Exome Sequencing, ANGPTL3 Mutations, and Familial Combined Hypolipidemia

被引:547
作者
Musunuru, Kiran [1 ,2 ,4 ,7 ,8 ]
Pirruccello, James P. [1 ,2 ,7 ,8 ]
Do, Ron [1 ,2 ,7 ,9 ]
Peloso, Gina M. [6 ,10 ]
Guiducci, Candace [7 ]
Sougnez, Carrie [7 ]
Garimella, Kiran V. [7 ]
Fisher, Sheila [7 ]
Abreu, Justin [7 ]
Barry, Andrew J. [7 ]
Fennell, Tim [7 ]
Banks, Eric [7 ]
Ambrogio, Lauren [7 ]
Cibulskis, Kristian [7 ]
Kernytsky, Andrew [7 ]
Gonzalez, Elena [7 ]
Rudzicz, Nicholas [9 ]
Engert, James C. [9 ]
DePristo, Mark A. [7 ]
Daly, Mark J. [1 ,4 ,7 ]
Cohen, Jonathan C. [11 ,12 ]
Hobbs, Helen H. [11 ,12 ]
Altshuler, David [1 ,3 ,4 ,5 ,7 ]
Schonfeld, Gustav [13 ]
Gabriel, Stacey B. [7 ]
Yue, Pin [13 ]
Kathiresan, Sekar [1 ,2 ,4 ,7 ]
机构
[1] Massachusetts Gen Hosp, Ctr Human Genet Res, Boston, MA 02114 USA
[2] Massachusetts Gen Hosp, Cardiovasc Res Ctr, Boston, MA 02114 USA
[3] Massachusetts Gen Hosp, Dept Mol Biol, Boston, MA 02114 USA
[4] Harvard Univ, Sch Med, Dept Med, Boston, MA 02114 USA
[5] Harvard Univ, Sch Med, Dept Genet, Boston, MA 02114 USA
[6] Boston Univ, Sch Publ Hlth, Dept Biostat, Boston, MA USA
[7] Broad Inst, Program Med & Populat Genet, Cambridge, MA USA
[8] Johns Hopkins Univ, Sch Med, Baltimore, MD USA
[9] McGill Univ, Dept Human Genet, Montreal, PQ, Canada
[10] NHLBI, Framingham Heart Study, Framingham, MA USA
[11] Univ Texas SW Med Ctr Dallas, Dept Mol Genet, Dallas, TX 75390 USA
[12] Univ Texas SW Med Ctr Dallas, Dept Internal Med, Dallas, TX 75390 USA
[13] Washington Univ, Sch Med, St Louis, MO USA
基金
加拿大健康研究院; 美国国家卫生研究院;
关键词
LOW-DENSITY-LIPOPROTEIN; APO-B GENE; APOLIPOPROTEIN-B; FATTY LIVER; CAUCASIAN FAMILIES; HYPOBETALIPOPROTEINEMIA; METABOLISM; LIPASE; INHIBITION; CAPTURE;
D O I
10.1056/NEJMoa1002926
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We sequenced all protein-coding regions of the genome (the "exome") in two family members with combined hypolipidemia, marked by extremely low plasma levels of low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, and triglycerides. These two participants were compound heterozygotes for two distinct nonsense mutations in ANGPTL3 (encoding the angiopoietin-like 3 protein). ANGPTL3 has been reported to inhibit lipoprotein lipase and endothelial lipase, thereby increasing plasma triglyceride and HDL cholesterol levels in rodents. Our finding of ANGPTL3 mutations highlights a role for the gene in LDL cholesterol metabolism in humans and shows the usefulness of exome sequencing for identification of novel genetic causes of inherited disorders.
引用
收藏
页码:2220 / 2227
页数:8
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