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The panorama of familial hypercholesterolemia in Latin America: a systematic review[S]
- Source :
- Journal of Lipid Research, Vol 57, Iss 12, Pp 2115-2129 (2016)
- Publication Year :
- 2016
- Publisher :
- The American Society for Biochemistry and Molecular Biology, 2016.
-
Abstract
- The burden caused by familial hypercholesterolemia (FH) varies among countries and ethnic groups. The prevalence and characteristics of FH in Latin American (LA) countries is largely unknown. We present a systematic review (following the PRISMA statement) of FH in LA countries. The epidemiology, genetics, screening, management, and unique challenges encountered in these countries are discussed. Published reports discussing FH in Hispanic or LA groups was considered for analysis. Thirty studies were included representing 10 countries. The bulk of the data was generated in Brazil and Mexico. Few countries have registries and there was little commonality in FH mutations between LA countries. LDL receptor mutations predominate; APOB and PCSK9 mutations are rare. No mutation was found in an FH gene in nearly 50% of cases. In addition, some country-specific mutations have been reported. Scant information exists regarding models of care, cascade screening, cost, treatment effectiveness, morbidity, and mortality. In conclusion, FH is largely underdiagnosed and undertreated in the LA region. The genetic admixture with indigenous populations, producing mestizo's groups, may influence the mutational findings in Latin America. Potential opportunities to close gaps in knowledge and health care are identified.
- Subjects :
- medicine.medical_specialty
Latin Americans
Ethnic group
Genetic admixture
Familial hypercholesterolemia
QD415-436
Review
030204 cardiovascular system & hematology
Biochemistry
Hyperlipoproteinemia Type II
03 medical and health sciences
0302 clinical medicine
Endocrinology
Risk Factors
autosomal recessive hypercholesterolemia
Epidemiology
Health care
medicine
Humans
030212 general & internal medicine
Apolipoproteins B
Traditional medicine
business.industry
PCSK9
Cell Biology
homozygous familial hypercholesterolemia
medicine.disease
heterozygous familial hypercholesterolemia
Latin America
Receptors, LDL
Autosomal Recessive Hypercholesterolemia
Mutation
business
Demography
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Journal of Lipid Research, Vol 57, Iss 12, Pp 2115-2129 (2016)
- Accession number :
- edsair.doi.dedup.....da80b3b401d5a1ee89d9c179af82534b