Evidence map›Paper›PMID 35781703›Full record

ReviewClinical genetics2022

Establishing the relationship between familial dysbetalipoproteinemia and genetic variants in the APOE gene.

Britt E Heidemann, Charlotte Koopal, Alexis Baass, Joep C Defesche, Linda Zuurbier, Monique T Mulder, Jeanine E Roeters van Lennep, Niels P Riksen, Christopher Boot, A David Marais and 1 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Clinical genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. Article
  3. Genetic Determinants of Severe Hypertriglyceridemia: Rare Variants inInternational journal of molecular sciences · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Spectrum and Prevalence of RareInternational journal of molecular sciences · 2024
    Article
  10. Hypertriglyceridemia: Molecular and Genetic Landscapes.International journal of molecular sciences · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 4 countries.

Britt E HeidemannDepartment of Vascular Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.ORCID 0000-0001-5870-2417
Charlotte KoopalDepartment of Vascular Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.ORCID 0000-0003-1487-1635
Alexis BaassGenetic Dyslipidemias Clinic of the Montreal Clinical Research Institute, Montreal, Québec, Canada.
Joep C DefescheDepartment of Human Genetics, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0003-3707-8277
Linda ZuurbierDepartment of Human Genetics, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-8473-1147
Monique T MulderDepartment of Internal Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands.
Jeanine E Roeters van LennepDepartment of Internal Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0001-6870-9962
Niels P RiksenDepartment of Internal Medicine and Research Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-9197-8124
Christopher BootDepartment of Blood Sciences, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.ORCID 0000-0002-4234-8545
A David MaraisDivision of Chemical Pathology, Department of Pathology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.ORCID 0000-0001-5678-5714
Frank L J VisserenDepartment of Vascular Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.ORCID 0000-0003-3951-5223
Utrecht University · NLAmsterdam University Medical Centers · NLErasmus MC · NLMontreal Clinical Research Institute · CANewcastle upon Tyne Hospitals NHS Foundation Trust · GBRadboud University Nijmegen · NLUniversity of Cape Town · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Familial Dysbetalipoproteinemia (FD) is the second most common monogenic dyslipidemia and is associated with a very high cardiovascular risk due to cholesterol-enriched remnant lipoproteins. FD is usually caused by a recessively inherited variant in the APOE gene (ε2ε2), but variants with dominant inheritance have also been described. The typical dysbetalipoproteinemia phenotype has a delayed onset and requires a metabolic hit. Therefore, the diagnosis of FD should be made by demonstrating both the genotype and dysbetalipoproteinemia phenotype. Next Generation Sequencing is becoming more widely available and can reveal variants in the APOE gene for which the relation with FD is unknown or uncertain. In this article, two approaches are presented to ascertain the relationship of a new variant in the APOE gene with FD. The comprehensive approach consists of determining the pathogenicity of the variant and its causal relationship with FD by confirming a dysbetalipoproteinemia phenotype, and performing in vitro functional tests and, optionally, in vivo postprandial clearance studies. When this is not feasible, a second, pragmatic approach within reach of clinical practice can be followed for individual patients to make decisions on treatment, follow-up, and family counseling.

Indexed as

Apolipoproteins EHyperlipoproteinemia Type IIIGenotypeHumansPhenotypeApoE protein, humanApolipoproteins EAPOE geneApolipoprotein Edyslipidemiafamilial dysbetalipoproteinemiageneticsnext generation sequencingpathogenicitySNPtype III hyperlipoproteinemia

Identifiers

PMID35781703
PMCPMC9543580
OpenAlexW4283802206

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.