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Published on: September 15, 2018
Haplotypes of the ApoA-I/C-III/A-IV gene cluster and familial combined hyperlipidemia
E Tahvanainen1, P Pajukanta, K Porkka
1Department of Biochemistry, National Public Health Institute, Helsinki Finland.
Insights
Familial combined hyperlipidemia (FCHL) is common, but its genetic cause remains unknown. This study found no specific gene variations linked to FCHL in Finnish families, despite associations in other populations.
Area of Science:
- Genetics
- Cardiovascular Disease
- Lipid Metabolism
Background:
- Familial combined hyperlipidemia (FCHL) is a prevalent genetic disorder.
- FCHL is strongly linked to premature coronary heart disease.
- The genetic underpinnings of FCHL are not fully understood.
Purpose of the Study:
- To investigate the association of apoA-I/C-III/A-IV gene cluster haplotypes with FCHL in the Finnish population.
- To determine if previously identified FCHL susceptibility haplotypes are present in Finnish FCHL families.
Main Methods:
- Haplotype analysis
- Linkage analysis
- Sib-pair analysis
- Linkage disequilibrium analysis
- Genotyping of MspI polymorphisms in 600 Finnish FCHL patients and relatives from 28 families.
Main Results:
- MspI polymorphisms showed association with total serum cholesterol and apoB levels in the general Finnish population (spouses).
- No significant evidence was found for the direct involvement of the studied loci or specific haplotypes in FCHL expression within Finnish FCHL families.
- Previous findings on FCHL susceptibility haplotypes were not replicated in this Finnish cohort.
Conclusions:
- The apoA-I/C-III/A-IV gene cluster and its specific haplotypes do not appear to be major determinants of FCHL in the Finnish population.
- Further research is needed to identify the genetic factors contributing to FCHL.
- The association of MspI polymorphisms with lipid levels in the general population warrants further investigation.
Abstract:
Familial combined hyperlipidemia (FCHL) is the most frequent familial lipoprotein disorder associated with premature coronary heart disease. However, no genetic defect(s) underlying FCHL has been identified. A linkage between FCHL and the apoA-I/C-III/A-IV gene cluster has been reported but not verified in other populations. A recent study identified FCHL susceptibility haplotypes at this gene cluster. To study whether such haplotypes are also associated with FCHL susceptibility in Finns, we studied 600 well-defined Finnish FCHL patients and their relatives belonging to 28 extended FCHL families by using haplotype, linkage, sib-pair, and linkage disequilibrium analyses. The genotypes of the MspI polymorphisms were associated with total serum cholesterol (P<0.01) and apoB (P<0.05) levels in spouses, which represent the general Finnish population. However, no evidence of direct involvement of any of these loci or their specific haplotypes in the expression of FCHL in the Finnish FCHL families was found.
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