Familial Dislipidemias Flashcards

1
Q

Function: CETP

A

Mediates transfer of CH esters to other lipoprotein particles in exchange for TGs

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2
Q

Function: LCAT

A

Esterifies CH in HDL (packs densely in core, creating mature HDL)

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3
Q

Increased blood level:

Hyperchylomicronemia (type I)

A

Chylomicrons
TG
CH

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4
Q

Clinical:

Hypertriglyceridemia (type IV)

A

CAD/PVD

Eruptive xanthomas

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5
Q

Increased blood level:

Hypertriglyceridemia (type IV)

A

VLDL

TG

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6
Q

Clinical:
Hyperchylomicronemia (type I)

[5]

A
Pancreatitis (recurrent)
Hepatosplenomegaly
Eruptive/pruritic xanthomas
(NO increased risk for atherosclerosis) 
Creamy layer in supernatant
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7
Q
Inheritance: 
Familial hypercholesterolemia (type II)
A

AD

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8
Q

Function: Apo C-II

A

LPL cofactor

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9
Q

Inheritance:

Hyperchylomicronemia (type I)

A

AR

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10
Q
Pathogenesis:
Familial hypercholesterolemia (type II)
A

Absent/defective LDL receptors

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11
Q

Function: Apo E

A

Mediates remnant uptake

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12
Q
Increased blood level: 
Familial hypercholesterolemia (type II)
A

IIa: LDL, CH
IIb: LDL, CH, VLDL

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13
Q

Function: Apo A-I

A

Activates LCAT

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14
Q

Pathogenesis:

Dysbetalipoproteinemia (type III)

A

Defective ApoE

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15
Q
Clinical: 
Familial hypercholesterolemia (type II)
A
Accelerated atherosclerosis (MI < age 20)
Tendon (Achilles) xanthomas
Corneal arcus
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16
Q

Inheritance:

Dysbetalipoproteinemia (type III)

A

AR

17
Q

Pathogenesis:

Hyperchylomicronemia (type I)

A

LPL or C-II deficiency

18
Q

Function: Apo B-100

A

Binds LDL receptor

19
Q

Clinical:

Dysbetalipoproteinemia (type III)

A

Premature atherosclerosis
Tuberoeruptive xanthomas
Xanthoma striatum palmare

20
Q

Inheritance:

Hypertriglyceridema (type IV)

A

AD

21
Q

Function: Apo B-48

A

Mediates chylomicron secretion into lymphatics

22
Q

Increased blood level:

Dysbetalipoproteinemia

A

Chylomicrons

VLDL

23
Q

Pathogenesis:

Hypertriglyceridema (type IV)

A

Hepatic overproduction of VLDL