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Updated: Jun 7, 2026

A Familial Hypercholesterolemia Human Liver Chimeric Mouse Model Using Induced Pluripotent Stem Cell-derived Hepatocytes
Published on: September 15, 2018
Children with familial hypercholesterolemia are characterized by an inflammatory imbalance between the tumor necrosis
Ingunn Narverud1, Thor Ueland, Marit S Nenseter
1Department of Nutrition, Institute for Basic Medical Sciences, University of Oslo, Blindern, 0316 Oslo, Norway.
Insights
Children with familial hypercholesterolemia (FH) show an inflammatory imbalance, with higher tumor necrosis factor (TNF)α and lower interleukin-10 levels, suggesting a role in early atherosclerosis development.
Area of Science:
- Biochemistry
- Immunology
- Cardiovascular Medicine
Background:
- Familial hypercholesterolemia (FH) significantly elevates the risk of premature atherosclerosis.
- Inflammation is increasingly recognized as a critical factor in the development of atherosclerosis.
- Tumor necrosis factor (TNF)α is a key inflammatory cytokine implicated in multiple stages of atherogenesis.
Purpose of the Study:
- To investigate serum levels of inflammation markers in children with FH.
- To compare inflammation markers in FH children versus healthy controls.
- To explore the potential role of inflammation in early atherosclerosis in FH.
Main Methods:
- Serum levels of TNFα, soluble TNF receptors (sTNFR) 1 and 2, and interleukin (IL)-10 were measured.
- Participants included healthy children (7-20 years) with (n=102) and without (n=48) FH.
- Adult FH subjects (n=20) and healthy adult controls (n=16) were also included for comparison.
Main Results:
- FH children exhibited higher serum TNFα levels and lower sTNFR levels, indicating increased TNFα activity.
- FH children showed decreased IL-10 levels, leading to an elevated TNFα/IL-10 ratio.
- No significant differences in these inflammatory markers were observed between adult FH subjects and controls.
Conclusions:
- Children with FH demonstrate an inflammatory imbalance characterized by altered TNFα and IL-10 levels.
- This inflammatory dysregulation may contribute to the accelerated atherosclerotic process observed in FH.
- The findings highlight potential therapeutic targets for mitigating atherosclerosis in pediatric FH.
Objective:
Familial hypercholesterolemia (FH) is associated with increased risk of premature atherosclerosis. Increasing evidence supports involvement of inflammation in atherogenesis. The inflammatory cytokine tumor necrosis factor (TNF)α has been regarded as a key mediator in the development of atherosclerosis due to its involvement in several stages in this process. We hypothesized that children with FH, as a model of early atherosclerosis, have different serum levels of inflammation markers than healthy control children.
Methods:
We measured serum levels of TNFα, as well as its endogenous inhibitors (i.e., soluble TNF receptors [sTNFR] 1 and 2) and the anti-inflammatory cytokine interleukin (IL)-10 in healthy children (7-20 years) with (n=102) and without (n=48) heterozygote FH as well as adult FH subjects (n=20) and healthy adult controls (n=16).
Results:
The main findings were: Compared to control children, FH children had higher serum levels of TNFα, accompanied by lower sTNFRs levels, resulting in an increased TNFα/sTNFRs ratio (P<0.05), potentially reflecting enhanced TNFα activity. In contrast to the increased TNFα levels, FH children had decreased serum levels of IL-10 (P<0.01) resulting in an increased TNFα/IL-10 ratio (P<0.01). We did not observe any difference in the same parameters between adult subjects with and without FH.
Conclusions:
FH children are characterized by an inflammatory imbalance between TNFα and IL-10, potentially contributing to the accelerated atherosclerotic process in these individuals.
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