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Familial hypercholesterolemia (FH) is an autosomal dominant inherited disorder caused by mutations in the low density lipoprotein receptor (LDLR) gene. FH is characterized by elevated plasma LDL cholesterol, premature atherosclerosis, and a high risk of premature myocardial infarction.
Deficiency of LDL receptors increases plasma cholesterol and accelerates atherosclerosis. Humans with homozygous FH develop severe atheroscl disease within two decades of life if untreated. Deficiency of LDL receptors in rabbits also leads to pronounced hypercholesterolaemia and accelerated atherosclerosis.
The low-density lipoprotein receptor (LDLR) is responsible for uptake of cholesterol-carrying lipoprotein particles into cells. The receptor binds lipoprotein particles at the cell surface and releases them in the low-pH environment of the endosome.
The low-density lipoprotein receptor (LDLR) is responsible for uptake of cholesterol-carrying lipoprotein particles into cells. The receptor binds lipoprotein particles at the cell surface and releases them in the low-pH environment of the endosome.
Familial hypercholesterolemia (FH) can be caused by inherited changes (mutations) in the LDLR, APOB, and PCSK9 genes, which affect how your body regulates and removes cholesterol from your blood.
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Familial hypercholesterolemia is caused by a reduction or defect in the LDL receptor, which is also called the apo B/E receptor because it binds both apolipoprotein B and apolipoprotein E. The LDL receptor is responsible for the uptake of LDL-C into the liver, which metabolizes approximately 70% of circulating LDL-C.
The LDL receptor is found in the liver and most other tissues. It recognizes Apo B 100 and Apo E, mediating the uptake of LDL, chylomicron remnants, and IDL through endocytosis. After internalization, the lipoprotein particle is degraded in lysosomes, and cholesterol is released.
Mutations in the LDLR gene cause a form of high cholesterol called familial hypercholesterolemia. More than 2,000 mutations have been identified in this gene. Some of these genetic changes reduce the number of low-density lipoprotein receptors produced within cells.

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