We describe severely affected homozygous FH patients who were managed on an LDL-apheresis program.
We identified a recurrent frameshift mutation p.(G676Afs*33) in LDLR gene in 9 probands and their relatives.
Identified mutation could affect the LDLR structure in a region involved in dimer formation, and protein stability.
A recurrent mutation causing FH in the Saudi population could serve to develop a rapid genetic screening procedure for FH.
The 3D-structure analysis of the mutant LDLR may provide tools to develop a mechanistic model of the LDLR function.