High chylomicron remnant causes: Difference between revisions

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==Overview==
==Overview==
Once [[triglyceride]] stores are distributed, the [[chylomicron]] returns APOC2 to the [[HDL]] (but keeps APOE), and, thus, becomes a chylomicron remnant.  APOB48 and APOE are important to identify the chylomicron remnant in the liver for endocytosis and breakdown.  The high chylomicron remnants could either be due to conditions that affect liver metabolism or [[genetic]] conditions as in [[Hyperlipoproteinemia|type I and type V hyperlipoproteinemia]] or secondary to conditions such as [[chronic renal failure]], [[hypothyroidism]], and [[diabetes mellitus]].
High chylomicron remnants level can either be due to [[genetic]] conditions as in [[Hyperlipoproteinemia|type I and type V hyperlipoproteinemia]] or can be secondary to conditions such as [[chronic renal failure]], [[hypothyroidism]], and [[diabetes mellitus]].


==Causes==
==Causes==
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Genetic'''
| '''Genetic'''
|bgcolor="Beige"| [[Familial hypertriglyceridemia]], [[fructose-1-phosphate aldolase deficiency]], [[galactosemia]], [[glycogen storage disease type I]], [[glycogen storage disease type IV]], [[lipoprotein lipase deficiency]], [[mixed hyperlipoproteinemia]], [[familial hyperchylomicronemia|type 1C hyperlipoproteinemia]], [[tyrosinaemia type 1]]
|bgcolor="Beige"| [[Familial hypertriglyceridemia]], [[fructose-1-phosphate aldolase deficiency]], [[galactosemia]], [[glycogen storage disease type I]], [[glycogen storage disease type IV]], [[lipoprotein lipase deficiency]], [[mixed hyperlipoproteinemia]], [[familial hyperchylomicronemia|type 1C hyperlipoproteinemia]], [[tyrosinemia type 1]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Nutritional/Metabolic'''
| '''Nutritional/Metabolic'''
|bgcolor="Beige"| [[Familial hypertriglyceridemia]], [[glycogen storage disease type I]], [[glycogen storage disease type IV]], [[carbohydrate|high carbohydrate diet]], [[fat|high saturated fat diet]], [[HDL|isolated low HDL]], [[lipoprotein lipase deficiency]]
|bgcolor="Beige"| [[Familial hypertriglyceridemia]], [[glycogen storage disease type I]], [[glycogen storage disease type IV]], [[carbohydrate|high carbohydrate diet]], [[fat|high saturated fat diet]], [[Low HDL|isolated low HDL]], [[lipoprotein lipase deficiency]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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*[[Dialysis]]<ref name="pmid1453610">{{cite journal| author=Weintraub M, Burstein A, Rassin T, Liron M, Ringel Y, Cabili S et al.| title=Severe defect in clearing postprandial chylomicron remnants in dialysis patients. | journal=Kidney Int | year= 1992 | volume= 42 | issue= 5 | pages= 1247-52 | pmid=1453610 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1453610 }} </ref>
*[[Dialysis]]<ref name="pmid1453610">{{cite journal| author=Weintraub M, Burstein A, Rassin T, Liron M, Ringel Y, Cabili S et al.| title=Severe defect in clearing postprandial chylomicron remnants in dialysis patients. | journal=Kidney Int | year= 1992 | volume= 42 | issue= 5 | pages= 1247-52 | pmid=1453610 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1453610 }} </ref>
*[[Familial hyperchylomicronemia|Type 1B hyperlipoproteinemia]]
*[[Familial hyperchylomicronemia|Type 1B hyperlipoproteinemia]]
{{col-break|width=33%}}
*[[Familial hypertriglyceridemia]]
*[[Familial hypertriglyceridemia]]
{{col-break|width=33%}}
*[[Fructose-1-phosphate aldolase deficiency]]
*[[Fructose-1-phosphate aldolase deficiency]]
*[[Galactosemia]]
*[[Galactosemia]]
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*[[fat|High saturated fat diet]]
*[[fat|High saturated fat diet]]
*[[Hypothyroidism]]<ref name="pmid12699445">{{cite journal| author=Ito M, Takamatsu J, Matsuo T, Kameoka K, Kubota S, Fukata S et al.| title=Serum concentrations of remnant-like particles in hypothyroid patients before and after thyroxine replacement. | journal=Clin Endocrinol (Oxf) | year= 2003 | volume= 58 | issue= 5 | pages= 621-6 | pmid=12699445 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12699445 }} </ref>
*[[Hypothyroidism]]<ref name="pmid12699445">{{cite journal| author=Ito M, Takamatsu J, Matsuo T, Kameoka K, Kubota S, Fukata S et al.| title=Serum concentrations of remnant-like particles in hypothyroid patients before and after thyroxine replacement. | journal=Clin Endocrinol (Oxf) | year= 2003 | volume= 58 | issue= 5 | pages= 621-6 | pmid=12699445 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12699445 }} </ref>
*[[HDL|Isolated low HDL]]<ref name="pmid16458316">{{cite journal| author=Benjó AM, Maranhão RC, Coimbra SR, Andrade AC, Favarato D, Molina MS et al.| title=Accumulation of chylomicron remnants and impaired vascular reactivity occur in subjects with isolated low HDL cholesterol: effects of niacin treatment. | journal=Atherosclerosis | year= 2006 | volume= 187 | issue= 1 | pages= 116-22 | pmid=16458316 | doi=10.1016/j.atherosclerosis.2005.08.025 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16458316 }} </ref>
*[[Low HDL|Isolated low HDL]]<ref name="pmid16458316">{{cite journal| author=Benjó AM, Maranhão RC, Coimbra SR, Andrade AC, Favarato D, Molina MS et al.| title=Accumulation of chylomicron remnants and impaired vascular reactivity occur in subjects with isolated low HDL cholesterol: effects of niacin treatment. | journal=Atherosclerosis | year= 2006 | volume= 187 | issue= 1 | pages= 116-22 | pmid=16458316 | doi=10.1016/j.atherosclerosis.2005.08.025 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16458316 }} </ref>
{{col-break|width=33%}}
*[[Familial hyperchylomicronemia|Lipoprotein lipase deficiency]]<ref name="pmid8468529">{{cite journal| author=Brasaemle DL, Cornely-Moss K, Bensadoun A| title=Hepatic lipase treatment of chylomicron remnants increases exposure of apolipoprotein E. | journal=J Lipid Res | year= 1993 | volume= 34 | issue= 3 | pages= 455-65 | pmid=8468529 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8468529 }} </ref>
*[[Familial hyperchylomicronemia|Lipoprotein lipase deficiency]]<ref name="pmid8468529">{{cite journal| author=Brasaemle DL, Cornely-Moss K, Bensadoun A| title=Hepatic lipase treatment of chylomicron remnants increases exposure of apolipoprotein E. | journal=J Lipid Res | year= 1993 | volume= 34 | issue= 3 | pages= 455-65 | pmid=8468529 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8468529 }} </ref>
{{col-break|width=33%}}
*[[Glucocorticoids]]
*[[Glucocorticoids]]
*[[Isotretinoin]]
*[[Isotretinoin]]
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*[[Thiazide|Thiazide diuretics]]
*[[Thiazide|Thiazide diuretics]]
*[[Familial hyperchylomicronemia|Type 1C hyperlipoproteinemia]]
*[[Familial hyperchylomicronemia|Type 1C hyperlipoproteinemia]]
*[[Tyrosinaemia type 1]]
*[[Tyrosinemia type 1]]
*[[Wilson's disease]]
*[[Wilson's disease]]
{{col-end}}
{{col-end}}

Latest revision as of 17:50, 20 November 2013

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mugilan Poongkunran M.B.B.S [2]

Overview

High chylomicron remnants level can either be due to genetic conditions as in type I and type V hyperlipoproteinemia or can be secondary to conditions such as chronic renal failure, hypothyroidism, and diabetes mellitus.

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.

Common Causes

Causes by Organ System

Cardiovascular No underlying causes
Chemical/Poisoning No underlying causes
Dental No underlying causes
Dermatologic No underlying causes
Drug Side Effect Antiretroviral therapy, atypical antipsychotics, glucocorticoids, heparin, isotretinoin, oral contraceptives, tamoxifen, thiazide diuretics
Ear Nose Throat No underlying causes
Endocrine Diabetes mellitus, hypothyroidism
Environmental No underlying causes
Gastroenterologic Acute pancreatitis, alcoholic liver disease, cirrhosis, hepatitis, hereditary hemochromatosis, non-alcoholic steatohepatitis (NASH), Wilson's disease
Genetic Familial hypertriglyceridemia, fructose-1-phosphate aldolase deficiency, galactosemia, glycogen storage disease type I, glycogen storage disease type IV, lipoprotein lipase deficiency, mixed hyperlipoproteinemia, type 1C hyperlipoproteinemia, tyrosinemia type 1
Hematologic No underlying causes
Iatrogenic Dialysis
Infectious Disease No underlying causes
Musculoskeletal/Orthopedic No underlying causes
Neurologic No underlying causes
Nutritional/Metabolic Familial hypertriglyceridemia, glycogen storage disease type I, glycogen storage disease type IV, high carbohydrate diet, high saturated fat diet, isolated low HDL, lipoprotein lipase deficiency
Obstetric/Gynecologic Pregnancy
Oncologic No underlying causes
Ophthalmologic No underlying causes
Overdose/Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary No underlying causes
Renal/Electrolyte Acute renal failure, chronic renal failure, nephrotic syndrome
Rheumatology/Immunology/Allergy Autoimmune hyperchylomicronemia [1]
Sexual No underlying causes
Trauma No underlying causes
Urologic No underlying causes
Miscellaneous Alcoholism

Causes by Alphabetical Order

References

  1. 1.0 1.1 Yoshimura, T.; Ito, M.; Sakoda, Y.; Kobori, S.; Okamura, H. (1998). "Rare case of autoimmune hyperchylomicronemia during pregnancy". Eur J Obstet Gynecol Reprod Biol. 76 (1): 49–51. PMID 9481547. Unknown parameter |month= ignored (help)
  2. Weintraub M, Burstein A, Rassin T, Liron M, Ringel Y, Cabili S; et al. (1992). "Severe defect in clearing postprandial chylomicron remnants in dialysis patients". Kidney Int. 42 (5): 1247–52. PMID 1453610.
  3. Ito M, Takamatsu J, Matsuo T, Kameoka K, Kubota S, Fukata S; et al. (2003). "Serum concentrations of remnant-like particles in hypothyroid patients before and after thyroxine replacement". Clin Endocrinol (Oxf). 58 (5): 621–6. PMID 12699445.
  4. Benjó AM, Maranhão RC, Coimbra SR, Andrade AC, Favarato D, Molina MS; et al. (2006). "Accumulation of chylomicron remnants and impaired vascular reactivity occur in subjects with isolated low HDL cholesterol: effects of niacin treatment". Atherosclerosis. 187 (1): 116–22. doi:10.1016/j.atherosclerosis.2005.08.025. PMID 16458316.
  5. Brasaemle DL, Cornely-Moss K, Bensadoun A (1993). "Hepatic lipase treatment of chylomicron remnants increases exposure of apolipoprotein E." J Lipid Res. 34 (3): 455–65. PMID 8468529.