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Hypobetalipoproteinemia is a disorder consisting of low levels of LDL cholesterol or apolipoprotein B ,[1] below the 5th percentile.[2] The patient can have hypobetalipoproteinemia and simultaneously have high levels of HDL cholesterol .
Notably, in people who do not have the genetic disorder hypobetalipoproteinemia, a very low cholesterol level (less than 100 mg/dl) may be a marker for poor nutrition, wasting disease, cancer, hyperthyroidism, and liver disease. In 1997 a study showed that Japanese Centenarians had tenfold increase of hypobetalipoproteinemia compared with controls.
One form is thought to be caused by mutated apolipoprotein B .[3]
Another form is associated with microsomal triglyceride transfer protein which causes abetalipoproteinemia .
A third form, chylomicron retention disease (CRD), is associated with SARA2 .[4]
Diagnosis [ edit ]
Typically in hypobetalipoproteinemia, plasma cholesterol levels will be around 80–120 mg/dL, LDL cholesterol will be around 50–80 mg/dL.[citation needed ]
Treatment [ edit ]
Early high doses of vitamin E in infants and children has shown to be effective.[5]
References [ edit ]
^ Young SG, Hubl ST, Chappell DA, et al. (June 1989). "Familial hypobetalipoproteinemia associated with a mutant species of apolipoprotein B (B-46)". N. Engl. J. Med. 320 (24 ): 1604–10. doi :10.1056/NEJM198906153202407 . PMID 2725600 .
^ Tarugi P, Averna M, Di Leo E, et al. (December 2007). "Molecular diagnosis of hypobetalipoproteinemia: an ENID review". Atherosclerosis . 195 (2 ): e19–27. doi :10.1016/j.atherosclerosis.2007.05.003 . PMID 17570373 .
^ Zamel, Rola; Khan, Razi; Pollex, Rebecca L.; Hegele, Robert A. (2008-07-08). "Abetalipoproteinemia: two case reports and literature review" . Orphanet Journal of Rare Diseases . 3 : 19. doi :10.1186/1750-1172-3-19 . ISSN 1750-1172 . PMC 2467409 . PMID 18611256 .
External links [ edit ]
R e t r i e v e d f r o m " https://en.wikipedia.org/w/index.php?title=Hypobetalipoproteinemia&oldid=1227031123 "
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