Abstract
Objective: Assess the yield of genetic testing for pathogenic variants in ABCG5, ABCG8, LIPA, and APOE in individuals with personal and family histories suggestive of familial hypercholesterolemia. Methods: Retrospective review of patients seen in the Advanced Lipid Disorders Clinic at Johns Hopkins Results: In the lipid clinic at a single center during the years 2015–2023, 607 patients underwent genetic testing for familial hypercholesterolemia, of which 263 underwent the expanded genetic testing for sitosterolemia. Eighty-eight patients had genetic testing which included APOE, and 22 patients had testing which included LIPA. Among these, one patient was identified to have a pathogenic variant in APOE and another patient with a pathogenic variant in ABCG5 (0.7 % yield). The frequency of a positive result was double that of a variant of uncertain significance. Conclusion: These data suggest in rare cases expanded testing can provide answers for patients and families with a minimal likelihood of a variant of uncertain significance.
Original language | English (US) |
---|---|
Article number | 100683 |
Journal | American Journal of Preventive Cardiology |
Volume | 18 |
DOIs | |
State | Published - Jun 2024 |
Keywords
- Familial hypercholesterolemia
- Genetic testing
- Hyperlipidemia
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine