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Dyslipidemias pp 221-233 | Cite as

Genetic Disorders of HDL Metabolism

  • Jessica Sparks LilleyEmail author
  • MacRae F. Linton
  • Sergio Fazio
Chapter
Part of the Contemporary Endocrinology book series (COE)

Abstract

Metabolism, function, and plasma levels of high-density lipoprotein (HDL) are influenced by genetic factors. Monogenic disorders causing very low and very high HDL levels, such as Tangier and fish-eye disease on one side, cholesteryl ester transfer protein (CETP) and hepatic lipase (HL) deficiency on the other, are rare but important for the clinician to recognize. More common is an interaction between environment and heredity causing less drastic but clinically significant phenotypes. Recent development in our understanding of HDL biosynthesis, catabolism, and action, combined with the failure of trials with HDL-raising drugs, challenges the dogma that high HDL levels protect the vessel wall and low HDL syndromes lead to increased atherosclerosis. The novel concept of HDL functionality may take the place of HDL concentrations as predictor of coronary disease rates. It is not currently known whether HDL functionality is an inherited trait. This chapter reviews HDL metabolism, outlines known inherited aberrations, and considers the potential implications of current research.

Keywords

HDL ABCA-1 LCAT CETP Hepatic lipase HDL function Hyperalphalipoproteinemia Hypoalphalipoproteinemia 

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Copyright information

© Humana Press 2015

Authors and Affiliations

  • Jessica Sparks Lilley
    • 1
    Email author
  • MacRae F. Linton
    • 2
  • Sergio Fazio
    • 3
  1. 1.Department of Pediatrics, Division of Pediatric EndocrinologyUniversity of Mississippi School of MedicineNashvilleUSA
  2. 2.Atherosclerosis Research UnitVanderbilt University School of MedicineCardiovascular Medicine NashvilleUSA
  3. 3.Center for Preventive Cardiology, Knight Cardiovascular InstituteOregon Health and Science UniversityPortlandUSA

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