Preliminary spectrum of genetic variants in familial hypercholesterolemia in Argentina

Background Familial hypercholesterolemia (FH) is a genetic disorder characterized by elevated low-density lipoprotein cholesterol and early cardiovascular disease. As cardiovascular disease is a leading cause of mortality in Argentina, early identification of patients with FH is of great public heal...

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Autores principales: Bañares, V.G., Corral, P., Medeiros, A.M., Araujo, M.B., Lozada, A., Bustamante, J., Cerretini, R., López, G., Bourbon, M., Schreier, L.E.
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Acceso en línea:http://hdl.handle.net/20.500.12110/paper_19332874_v11_n2_p524_Banares
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spelling todo:paper_19332874_v11_n2_p524_Banares2023-10-03T16:36:11Z Preliminary spectrum of genetic variants in familial hypercholesterolemia in Argentina Bañares, V.G. Corral, P. Medeiros, A.M. Araujo, M.B. Lozada, A. Bustamante, J. Cerretini, R. López, G. Bourbon, M. Schreier, L.E. APOB Argentina Cardiovascular disease Cardiovascular disease prevention Cholesterol Familial hypercholesterolemia Genetic variants LDLR gene Mutations Public health asparagine calcium ion low density lipoprotein receptor low density lipoprotein receptor adolescent adult aged Argentina Article bioinformatics child clinical article exon familial hypercholesterolemia female gene mutation gene sequence genetic analysis genetic identification genetic variability heterozygote homozygote human male multiplex ligation dependent probe amplification priority journal sequence alignment chemistry familial hypercholesterolemia genetic variation genetics metabolism middle aged molecular model preschool child protein conformation young adult Adolescent Adult Aged Argentina Child Child, Preschool Female Genetic Variation Humans Hyperlipoproteinemia Type II Male Middle Aged Models, Molecular Protein Conformation Receptors, LDL Young Adult Background Familial hypercholesterolemia (FH) is a genetic disorder characterized by elevated low-density lipoprotein cholesterol and early cardiovascular disease. As cardiovascular disease is a leading cause of mortality in Argentina, early identification of patients with FH is of great public health importance. Objective The aim of our study was to identify families with FH and to approximate to the characterization of the genetic spectrum mutations of FH in Argentina. Methods Thirty-three not related index cases were selected with clinical diagnosis of FH. Genetic analysis was performed by sequencing, multiplex ligation-dependent probe amplification, and bioinformatics tools. Results Twenty genetic variants were identified among 24 cases (73%), 95% on the low-density lipoprotein receptor gene. The only variant on APOB was the R3527Q. Four were novel variants: c.-135C>A, c.170A>C p.(Asp57Ala), c.684G>C p.(Glu228Asp), and c.1895A>T p.(Asn632Ile); the bioinformatics’ analysis revealed clear destabilizing effects for 2 of them. The exon 14 presented the highest number of variants (32%). Four variants were observed in more than 1 case and the c.2043C>A p.(Cys681*) was carried by 18% of index cases. Two true homozygotes, 3 compound heterozygotes, and 1 double heterozygote were identified. Conclusion This study characterizes for the first time in Argentina genetic variants associated with FH and suggest that the allelic heterogeneity of the FH in the country could have 1 relative common low-density lipoprotein receptor mutation. This knowledge is important for the genotype–phenotype correlation and for optimizing both cholesterol-lowering therapies and mutational analysis protocols. In addition, these data contribute to the understanding of the molecular basis of FH in Argentina. © 2017 National Lipid Association JOUR info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/2.5/ar http://hdl.handle.net/20.500.12110/paper_19332874_v11_n2_p524_Banares
institution Universidad de Buenos Aires
institution_str I-28
repository_str R-134
collection Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA)
topic APOB
Argentina
Cardiovascular disease
Cardiovascular disease prevention
Cholesterol
Familial hypercholesterolemia
Genetic variants
LDLR gene
Mutations
Public health
asparagine
calcium ion
low density lipoprotein receptor
low density lipoprotein receptor
adolescent
adult
aged
Argentina
Article
bioinformatics
child
clinical article
exon
familial hypercholesterolemia
female
gene mutation
gene sequence
genetic analysis
genetic identification
genetic variability
heterozygote
homozygote
human
male
multiplex ligation dependent probe amplification
priority journal
sequence alignment
chemistry
familial hypercholesterolemia
genetic variation
genetics
metabolism
middle aged
molecular model
preschool child
protein conformation
young adult
Adolescent
Adult
Aged
Argentina
Child
Child, Preschool
Female
Genetic Variation
Humans
Hyperlipoproteinemia Type II
Male
Middle Aged
Models, Molecular
Protein Conformation
Receptors, LDL
Young Adult
spellingShingle APOB
Argentina
Cardiovascular disease
Cardiovascular disease prevention
Cholesterol
Familial hypercholesterolemia
Genetic variants
LDLR gene
Mutations
Public health
asparagine
calcium ion
low density lipoprotein receptor
low density lipoprotein receptor
adolescent
adult
aged
Argentina
Article
bioinformatics
child
clinical article
exon
familial hypercholesterolemia
female
gene mutation
gene sequence
genetic analysis
genetic identification
genetic variability
heterozygote
homozygote
human
male
multiplex ligation dependent probe amplification
priority journal
sequence alignment
chemistry
familial hypercholesterolemia
genetic variation
genetics
metabolism
middle aged
molecular model
preschool child
protein conformation
young adult
Adolescent
Adult
Aged
Argentina
Child
Child, Preschool
Female
Genetic Variation
Humans
Hyperlipoproteinemia Type II
Male
Middle Aged
Models, Molecular
Protein Conformation
Receptors, LDL
Young Adult
Bañares, V.G.
Corral, P.
Medeiros, A.M.
Araujo, M.B.
Lozada, A.
Bustamante, J.
Cerretini, R.
López, G.
Bourbon, M.
Schreier, L.E.
Preliminary spectrum of genetic variants in familial hypercholesterolemia in Argentina
topic_facet APOB
Argentina
Cardiovascular disease
Cardiovascular disease prevention
Cholesterol
Familial hypercholesterolemia
Genetic variants
LDLR gene
Mutations
Public health
asparagine
calcium ion
low density lipoprotein receptor
low density lipoprotein receptor
adolescent
adult
aged
Argentina
Article
bioinformatics
child
clinical article
exon
familial hypercholesterolemia
female
gene mutation
gene sequence
genetic analysis
genetic identification
genetic variability
heterozygote
homozygote
human
male
multiplex ligation dependent probe amplification
priority journal
sequence alignment
chemistry
familial hypercholesterolemia
genetic variation
genetics
metabolism
middle aged
molecular model
preschool child
protein conformation
young adult
Adolescent
Adult
Aged
Argentina
Child
Child, Preschool
Female
Genetic Variation
Humans
Hyperlipoproteinemia Type II
Male
Middle Aged
Models, Molecular
Protein Conformation
Receptors, LDL
Young Adult
description Background Familial hypercholesterolemia (FH) is a genetic disorder characterized by elevated low-density lipoprotein cholesterol and early cardiovascular disease. As cardiovascular disease is a leading cause of mortality in Argentina, early identification of patients with FH is of great public health importance. Objective The aim of our study was to identify families with FH and to approximate to the characterization of the genetic spectrum mutations of FH in Argentina. Methods Thirty-three not related index cases were selected with clinical diagnosis of FH. Genetic analysis was performed by sequencing, multiplex ligation-dependent probe amplification, and bioinformatics tools. Results Twenty genetic variants were identified among 24 cases (73%), 95% on the low-density lipoprotein receptor gene. The only variant on APOB was the R3527Q. Four were novel variants: c.-135C>A, c.170A>C p.(Asp57Ala), c.684G>C p.(Glu228Asp), and c.1895A>T p.(Asn632Ile); the bioinformatics’ analysis revealed clear destabilizing effects for 2 of them. The exon 14 presented the highest number of variants (32%). Four variants were observed in more than 1 case and the c.2043C>A p.(Cys681*) was carried by 18% of index cases. Two true homozygotes, 3 compound heterozygotes, and 1 double heterozygote were identified. Conclusion This study characterizes for the first time in Argentina genetic variants associated with FH and suggest that the allelic heterogeneity of the FH in the country could have 1 relative common low-density lipoprotein receptor mutation. This knowledge is important for the genotype–phenotype correlation and for optimizing both cholesterol-lowering therapies and mutational analysis protocols. In addition, these data contribute to the understanding of the molecular basis of FH in Argentina. © 2017 National Lipid Association
format JOUR
author Bañares, V.G.
Corral, P.
Medeiros, A.M.
Araujo, M.B.
Lozada, A.
Bustamante, J.
Cerretini, R.
López, G.
Bourbon, M.
Schreier, L.E.
author_facet Bañares, V.G.
Corral, P.
Medeiros, A.M.
Araujo, M.B.
Lozada, A.
Bustamante, J.
Cerretini, R.
López, G.
Bourbon, M.
Schreier, L.E.
author_sort Bañares, V.G.
title Preliminary spectrum of genetic variants in familial hypercholesterolemia in Argentina
title_short Preliminary spectrum of genetic variants in familial hypercholesterolemia in Argentina
title_full Preliminary spectrum of genetic variants in familial hypercholesterolemia in Argentina
title_fullStr Preliminary spectrum of genetic variants in familial hypercholesterolemia in Argentina
title_full_unstemmed Preliminary spectrum of genetic variants in familial hypercholesterolemia in Argentina
title_sort preliminary spectrum of genetic variants in familial hypercholesterolemia in argentina
url http://hdl.handle.net/20.500.12110/paper_19332874_v11_n2_p524_Banares
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