Genetic Counseling and Genetic Testing for Familial Hypercholesterolemia

Familial hypercholesterolemia (FH) is one of the most common autosomal codominant Mendelian diseases. The major complications of FH include tendon and cutaneous xanthomas and coronary artery disease (CAD) associated with a substantial elevation of serum low-density lipoprotein levels (LDL). Genetic...

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Main Authors: Hayato Tada, Masa-aki Kawashiri, Atsushi Nohara, Tomoko Sekiya, Atsushi Watanabe, Masayuki Takamura
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Genes
Subjects:
Online Access:https://www.mdpi.com/2073-4425/15/3/297
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author Hayato Tada
Masa-aki Kawashiri
Atsushi Nohara
Tomoko Sekiya
Atsushi Watanabe
Masayuki Takamura
author_facet Hayato Tada
Masa-aki Kawashiri
Atsushi Nohara
Tomoko Sekiya
Atsushi Watanabe
Masayuki Takamura
author_sort Hayato Tada
collection DOAJ
description Familial hypercholesterolemia (FH) is one of the most common autosomal codominant Mendelian diseases. The major complications of FH include tendon and cutaneous xanthomas and coronary artery disease (CAD) associated with a substantial elevation of serum low-density lipoprotein levels (LDL). Genetic counseling and genetic testing for FH is useful for its diagnosis, risk stratification, and motivation for further LDL-lowering treatments. In this study, we summarize the epidemiology of FH based on numerous genetic studies, including its pathogenic variants, genotype–phenotype correlation, prognostic factors, screening, and usefulness of genetic counseling and genetic testing. Due to the variety of treatments available for this common Mendelian disease, genetic counseling and genetic testing for FH should be implemented in daily clinical practice.
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spelling doaj.art-e9be56822e4b4d5cb3776e2df6b412202024-03-27T13:42:59ZengMDPI AGGenes2073-44252024-02-0115329710.3390/genes15030297Genetic Counseling and Genetic Testing for Familial HypercholesterolemiaHayato Tada0Masa-aki Kawashiri1Atsushi Nohara2Tomoko Sekiya3Atsushi Watanabe4Masayuki Takamura5Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Kanazawa 920-8640, JapanDepartment of Internal Medicine, Kaga Medical Center, Kaga 922-8522, JapanDepartment of Clinical Genetics, Ishikawa Prefectural Central Hospital, Kanazawa 920-8530, JapanDivision of Clinical Genetics, Kanazawa University Hospital, Kanazawa 920-8641, JapanDivision of Clinical Genetics, Kanazawa University Hospital, Kanazawa 920-8641, JapanDivision of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Kanazawa 920-8640, JapanFamilial hypercholesterolemia (FH) is one of the most common autosomal codominant Mendelian diseases. The major complications of FH include tendon and cutaneous xanthomas and coronary artery disease (CAD) associated with a substantial elevation of serum low-density lipoprotein levels (LDL). Genetic counseling and genetic testing for FH is useful for its diagnosis, risk stratification, and motivation for further LDL-lowering treatments. In this study, we summarize the epidemiology of FH based on numerous genetic studies, including its pathogenic variants, genotype–phenotype correlation, prognostic factors, screening, and usefulness of genetic counseling and genetic testing. Due to the variety of treatments available for this common Mendelian disease, genetic counseling and genetic testing for FH should be implemented in daily clinical practice.https://www.mdpi.com/2073-4425/15/3/297familial hypercholesterolemiaLDLgeneticsgenetic counselinggenetic testing
spellingShingle Hayato Tada
Masa-aki Kawashiri
Atsushi Nohara
Tomoko Sekiya
Atsushi Watanabe
Masayuki Takamura
Genetic Counseling and Genetic Testing for Familial Hypercholesterolemia
Genes
familial hypercholesterolemia
LDL
genetics
genetic counseling
genetic testing
title Genetic Counseling and Genetic Testing for Familial Hypercholesterolemia
title_full Genetic Counseling and Genetic Testing for Familial Hypercholesterolemia
title_fullStr Genetic Counseling and Genetic Testing for Familial Hypercholesterolemia
title_full_unstemmed Genetic Counseling and Genetic Testing for Familial Hypercholesterolemia
title_short Genetic Counseling and Genetic Testing for Familial Hypercholesterolemia
title_sort genetic counseling and genetic testing for familial hypercholesterolemia
topic familial hypercholesterolemia
LDL
genetics
genetic counseling
genetic testing
url https://www.mdpi.com/2073-4425/15/3/297
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