Cardiovascular Diseases Clinical Trial
Official title:
Human Lipoprotein Pathophysiology - Subproject: Genetics of Familial Combined Hyperlipidemia
To conduct focused studies of lipoprotein physiology and pathophysiology in genetically characterized patients with the objectives of understanding disease mechanisms, developing better treatments, and identifying and preventing early vascular disease.
BACKGROUND:
Premature vascular disease in young hyperlipidemic subjects remains a major unsolved health
problem in terms of pathogenesis and treatment. Research advances have led to new markers
for genetic analysis, new methods for studying lipoprotein metabolism and atherosclerotic
disease progression and regression, and reference values for diagnosing hyperlipidemia.
DESIGN NARRATIVE:
Attention is focused on the molecular, genetic and pathophysiological basis of the inherited
dyslipoproteinemias associated with premature coronary artery disease with particular
reference to familial combined hyperlipidemia, familial moderate hypercholesterolemia,
familial elevation of Lp(a) and the carrier state for homocysteinemia. Coordinated studies
of characterization of the pathophysiological state, the identification of possible
molecular biological defects and the evaluation of these results in families by statistical
genetic techniques are performed in each disorder. The role of protein mediated
intravascular modification of lipoproteins and the role of oxidation of lipoproteins in each
disorder will lead to characterization of these genetic lipoprotein abnormalities. The study
is a subproject within a program project grant.
The subproject on the genetics of familial combined hyperlipidemia (FCHL) was renewed in
1999 through 2010 to continue mapping the apoB elevating gene l(BEL) level using a genomic
search in pedigrees with familial combined hyperlipidemia. The major focus of the genetic
analyses are the 15 FCHL families under the BEL segregation analysis model in a power
analysis. These families also show the most evidence for segregation at an apoB elevating
gene locus. Genotyping for a 10 centimorgan genomic scan has been completed for these
families.
;
Observational Model: Family-Based
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