A boy with hypertriglyceridemia, metabolic syndrome, and HDL-deficiency is described.
No mutations were found in LPL, APOC2, APOA5, GPIHBP1, and LMF1 genes.
The patient carries a novel APOA1 mutation producing a truncated protein.
The truncated apoA-I was detectable in plasma in minute amounts.
Patient's apoB-depleted serum has greatly reduced cholesterol efflux capacity.