Consideraciones clínicas de la abetalipoproteinemia: revisión de la literatura
Clinical Considerations of Abetalipoproteinemia: literature Review
Cómo citar
Descargar cita

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
Mostrar biografía de los autores
La abetalipoproteinemia es una enfermedad rara que se suele presentarse en la primera década de la vida; sus principales manifestaciones son esteatorrea, alteración en el desarrollo y niveles plasmáticos lipídicos considerablemente disminuidos. Sin embargo, este cuadro suele ser confuso, puesto que existe un grupo de desórdenes genéticos que conllevan a mala absorción lipídica, que requieren un exhaustivo diagnóstico diferencial desde el punto de vista clínico, bioquímico y molecular. Este artículo expone una revisión actualizada sobre la abetalipoproteinemia, enfocándose en su fisiopatología, manifestaciones sistémicas, diagnóstico y abordaje en general, para facilitar su comprensión integral. La estrategia de búsqueda y los métodos de selección de estudios se realizó con base en elementos de la declaración prisma y guías Cochrane, utilizando términos de búsqueda tales como “abetalipoproteinemia” ,“bioquímica” y sinónimos, los cuales fueron combinados con los operadores “and” y “or”, en las bases de datos PubMed, Science Direct, Clinical Key y Ebsco. No existe mucha literatura específica sobre esta condición, lo cual explica que sea una entidad subvalorada y poco conocida. Es fundamental realizar más investigaciones en torno al tema, pues en caso de no establecerse un diagnóstico y manejo adecuado, las complicaciones serán muchas y severas.
Visitas del artículo 1142 | Visitas PDF 164
Descargas
- Boltshauser E, Weber KP. Laboratory investigations.
- Handb Clin Neurol 2018; 154:287-298.
- DOI: 10.1016/B978-0-444-63956-1.00017-5
- Mushtaq I, Cheema HA, Malik HS, Waheed N,
- Hashmi MA, Malik HS. Causes Of Chronic Non-
- Infectious Diarrhoea In Infants Less Than 6
- Months Of Age: Rarely Recognized Entities. J
- Ayub Med Coll Abbottabad 2017; 29(1):78-82.
- Ueda M, Burke F, Maeda M, McIntyre A, Hegele R, Malloy
- M, et al. Importance of Nutritional Intervention
- for Infants with Abetalipoproteinemia. J Clin Lipidol
- ; 13(3):e44. DOI: 10.1016/j.jacl.2019.04.074
- Strain JE, Vigilante JA, DiGeorge NW. Hypolipidemia
- in a Special Operations Candidate: Case
- Report and Review of the Literature. J Spec Oper
- Med 2015; 15(4):1-5.
- Tarugi P, Averna M. Hypobetalipoproteinemia:
- genetics, biochemistry, and clinical spectrum.
- Adv Clin Chem 2011; 54:81–107. DOI:
- https://doi.org/10.1016/B978-0-12-387025-4.00004-2
- Simone ML, Rabacchi C, Kuloglu Z, Kansu A, Ensari
- A, Demir AM, et al. Novel mutations of SAR1B
- gene in four children with chylomicron retention
- disease. J Clin Lipidol 2019; 13(4):554-562.
- DOI: 10.1016/j.jacl.2019.05.013
- Kersten S. Angiopoietin-like 3 in lipoprotein metabolism.
- Nat Rev Endocrinol 2017; 13(12):731–739.
- DOI: 10.1038/nrendo.2017.119
- Levy E. Insights from human congenital disorders
- of intestinal lipid metabolism. J Lipid Res
- ; 56(5):945–962. DOI: 10.1194/jlr.R052415
- Julve J, Martin-Campos JM, Escola-Gil JC, Blanco-
- Vaca F. Chylomicrons: advances in biology,
- pathology, laboratory testing, and therapeutics.
- Clin Chim Acta 2016; 455:134–148.
- DOI: 10.1016/j.cca.2016.02.004
- Schonfeld G, Lin X, Yue P. Familial hypobetalipoproteinemia:
- genetics and metabolism. Cell Mol
- Life Sci 2005; 62(12):1372–1378.
- DOI: https://doi.org/10.1007/s00018-005-4473-0
- Peretti N, Sassolas A, Roy CC, Deslandres C, Charcosset
- M, Castagnetti J, et al. Guideline for the
- diagnosis and management of chylomicron retention
- disease based on a review of the literature
- and the experience of two centers. Orphanet J
- Rare Dis 2010; 5:24. DOI: 10.1186/1750-1172-5-24.
- Hentati F, El-Euch G, Bouhlal Y, Amouri R. Ataxia
- with vitamin E deficiency and abetalipoproteinemia.
- Handb Clin Neurol 2012; 103:295-305.
- DOI: 10.1016/B978-0-444-51892-7.00018-8.
- Wang LR, McIntyre AD, Hegele RA. Complex genetic
- architecture in severe hypobetalipoproteinemia.
- Lipids Health Dis 2018; 17(1):48.
- DOI: 10.1186/s12944-018-0680-1
- Ramasamy I. Update on the molecular biology of
- dyslipidemias. Clin Chim Acta 2016; 454:143-85.
- DOI: 10.1016/j.cca.2015.10.033
- Yilmaz BS, Mungan NO, Di Leo E, Magnolo L, Artuso
- L, Bernardis I, et al. Homozygous familial hypobetalipoproteinemia:
- A Turkish case carrying a missense
- mutation in apolipoprotein B. Clin Chim Acta
- ; 452:185-190. DOI: 10.1016/j.cca.2015.11.017
- Walsh MT, Iqbal J, Josekutty J, Soh J, Di Leo E,
- Özaydin E, et al. Novel Abetalipoproteinemia Missense
- Mutation Highlights the Importance of the
- N-Terminal β-Barrel in Microsomal Triglyceride
- Transfer Protein Function. Circ Cardiovasc Genet
- ; 8(5):677-687.
- DOI: 10.1161/CIRCGENETICS.115.001106
- Di Filippo M, Frachon S, Janin A, Rajan S, Marmontel
- O, Decourt C, et al. Normal serum ApoB48 and
- red cells vitamin E concentrations after supplementation
- in a novel compound heterozygous
- case of abetalipoproteinemia. Atherosclerosis
- ; 284:75-82.
- DOI: 10.1016/j.atherosclerosis.2019.02.016
- Cuerq C, Henin E, Restier L, Blond E, Drai J, Marçais
- C, et al. Efficacy of two vitamin E formulations
- in patients with abetalipoproteinemia and
- chylomicron retention disease. J Lipid Res 2018;
- :1640–1648. DOI: 10.1194/jlr.M085043
- Hooper AJ, Burnett J. Update on primary hypobetalipoproteinemia.
- Curr Atheroscler Reports 2014;
- (7):423. DOI: 10.1007/s11883-014-0423-3
- Di Filippo M, Moulin P, Roy P, Samson-Bouma ME,
- Collardeau-Frachon S, Chebel-Dumont S, et al.
- Homozygous MTTP and APOB mutations may
- lead to hepatic steatosis and fibrosis despite
- metabolic differences in congenital hypocholesterolemia.
- J Hepatol 2014; 61:891–902.
- DOI: 10.1016/j.jhep.2014.05.023
- Sirwi A, Hussain MM. Lipid transfer proteins in the
- assembly of apoB-containing lipoproteins. J Lipid
- Res 2018; 59:1094-1102. DOI: 10.1194/jlr.R083451
- Hussain MM, Shi J, Dreizen P. Microsomal triglyceride
- transfer protein and its role in apoBlipoprotein
- assembly. J Lipid Res 2003; 44:22-32.
- DOI: 10.1194/jlr.R200014-JLR200
- Davis RA, Thrift RN, Wu CC, Howell KE. Apolipoprotein
- B is both integrated into and translocated
- across the endoplasmic reticulum membrane.
- Evidence for two functionally distinct pools. J
- Biol Chem 1990; 265(17):10005-10011.
- Zhou M, Fisher EA, Ginsberg HN. Regulated Cotranslational
- ubiquitination of apolipoprotein
- B100. A new paradigm for proteasomal degradation
- of a secretory protein. J Biol Chem 1998;
- :24649-24653.
- Literatura citada
- Archivos de Medicina Volumen 20 Nº 2 - Julio-Diciembre de 2020
- Universidad de Manizales - Facultad de Ciencias de la Salud
- Miller SA, Burnett JR, Leonis MA, McKnight CJ, van
- Bockxmeer FM, Hooper AJ. Novel missense MTTP
- gene mutations causing abetalipoproteinemia.
- Biochim Biophys Acta 2014; 1841(10):1548-1554.
- DOI: 10.1016/j.bbalip.2014.08.001
- Gündüz M, Özaydın E, Atar MB, Koç N, Kırsaçlıoğlu
- C, Köse G, et al., Microsomal triglyceride transfer
- protein gene mutations in Turkish children: A
- novel mutation and clinical follow up. Indian J
- Gastroenterol 2016; 35(3):236-241.
- DOI: 10.1007/s12664-016-0654-z
- Paquette M, Dufour R, Hegele RA, Baass A. A tale
- of 2 cousins: An atypical and a typical case
- of abetalipoproteinemia. J Clin Lipidol 2016;
- (4):1030-1034. DOI: 10.1016/j.jacl.2016.01.003
- Liu Y, Conlon DM, Bi X, Slovik KJ, Shi J, Edelstein HI,
- et al., Lack of MTTP Activity in Pluripotent Stem
- Cell-Derived Hepatocytes and Cardiomyocytes
- Abolishes apoB Secretion and Increases Cell
- Stress. Cell Rep 2017; 19(7):1456-1466.
- DOI: 10.1016/j.celrep.2017.04.064
- Di Filippo M, Varret M, Boehm V, Rabés JP, Ferkdadji
- L, Abramowitz L, et al. Post-prandial lipid
- absorption in seven heterozygous carriers of
- deleterious variants of MTTP in two abetalipoproteinemic
- families. J Clin Lipidol 2018; 13(1):201-
- DOI: 10.1016/j.jacl.2018.10.003
- Shoulders CC, Brett DJ, Bayliss JD, Narcisi TM, Jarmuz
- A, Grantham TT, et al. Abetalipoproteinemia is
- caused by defects of the gene encoding the 97
- kDa subunit of a microsomal triglyceride transfer
- protein. Hum Mol Genet 1993; 2:2109-2116.
- DOI: https://doi.org/10.1093/hmg/2.12.2109
- Burnett JR, Hooper AJ, Hegele RA. Abetalipoproteinemia
- En: Adam MP, Ardinger HH, Pagon RA,
- et al., editors. GeneReviws. Seattle: University of
- Washington; 2018.
- Khatun I, Walsh MT, Hussain MM. Loss of both
- phospholipid and triglyceride transfer activities
- of microsomal triglyceride transfer protein in
- abetalipoproteinemia. J Lipid Res 2013; 54:1541–
- DOI: 10.1194/jlr.M031658
- Lee J, Hegele RA. Abetalipoproteinemia and
- homozygous hypobetalipoproteinemia: a framework
- for diagnosis and management. J Inherit
- Metab Dis 2014; 37:333–339.
- DOI: 10.1007/s10545-013-9665-4
- Zamel R, Khan R, Pollex RL, Hegele RA. Abetalipoproteinemia:
- two cases and literature review.
- Orphanet J Rare Dis 2008; 3:19.
- DOI: 10.1186/1750-1172-3-19
- Aers XP, Leroy BP, Defesche JC, Shadid S. Abetalipoproteinemia
- From Previously Unreported Gene
- Mutations. Ann Intern Med 2019; 170(3):211-213.
- DOI: 10.7326/L18-0358
- Hussain MM, Rava P, Walsh M, Rana M, Iqbal J.
- Multiple functions of microsomal triglyceride
- transfer protein. Nutr Metab (Lond) 2012; 9:14.
- DOI: 10.1186/1743-7075-9-14
- Hammer MB, El Euch-Fayache G, Nehdi H, Feki
- M, Maamouri-Hicheri W, Hentati F, et al. Clinical
- features and molecular genetics of two Tunisian
- families with abetalipoproteinemia. J Clin Neurosci
- ; 21(2):311–315.
- DOI: 10.1016/j.jocn.2013.04.016
- Chardon L, Sassolas A, Dingeon B, Michel-Calemard
- L, Bovier-Lapierre M, Moulin P, et al. Identification
- of two novel mutations and long-term follow-up
- in abetalipoproteinemia: a report of four cases.
- Eur J Pediatr 2009; 168(8):983–989.
- DOI: 10.1007/s00431-008-0888-6
- Najah M, Youssef SM, Yahia HM, Afef S, Awatef
- J, Saber H, et al. Molecular characterization of
- Tunisian families with abetalipoproteinemia and
- identification of a novel mutation in MTTP gene.
- Diagn Pathol 2013; 48:54.
- DOI: 10.1186/1746-1596-8-54
- Zeissig S, Dougan SK, Barral DC. Primary deficiency
- of microsomal triglyceride transfer protein
- in human abetalipoproteinemia is associated
- with loss of CD1 function. J Clin Invest 2010;
- :2889–99. DOI: 10.1172/JCI42703
- Barakizou H, Gannouni S, Messaoui K, Difilippo M,
- Sassolas A, Bayoudh F. Abetalipoproteinemia:
- A novel mutation of microsomal triglyceride
- transfer protein (MTP) gene in a young Tunisian
- patient. Egypt J Med Hum Genet 2016; 17(3):251-
- DOI: 10.1016/j.ejmhg.2015.12.003
- Rashtian P, Najafi Sani M, Jalilian R. A Male Infant
- with Abetalipoproteinemia: A Case Report from
- Iran. Middle East J Dig Dis 2015; 7:181-4.
- Pons V, Rolland C, Nauze M, Danjoux M, Gaibelet
- G, Durandy A, et al. A severe form of Abetalipoproteinemia
- caused by new splicing mutations of
- microsomal triglyceride transfer protein (MTTP).
- Human Mutation 2011; 32:751–759.
- DOI: 10.1002/humu.21494
- Uslu N, Gurakan F, Yuce A, Demir H, Tarugi P.
- Abetalipoproteinemia in an infant with severe
- clinical phenotype and a novel mutation. Turk J
- Pediat 2010; 52(1):73-77.
- Burnett JR, Hooper AJ. Vitamin E and oxidative
- stress in abetalipoproteinemia and familial
- hypobetalipoproteinemia. Free Radic Biol Med
- ; 88:59-62.
- DOI: 10.1016/j.freeradbiomed.2015.05.044
- Welty FK. Hypobetalipoproteinemia and abetalipoproteinemia.
- Curr Opin Lipidol 2014; 25(3):161–168.
- DOI: 10.1097/MOL.0000000000000072
- Revisión de Tema
- Consideraciones clínicas de la abetalipoproteinemia pp 461-471
- Burnett JR, Zhong S, Jiang ZG, Hooper AJ, Fisher
- EA, McLeod RS, et al. Missense mutations in
- APOB within the betaalpha1 domain of human
- APOB-100 result in impaired secretion of apoB
- and apoB-containing lipoproteins in familial
- hypobetalipoproteinemia. J Biol Chem 2007;
- (33):24270–24283.
- DOI: https://doi.org/10.1074/jbc.M702442200
- Tanoli T, Yue P, Yablonskiy D, Schonfeld G. Fatty
- liver in familial hypobetalipoproteinemia: roles
- of the APOB defects, intra-abdominal adipose
- tissue, and insulin sensitivity. J Lipid Res 2004;
- (5):941–947.
- DOI: 10.1194/jlr.M300508-JLR200
- Traber MG. Mechanisms for the prevention of vitamin
- E excess. J Lipid Res 2013; 54(9):2295–2306.
- DOI: 10.1194/jlr.R032946
- Ulatowski L, Manor D. Vitamin E trafficking in
- neurologic health and disease. Annu Rev Nutr
- ; 33:87–103.
- DOI: 10.1146/annurev-nutr-071812-161252
- Havel RJ, Kane JP. Introduction: structure and
- metabolism of plasma lipoproteins. In: Scriver
- CR, Beaudet AL, Sly WS, Valle D, editors. The Metabolic
- and Molecular Bases of Inherited Disease.
- th ed. New York: McGraw-Hill; 1995. p. 1841-1851.
- DOI: 10.1036/ommbid.142
- Young SG. Recent progress in understanding apolipoprotein
- B. Circulation 1990; 82(5):1574–1594.
- DOI: https://doi.org/10.1161/01.CIR.82.5.1574
- Linton MF, Farese RV Jr, Young SG. Familial
- hypobetalipoproteinemia. J Lipid Res 1993;
- (4):521–541.
- Visser ME, Lammers NM, Nederveen AJ, Van der
- Graaf M, Heerschap A, Ackermans MT, et al. Hepatic
- steatosis does not cause insulin resistance
- in people with familial hypobetalipoproteinaemia.
- Diabetologia 2011; 54:2113–2121.
- DOI: 10.1007/s00125-011-2157-x