Abstract
Among the inherited disorders of lipoprotein metabolism, familial hypertriglyceridemia (FHT) is one of the least well understood. In FHT all affected relatives have elevated serum triglyceride levels only, while in familial combined hyperlipidemia, serum triglyceride, cholesterol or both may be elevated in affected family members (1). Genetic studies have suggested an autosomal dominant trait (1), but up to now no clinical or biochemical genetic marker are known which can distinguish patients with FHT from individuals who suffer from other forms of hypertriglyceridemia. The diagnosis of familial hypertriglyceridemia can only be made with certainty if the patient has a sufficiently large family to allow family studies. The gene seems to have a low penetrance. Thus, full expression of the gene appears to occur only after the age of 25 to 30. Serum triglyceride levels can therefore not be used in children, adolescents and young adults for genetic screening.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Fredrickson D.S., Goldstein J.L, Brown M.S.: The familial hyperlipoproteinemias. In: The Metabolic Basis of Inherited Disease (Ed.J.B. Stanbury, J.B. Wyngaarden and D. S. Fredrickson, Mc Graw Hill Book Company New York 1980, 605–655.
Goldstein J.L., Hazzard W.R., Schrott H.G., Bierman E.L. and A.G. Motulsky: Hyperlipidemia in Coronary Artery Disease. J.Clin.Invest. 52, 1533–1568, 1973.
Nikkilä E.A.: Metabolism of plasma triglycerides in endogenous hypertriglyceridemia. Horm. Metab. Res. Suppl. 4, 34–38, 1974.
Havel R.J., Jane J.P., Balasse E.O., Segel N. and L.V. Basso: Splanchnic metabolism of free fatty acids and production of triglycerides of VLDL in normotriglyceridemic and hypertriglyceridemic humans J. Clin. Invest. 49, 2017–2035, 1970.
Brunzell J.D., Biermann E.L.: Plasma triglyceride and nsulin levels in familial hypertriglyceridemia. Ann. Int. Med. 87, 198–199, 1977.
Chait A., Albers J.J. and J.D.Brunzell: Very low density lipoprotein overproduction in genetic forms of hypertriglyceridemia. Eur. J. Clin. Invest. 10, 17–22, 1980
Henze K., Wallmüller A., Barth C.A., Wolfram C and N. Zöllner: Untersuchungen zur Genetik der primären Hypertriglyceridämie. Vhdlg. Dtsch. Ges. Inn. Med. 83, 395–293, 1977
Lemmen C., Wolfram G., Barth C. and N. Zöllner: Hormonal regulation of lipogenesis in human dipoloid fibroblasts from normal subjects and from patients with familial hypertriglyceridemia (submitted for publication 1982).
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1983 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Henze, D.K., Zöllner, N. (1983). Familial Hypertriglyceridemia: Incidence, Genetics and Possible Defect in Cellular Metabolism. In: Schettler, F.G., Gotto, A.M., Middelhoff, G., Habenicht, A.J.R., Jurutka, K.R. (eds) Atherosclerosis VI. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-81817-2_18
Download citation
DOI: https://doi.org/10.1007/978-3-642-81817-2_18
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-81819-6
Online ISBN: 978-3-642-81817-2
eBook Packages: Springer Book Archive