2022
DOI: 10.1016/j.jacl.2022.02.006
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Severe hypertriglyceridemia secondary to splice-site and missense variants in LMF1 in three patients from Ecuador

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Cited by 4 publications
(2 citation statements)
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“…The ALT levels remain stable over a wide range of triglyceride concentrations–in particular, in a biologically relevant range of up to ~1000 mg/dL triglycerides ( Figure 5 A) despite increasing turbidity with increasing triglyceride concentrations in the samples. The only significantly different triglyceride level compared with 0 mg/dL is 10,000 mg/dL with significantly higher ALT levels; however, this triglyceride concentration is very unlikely to be present in rodents or humans outside of rare familial syndromes [ 24 ]. The high NADH ALT reagent shows high precision across a wide triglyceride range of 0–10,000 mg/dL with a CV of 10.35 for ALT standard 31.25 ( n = 8 for all standards, see Supplemental Material S1 for raw data), CV of 4.35 for ALT standard 62.5, CV of 4.62 for ALT standard 125, and CV of 2.04 for ALT standard 250; and across a wide biological more relevant triglyceride range 0–500 mg/dL with a CV of 0.92 for ALT standard 31.25, CV of 1.70 for ALT standard 62.5, CV of 1.24 for ALT standard 125, and CV of 1.51 for ALT standard 250.…”
Section: Expected Results and Discussionmentioning
confidence: 99%
“…The ALT levels remain stable over a wide range of triglyceride concentrations–in particular, in a biologically relevant range of up to ~1000 mg/dL triglycerides ( Figure 5 A) despite increasing turbidity with increasing triglyceride concentrations in the samples. The only significantly different triglyceride level compared with 0 mg/dL is 10,000 mg/dL with significantly higher ALT levels; however, this triglyceride concentration is very unlikely to be present in rodents or humans outside of rare familial syndromes [ 24 ]. The high NADH ALT reagent shows high precision across a wide triglyceride range of 0–10,000 mg/dL with a CV of 10.35 for ALT standard 31.25 ( n = 8 for all standards, see Supplemental Material S1 for raw data), CV of 4.35 for ALT standard 62.5, CV of 4.62 for ALT standard 125, and CV of 2.04 for ALT standard 250; and across a wide biological more relevant triglyceride range 0–500 mg/dL with a CV of 0.92 for ALT standard 31.25, CV of 1.70 for ALT standard 62.5, CV of 1.24 for ALT standard 125, and CV of 1.51 for ALT standard 250.…”
Section: Expected Results and Discussionmentioning
confidence: 99%
“…More than 200 mutations have been documented within the 30 kb LPL gene, which consists of 10 exons and encodes a protein of 475 amino acids with a 27 amino acid signal peptide, with only a limited number having been evaluated for pathogenesis [ 122 ]. A study conducted in Oman in a consanguine population revealed an association between F-HTG and alteration in multiple genes, which included LPL as well as APOC2, APOA5, GPIHPB1, and LMF1, implying that the genetic disorder is polygenic [ 123 ]; this finding has been supported by evidence from China, which indicates that the severity of F-HTG is digenic [ 124 ] and is likely to involve several molecular mechanisms, including splice-site variation [ 125 ]. The treatment of F-HTG focuses on the reduction of low-density lipoprotein (LDL) cholesterol levels, followed by management of non–high-density lipoprotein cholesterol levels; this can be achieved by changes in lifestyle and dietary modifications [ 126 ] or by the administration of statins such as Atorvastatin, Lovastatin, Fluvastatin, Pravastatin Rosuvastatin and Simvastatin [ 127 ].…”
Section: Familial Hypertriglyceridemiamentioning
confidence: 99%