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Familial apolipoprotein gene cluster deletion syndrome

MedGen UID:
1824091
Concept ID:
C5774318
Disease or Syndrome
Synonyms: APOLIPOPROTEIN A-I ABSENCE; APOLIPOPROTEIN A-I/C-III/A-IV DEFICIENCY; FAMILIAL APOLIPOPROTEIN A-I AND C-III DEFICIENCY, VARIANT II
 
Monarch Initiative: MONDO:0859290
OMIM®: 620058

Definition

Apolipoprotein (apo) A-I is the major protein of HDL cholesterol, whereas apoC-III and apoA-IV are minor components. The genes coding for apoA-I, apoC-III, and apoA-IV are adjacent to one another on the long arm of chromosome 11. Familial apolipoprotein gene cluster deletion syndrome has been described in 1 family and found to be a homozygous deletion of the entire APOA1/C3/A4 gene complex. This results in a lack of expression of these plasma lipoproteins, with marked HDL-C deficiency in the homozygote and approximately half-normal levels of these apolipoproteins and HDL-C in the heterozygotes. [from OMIM]

Clinical features

From HPO
Premature coronary artery atherosclerosis
MedGen UID:
356830
Concept ID:
C1867743
Disease or Syndrome
Reduction of the diameter of the coronary arteries as the result of an accumulation of atheromatous plaques within the walls of the coronary arteries before age of 45.
Decreased HDL cholesterol concentration
MedGen UID:
57731
Concept ID:
C0151691
Finding
An decreased concentration of high-density lipoprotein cholesterol in the blood.
Hypocholesterolemia
MedGen UID:
57479
Concept ID:
C0151718
Disease or Syndrome
An decreased concentration of cholesterol in the blood.
Hypotriglyceridemia
MedGen UID:
488913
Concept ID:
C0542037
Disease or Syndrome
An decrease in the level of triglycerides in the blood.
Decreased circulating apolipoprotein A-I concentration
MedGen UID:
1634454
Concept ID:
C4703545
Finding
Concentration of apolipoprotein A-I below the lower limit of normal. Apolipoprotein A-I is the major protein component of high density lipoprotein (HDL) in plasma. Defects in this gene are associated with HDL deficiencies, including Tangier disease.
Arcus senilis
MedGen UID:
8179
Concept ID:
C0003742
Finding
A hazy, grayish-white ring about 2 mm in width located close to but separated from the limbus (the corneoscleral junction). Corneal arcus generally occurs bilaterally, and is related to lipid deposition in the cornea. Corneal arcus can occur in elderly persons as a part of the aging process but may be associated with hypercholesterolemia in people under the age of 50 years.

Recent clinical studies

Etiology

Skerka C, Chen Q, Fremeaux-Bacchi V, Roumenina LT
Mol Immunol 2013 Dec 15;56(3):170-80. Epub 2013 Jul 3 doi: 10.1016/j.molimm.2013.06.001. PMID: 23830046

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