarugi, Patrizia Maria. - In: CLINICA CHIMICA ACTA. - ISSN 0009-8981. - STAMPA. - 452:(2016), pp. 185-190. [10.1016/j.cca.2015.11.017]

Homozygous familial hypobetalipoproteinemia: A Turkish case carrying a missense mutation in apolipoprotein B

DI LEO, ENZA;ARTUSO, LUCIA;BERNARDIS, ISABELLA;TARUGI, Patrizia Maria
2016

Abstract

The autosomal co-dominant disorder familial hypobetalipoproteinemia (FHBL) may be due to mutations in the APOB gene encoding apolipoprotein B (apoB), the main constituent peptide of chylomicrons, very low and low density lipoproteins. We describe an 11 month-old child with failure to thrive, intestinal lipid malabsorption, hepatic steatosis and severe hypobetalipoproteinemia, suggesting the diagnosis of homozygous FHBL, abetalipoproteinemia (ABL) or chylomicron retention disease (CMRD). The analysis of candidate genes showed that patientwas homozygous for a variant (c.1594 CNT) in the APOB gene causing arginine to tryptophan conversion at position 505 of mature apoB (Arg505Trp). No mutations were found in a panel of other potential candidate genes for hypobetalipoproteinemia. In vitro studies showed a reduced secretion of mutant apoB-48 with respect to the wild-type apoB-48 in transfected McA-RH7777 cells. The Arg505Trp substitution is located in the βα1 domain of apoB involved in the lipidation of apoB mediated by microsomal triglyceride transfer protein (MTP), the first step in VLDL and chylomicron formation. The patient's condition improved in response to a low fat diet supplemented with fat-soluble vitamins. Homozygosity for a rare missense mutation in the βα1 domain of apoB may be the cause of both severe hypobetalipoproteinemia and intestinal lipid malabsorption.
2016
22-nov-2015
452
185
190
Homozygous familial hypobetalipoproteinemia: A Turkish case carrying a missense mutation in apolipoprotein B / Yilmaz, Berna Seker; Mungan, Neslihan Onenli; Di Leo, Enza; Magnolo, Lucia; Artuso, Lucia; Bernardis, Isabella; Tumgor, Gokhan; Kor, Deniz; Tarugi, Patrizia Maria. - In: CLINICA CHIMICA ACTA. - ISSN 0009-8981. - STAMPA. - 452:(2016), pp. 185-190. [10.1016/j.cca.2015.11.017]
Yilmaz, Berna Seker; Mungan, Neslihan Onenli; Di Leo, Enza; Magnolo, Lucia; Artuso, Lucia; Bernardis, Isabella; Tumgor, Gokhan; Kor, Deniz; Tarugi, Patrizia Maria
File in questo prodotto:
File Dimensione Formato  
1-s2.0-S0009898115300541-main.pdf

Accesso riservato

Tipologia: Versione pubblicata dall'editore
Dimensione 419.01 kB
Formato Adobe PDF
419.01 kB Adobe PDF   Visualizza/Apri   Richiedi una copia
Pubblicazioni consigliate

Licenza Creative Commons
I metadati presenti in IRIS UNIMORE sono rilasciati con licenza Creative Commons CC0 1.0 Universal, mentre i file delle pubblicazioni sono rilasciati con licenza Attribuzione 4.0 Internazionale (CC BY 4.0), salvo diversa indicazione.
In caso di violazione di copyright, contattare Supporto Iris

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/1122938
Citazioni
  • ???jsp.display-item.citation.pmc??? 3
  • Scopus 11
  • ???jsp.display-item.citation.isi??? 12
social impact