2015
DOI: 10.5740/jaoacint.sgeajagbe
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Plant Sterols, Stanols, and Sitosterolemia

Abstract: Phytosterolemia (sitosterolemia) is a rare autosomal recessive sterol storage disease caused by mutations in either of the adenosine triphosphate (ATP) binding cassette transporter genes; (ABC)G5 or ABCG8, leading to impaired elimination of plant sterols and stanols, with their increased accumulation in the blood and tissues. Thus the disease is characterized by substantially elevated serum plant sterols and stanols, with moderate to high plasma cholesterol levels, and increased risk of premature atheroscleros… Show more

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Cited by 32 publications
(29 citation statements)
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References 94 publications
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“…Sitosterolaemia is a rare autosomal recessive disease characterized by phytosterol accumulation due to ABCG5 or ABCG8 gene mutations. Homozygosity for this condition is characterized by an abnormally high intestinal absorption of sterols, severe hypercholesterolemia, early atherosclerosis development and increased cardiovascular morbidity and mortality [59]. Conversely, heterozygous patients are asymptomatic and can tolerate the intake of sterols with diet, although the threshold above which the consumption of phytosterols may be harmful for these individuals has not yet been defined.…”
Section: Phytosterolsmentioning
confidence: 99%
“…Sitosterolaemia is a rare autosomal recessive disease characterized by phytosterol accumulation due to ABCG5 or ABCG8 gene mutations. Homozygosity for this condition is characterized by an abnormally high intestinal absorption of sterols, severe hypercholesterolemia, early atherosclerosis development and increased cardiovascular morbidity and mortality [59]. Conversely, heterozygous patients are asymptomatic and can tolerate the intake of sterols with diet, although the threshold above which the consumption of phytosterols may be harmful for these individuals has not yet been defined.…”
Section: Phytosterolsmentioning
confidence: 99%
“…This rare disorder is characterized by impaired sterol elimination from enterocytes and hepatocytes leading to excessive intestinal absorption of cholesterol and phytosterols, as well as reduced secretion to bile. 3 Although autosomal recessive phytosterolaemia frequently involves hypercholesterolaemia, sometimes to the extreme, 3 this is not always the case and significant premature atherosclerosis has been documented in the absence of substantial hypercholesterolaemia. 3 , 4 …”
Section: Introductionmentioning
confidence: 99%
“…Moreover, homozygous or compound heterozygous mutations in either ABCG5 or ABCG8 were observed in patients with sitosterolemia, an inborn error of metabolism. Sitosterolemia is a rare autosomal recessive lipoprotein metabolic disorder [ 38 , 39 ]. The mutations lead to a complete loss of function of ATP-binding cassette ( ABC ) heterodimer transporter G5-G8.…”
Section: Resultsmentioning
confidence: 99%