Identification of a recurrent frameshift mutation at the LDLR exon 14 (c.2027delG, p.(G676Afs*33)) causing familial hypercholesterolemia in Saudi Arab homozygous children
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We describe severely affected homozygous FH patients who were managed on an LDL-apheresis program.

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We identified a recurrent frameshift mutation p.(G676Afs*33) in LDLR gene in 9 probands and their relatives.

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Identified mutation could affect the LDLR structure in a region involved in dimer formation, and protein stability.

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A recurrent mutation causing FH in the Saudi population could serve to develop a rapid genetic screening procedure for FH.

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The 3D-structure analysis of the mutant LDLR may provide tools to develop a mechanistic model of the LDLR function.

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