Characterization of a new LCAT mutation causing familial LCAT deficiency (FLD) and the role of APOE as a modifier gene of the FLD phenotype
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- 作者：Alexis Baass ; Hanny Wassef ; Michel Tremblay ; Lise Bernier ; Robert Dufour ; Jean Davignon
- 关键词：Familial LCAT deficiency (FLD) ; HDL-C ; Apo E ; Lipoprotein X
- 刊名：Atherosclerosis
- 出版年：2009
- 出版时间：December 2009
- 年：2009
- 卷：207
- 期：2
- 页码：452-457
- 全文大小：420 K
文摘
Familial LCAT deficiency (FLD) is a disease characterized by a defect in the enzyme lecithin:cholesterol acyltransferase (LCAT) resulting in low HDL-C, premature corneal opacities, anemia as well as proteinuria and renal failure. We have identified the first French Canadian kindred with familial LCAT deficiency. Two brothers, presenting classical signs of FLD, were shown to be homozygous for a novel LCAT mutation. This c.102delG mutation occurs at the codon for His35 and causes a frameshift that stops transcription at codon 61 abolishing LCAT enzymatic activity both in vivo and in vitro. It has a dramatic effect on the lipoprotein profile, with an important reduction of HDL-C in both heterozygotes (22 % ) and homozygotes (88 % ) and a significant decrease in LDL-C in heterozygotes (35 % ) as well as homozygotes (58 % ). Furthermore, the lipoprotein profile differs markedly between the two affected brothers who had different APOE genotypes. We propose that APOE could be an important modifier gene explaining heterogeneity in lipoprotein profiles observed among FLD patients. Our results suggest that a LCAT−/− genotype associated with an APOE 2 allele could be a novel mechanism leading to dysbetalipoproteinemia.