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Purpose: The mechanism of most of the multifactorial chylomicronemia (MCM) remains elusive. In order to decipher the mechanisms involved in the occurrence of this disease, plasma TG lipolysis characteristics will be monitored for 60 minutes after heparin injection instead of the 10 minutes gold standard, in a large group of genotyped MCM patients.
Purpose: The mechanism of most of the multifactorial chylomicronemia (MCM) remains elusive. In order to decipher the mechanisms involved in the occurrence of this disease, plasma TG lipolysis characteristics will be monitored for 60 minutes after heparin injection instead of the 10 minutes gold standard, in a large group of genotyped MCM patients.
Method: LPL, APOC2, APOA5, GPIHB1and APOE genotypes will be determined for each patient. Basal lipid profiles including Apo B, CII, CIII, and lipoprotein lipase (LPL) concentration will be measured in 62 MCM patients, in addition to LPL activity (PHLA) T0, T10 T30 T60 minutes, Assessment of TG chylomicron decrease Study of lipoprotein remodelling by agarose gel electrophoresis.
Hypothesis To confirm the preliminary finding of high LPL activity in multifactorial chylomicronemia To explore the interest of a longer assessment of LPL activity following heparin injection. To establish if specific phenotypes could be identified among MCM patient supporting the hypothesis of different mechanisms involved (ie overproduction or defect in hepatic clearance)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Multifactorial Chylomicronemia | no intervention, phenotypic and genotypic study |
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| Measure | Description | Time Frame |
|---|---|---|
| Lipoprotein Lipase concentration | 60 minutes after heparin injection |
| Measure | Description | Time Frame |
|---|---|---|
| Basal lipid profiles | maximum 60 min before heparin injection | |
| Lipoprotein electrophoresis | maximum 60 minutes after heparin injection | |
| Total triglycerides decrease |
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Inclusion Criteria:
Exclusion Criteria:
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patient with a documented history of MCM (Plasma TG concentration (TG) > 15 mmol/l or familial history of hypertriglyceridemia with TG >10 mmol/l) who had no contraindication for a single heparin injection for ex vivo LPL activity assessment
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| ID | Term |
|---|---|
| D006951 | Hyperlipoproteinemias |
| D015228 | Hypertriglyceridemia |
| ID | Term |
|---|---|
| D006949 | Hyperlipidemias |
| D050171 | Dyslipidemias |
| D052439 | Lipid Metabolism Disorders |
| D008659 | Metabolic Diseases |
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post-heparin EDTA plasma ADN
| maximum 60 minutes after heparin injection |
| D009750 |
| Nutritional and Metabolic Diseases |