Rare genetic variants with large effect on triglycerides in subjects with a clinical diagnosis of familial vs nonfamilial hypertriglyceridemia
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Subjects with familial and nonfamilial primary HTG were assessed for rare mutations.

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In 118 subjects, 29 rare variants were identified; 7/10 novel ones were pathogenic.

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We studied LPL, APOA5, LMF1, and GPIHBP1 variants in silico and in vitro.

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Less than 20% carry a rare pathogenic mutation in LPL, APOA5, LMF1, or GPIHBP1.

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No clinical information associates with a higher frequency of pathogenic mutations.

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