Phytosterolemia on the island of Kosrae

Screening of 932 adults on the Pacific island of Kosrae for plasma plant sterol levels disclosed three subjects, two of them asymptomatic, with phytosterolemia. Sequencing the ATP binding cassette subfamily G member 8 (ABCG8) gene revealed a novel exon 2 mutation that causes a change in codon 24 fro...

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Main Authors: Ephraim Sehayek, Hannah J. Yu, Klaus von Bergmann, Dieter Lutjohann, Markus Stoffel, Elizabeth M. Duncan, Laura Garcia-Naveda, Jacqueline Salit, Maude L. Blundell, Jeffrey M. Friedman, Jan L. Breslow
Format: Article
Language:English
Published: Elsevier 2004-09-01
Series:Journal of Lipid Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0022227520312761
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author Ephraim Sehayek
Hannah J. Yu
Klaus von Bergmann
Dieter Lutjohann
Markus Stoffel
Elizabeth M. Duncan
Laura Garcia-Naveda
Jacqueline Salit
Maude L. Blundell
Jeffrey M. Friedman
Jan L. Breslow
spellingShingle Ephraim Sehayek
Hannah J. Yu
Klaus von Bergmann
Dieter Lutjohann
Markus Stoffel
Elizabeth M. Duncan
Laura Garcia-Naveda
Jacqueline Salit
Maude L. Blundell
Jeffrey M. Friedman
Jan L. Breslow
Phytosterolemia on the island of Kosrae
Journal of Lipid Research
ATP binding cassette subfamily G member 8
cholesterol absorption
population genetics
author_facet Ephraim Sehayek
Hannah J. Yu
Klaus von Bergmann
Dieter Lutjohann
Markus Stoffel
Elizabeth M. Duncan
Laura Garcia-Naveda
Jacqueline Salit
Maude L. Blundell
Jeffrey M. Friedman
Jan L. Breslow
author_sort Ephraim Sehayek
title Phytosterolemia on the island of Kosrae
title_short Phytosterolemia on the island of Kosrae
title_full Phytosterolemia on the island of Kosrae
title_fullStr Phytosterolemia on the island of Kosrae
title_full_unstemmed Phytosterolemia on the island of Kosrae
title_sort phytosterolemia on the island of kosrae
publisher Elsevier
series Journal of Lipid Research
issn 0022-2275
publishDate 2004-09-01
description Screening of 932 adults on the Pacific island of Kosrae for plasma plant sterol levels disclosed three subjects, two of them asymptomatic, with phytosterolemia. Sequencing the ATP binding cassette subfamily G member 8 (ABCG8) gene revealed a novel exon 2 mutation that causes a change in codon 24 from glutamine to histidine and a frame shift followed by a premature stop codon, precluding the formation of a functional ABCG8 protein. Genotyping of 1,090 Kosraens revealed 150 as carriers, a 13.8% carrier rate. DNA sequencing of 67 carriers revealed the same mutation as in the probands. In carriers, plasma campesterol and sitosterol levels were 55% and 30% higher, respectively, than in noncarriers. Moreover, compared with noncarriers, carriers showed 21% lower plasma levels of lathosterol, a surrogate marker for cholesterol biosynthesis. There was no difference between the groups in plasma total cholesterol, triglycerides, apolipoprotein B, or apolipoprotein A-I levels.In summary, on the island of Kosrae, a strong founder effect of a mutant ABCG8 allele results in a large number of carriers with increased plasma plant sterol levels and decreased lathosterol levels. The latter finding suggests that heterozygosity for a mutated ABCG8 allele results in a modest increase in dietary cholesterol absorption and a decrease in cholesterol biosynthesis.
topic ATP binding cassette subfamily G member 8
cholesterol absorption
population genetics
url http://www.sciencedirect.com/science/article/pii/S0022227520312761
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spelling doaj-6bf4d195267f4d56a7a7f1b0c20490bd2021-04-27T04:39:32ZengElsevierJournal of Lipid Research0022-22752004-09-0145916081613Phytosterolemia on the island of KosraeEphraim Sehayek0Hannah J. Yu1Klaus von Bergmann2Dieter Lutjohann3Markus Stoffel4Elizabeth M. Duncan5Laura Garcia-Naveda6Jacqueline Salit7Maude L. Blundell8Jeffrey M. Friedman9Jan L. Breslow10Laboratories of Biochemical Genetics and Metabolism, The Rockefeller University, New York, NY; Metabolic Diseases, The Rockefeller University, New York, NY; Molecular Genetics, The Rockefeller University, New York, NY; Department of Clinical Pharmacology, University of Bonn, Bonn, GermanyLaboratories of Biochemical Genetics and Metabolism, The Rockefeller University, New York, NY; Metabolic Diseases, The Rockefeller University, New York, NY; Molecular Genetics, The Rockefeller University, New York, NY; Department of Clinical Pharmacology, University of Bonn, Bonn, GermanyLaboratories of Biochemical Genetics and Metabolism, The Rockefeller University, New York, NY; Metabolic Diseases, The Rockefeller University, New York, NY; Molecular Genetics, The Rockefeller University, New York, NY; Department of Clinical Pharmacology, University of Bonn, Bonn, GermanyLaboratories of Biochemical Genetics and Metabolism, The Rockefeller University, New York, NY; Metabolic Diseases, The Rockefeller University, New York, NY; Molecular Genetics, The Rockefeller University, New York, NY; Department of Clinical Pharmacology, University of Bonn, Bonn, GermanyLaboratories of Biochemical Genetics and Metabolism, The Rockefeller University, New York, NY; Metabolic Diseases, The Rockefeller University, New York, NY; Molecular Genetics, The Rockefeller University, New York, NY; Department of Clinical Pharmacology, University of Bonn, Bonn, GermanyLaboratories of Biochemical Genetics and Metabolism, The Rockefeller University, New York, NY; Metabolic Diseases, The Rockefeller University, New York, NY; Molecular Genetics, The Rockefeller University, New York, NY; Department of Clinical Pharmacology, University of Bonn, Bonn, GermanyLaboratories of Biochemical Genetics and Metabolism, The Rockefeller University, New York, NY; Metabolic Diseases, The Rockefeller University, New York, NY; Molecular Genetics, The Rockefeller University, New York, NY; Department of Clinical Pharmacology, University of Bonn, Bonn, GermanyLaboratories of Biochemical Genetics and Metabolism, The Rockefeller University, New York, NY; Metabolic Diseases, The Rockefeller University, New York, NY; Molecular Genetics, The Rockefeller University, New York, NY; Department of Clinical Pharmacology, University of Bonn, Bonn, GermanyLaboratories of Biochemical Genetics and Metabolism, The Rockefeller University, New York, NY; Metabolic Diseases, The Rockefeller University, New York, NY; Molecular Genetics, The Rockefeller University, New York, NY; Department of Clinical Pharmacology, University of Bonn, Bonn, GermanyLaboratories of Biochemical Genetics and Metabolism, The Rockefeller University, New York, NY; Metabolic Diseases, The Rockefeller University, New York, NY; Molecular Genetics, The Rockefeller University, New York, NY; Department of Clinical Pharmacology, University of Bonn, Bonn, GermanyLaboratories of Biochemical Genetics and Metabolism, The Rockefeller University, New York, NY; Metabolic Diseases, The Rockefeller University, New York, NY; Molecular Genetics, The Rockefeller University, New York, NY; Department of Clinical Pharmacology, University of Bonn, Bonn, GermanyScreening of 932 adults on the Pacific island of Kosrae for plasma plant sterol levels disclosed three subjects, two of them asymptomatic, with phytosterolemia. Sequencing the ATP binding cassette subfamily G member 8 (ABCG8) gene revealed a novel exon 2 mutation that causes a change in codon 24 from glutamine to histidine and a frame shift followed by a premature stop codon, precluding the formation of a functional ABCG8 protein. Genotyping of 1,090 Kosraens revealed 150 as carriers, a 13.8% carrier rate. DNA sequencing of 67 carriers revealed the same mutation as in the probands. In carriers, plasma campesterol and sitosterol levels were 55% and 30% higher, respectively, than in noncarriers. Moreover, compared with noncarriers, carriers showed 21% lower plasma levels of lathosterol, a surrogate marker for cholesterol biosynthesis. There was no difference between the groups in plasma total cholesterol, triglycerides, apolipoprotein B, or apolipoprotein A-I levels.In summary, on the island of Kosrae, a strong founder effect of a mutant ABCG8 allele results in a large number of carriers with increased plasma plant sterol levels and decreased lathosterol levels. The latter finding suggests that heterozygosity for a mutated ABCG8 allele results in a modest increase in dietary cholesterol absorption and a decrease in cholesterol biosynthesis.http://www.sciencedirect.com/science/article/pii/S0022227520312761ATP binding cassette subfamily G member 8cholesterol absorptionpopulation genetics