Clinical Considerations of Abetalipoproteinemia: literature Review
Consideraciones clínicas de la abetalipoproteinemia: revisión de la literatura
How to Cite
Download Citation

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Show authors biography
Abetalipoproteinemia is a rare disease that occurs predominantly in the first decade of life, having as main manifestations, steatorrhea, alteration in development and considerably decreased lipid plasma levels. However, this clinical presentation is often confusing, since there is a group of genetic disorders that lead to poor lipid absorption, requiring the need to make a comprehensive differential diagnosis from a clinical, biochemical and molecular point of view. This article will provide an updated review on Abetalipoproteinemia, focusing on its pathophysiology, systemic manifestations, diagnosis and general approach, allowing easy access to an integral knowledge. The search strategy and study selection methods were based on elements of the prisma statement and Cochrane guidelines, using search terms such as "Abetalipoproteinemia" and "Biochemistry", in addition to synonyms, which were combined with “and” and “or” operators, in the PubMed, Science Direct, Clinical Key and Ebsco databases. It is necessary to highlight that there is not much specific literature on this condition, which would support the fact that it is an undervalued and little-known entity, it is essential to carry out more research on the subject, taking into account that if a diagnosis is not established proper management, the complications are many and severe.
Article visits 1142 | PDF visits 164
Downloads
- 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