A member asked:

What causes familial hypercholesterolaemia, and why is it called a single-gene disorder?

2 doctors weighed in across 2 answers
Dr. William Haynes answered

Specializes in Internal Medicine - Endocrinology

No LDL receptors: Familial hypercholesterolemia is classically caused by a mutation in the gene for the LDL receptor. This protein sits on the surface of liver cells and sucks up the bad LDL cholesterol particles from blood. There are always 2 copies of each gene, so a mutation in one copy results in a 50% reduction in receptors & approximately twice the normal LDL level. This leads to early atherosclerosis and mi.

Answered 7/18/2013

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Caused by abnl gene: Fh is caused by a gene mutation that leads to defective LDL (cholesterol) receptor so that the liver does not recognize chol is around and produces too much. It is monogenic ( single gene) because problem is in only 1 gene instead of multiple genes such as other disorder like diabetes.

Answered 6/25/2013

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