A Global Review on the Utility of Genetic Testing for Familial Hypercholesterolemia
Abstract
1. Introduction
2. Methods
2.1. Search Strategy
2.2. Data Extraction
3. Results
4. Discussion
5. Conclusions
Funding
Acknowledgments
Conflicts of Interest
Appendix A. Summary of Results
Citation | Geographic Location/Ethnicity | Age Characteristics (Adult, Pediatric) | Percent of Clinically Suspected Individuals Tested (n = 60,893) | Clinical Diagnosis (Diagnostic Criteria, Number Diagnosed Before or in Lieu of Genetic Testing) | Phenotype(s) Reported |
---|---|---|---|---|---|
Vohnout et al. [29] | Slovak Republic/Not reported | Adult | 0.01 | Possible FH (SB, n = 3) | Total blood cholesterol > 200 mg/dL or 5.2 mmol/L LDL cholesterol > 130 mg/dL or 3.4 mmol/L |
Sperlongano et al. [30] | Italy/Not reported | Adult | 0.01 | Definite FH (DLCN, n = 4) Probable FH (DLCN, n = 3) | LDL cholesterol > 130 mg/dL or 3.4 mmol/L Total blood cholesterol > 200 mg/dL or 5.2 mmol/L Xanthoma Corneal arcus Overt CAD (personal and family history) |
Amor-Salamanca et al. [31] | Spain/88.3% Caucasian | Adult | 0.17 | Definite FH (DLCN, n = 12; SB, n = 2) Probable FH (DLCN, n = 16) Possible FH (DLCN, n = 52; SB, n = 26) Unlikely FH (DLCN, n = 23; SB, n = 75) | LDL cholesterol > 130 mg/dL or 3.4 mmol/L Total blood cholesterol > 200 mg/dL or 5.2 mmol/L Overt CAD (personal) |
Setia et al. [32] | India/Asian | Adult Pediatric | 0.22 | Not reported | LDL cholesterol > 130 mg/dL or 3.4 mmol/L Total blood cholesterol > 200 mg/dL or 5.2 mmol/L Xanthoma Xanthelasma Corneal arcus Overt CAD (family history) |
Pang et al. [28] | Western Australia/Not reported | Adult Pediatric | 0.45 | Not reported | LDL cholesterol > 130 mg/dL or 3.4 mmol/L Total blood cholesterol > 200 mg/dL or 5.2 mmol/L |
Averna et al. [60] | Italy/Not reported | Adult Pediatric (Note: the number receiving genetic testing in each group was unspecified) | 5.59 | Definite FH (DLCN, n-1131) Probable FH (DLCN, n = 821) | LDL cholesterol > 130 mg/dL or 3.4 mmol/L Xanthoma Corneal arcus Overt CAD (personal and family history) |
Minicocci et al. [61] | Italy/Not reported | Pediatric | 0.13 | Definite or Probable FH (DLCN, n = 64) Definite FH (SB, n = 0) Definite FH (EAS, n = 49) | Total blood cholesterol > 200 mg/dL or 5.2 mmol/L LDL cholesterol > 130 mg/dL or 3.4 mmol/L Overt CAD (personal and family history) |
Séguro et al. [62] | France/Not reported | Adult Pediatric | 0.56 | Definite or Probable FH (DLCN, n = 344) | LDL cholesterol > 130 mg/dL or 3.4 mmol/L Total blood cholesterol > 200 mg/dL or 5.2 mmol/L Xanthoma Xanthelasma Corneal arcus Overt CAD (personal and family history) |
Abul-Husn et al. [21] | Pennsylvania, US/98.4% Caucasian | Adult | 83.30 | Definite FH (DLCN, US MEDPED, n = 53) Probable FH (DLCN, US MEDPED, n = 497) Possible FH (DLCN, US MEDPED, n = 5465) Unlikely FH (DLCN, US MEDPED, n = 40,270) | LDL cholesterol > 130 mg/dL or 3.4 mmol/L Overt CAD (personal) |
Jones et al. [27] | Pennsylvania, US/100% Caucasian | Adult | 0.04 | Not reported | LDL cholesterol > 130 mg/dL or 3.4 mmol/L Overt CAD (personal) |
Wang et al. [63] | China/Not reported | Adult Pediatric | 0.02 | Definite FH (DLCN, n = 5) | LDL cholesterol > 130 mg/dL or 3.4 mmol/L Total blood cholesterol > 200 mg/dL or 5.2 mmol/L Xanthoma Corneal arcus |
Wu et al. [33] | China/Not reported | Adult Pediatric | 0.31 | Not reported | LDL cholesterol > 130 mg/dL or 3.4 mmol/L Total blood cholesterol > 200 mg/dL or 5.2 mmol/L Xanthoma Corneal arcus Overt CAD (personal and family history) |
Truong et al. [34] | Vietnam/Not reported | Adult Pediatric | 0.15 | Likely FH (Starr et al. 2008 method, n = 9) Unlikely FH (Starr et al. 2008 method, n = 9) | LDL cholesterol > 130 mg/dL or 3.4 mmol/L Total blood cholesterol > 200 mg/dL or 5.2 mmol/L Xanthoma Xanthelasma Corneal arcus Overt CAD (personal and family history) |
Tan et al. [35] | China/Not reported | Adult | 0.15 | Not reported (DLCN, n not reported) | LDL cholesterol > 130 mg/dL or 3.4 mmol/L Total blood cholesterol > 200 mg/dL or 5.2 mmol/L Xanthoma Xanthelasma Overt CAD (personal) |
Gómez et al. [64] | Argentina/European ancestry (predominant) and Native American and African ancestry (lower proportion) | Adult | 0.06 | Definite FH (DLCN, n = 38) | LDL cholesterol > 130 mg/dL or 3.4 mmol/L Overt CAD (personal) |
Rubio-Marín et al. [36] | Spain/Not reported | Adult Pediatric | 0.18 | Probable FH (DLCN, n = 132) | LDL cholesterol > 130 mg/dL or 3.4 mmol/L Total blood cholesterol > 200 mg/dL or 5.2 mmol/L Xanthoma Corneal arcus Overt CAD (personal and family history) |
Cui et al. [42] | China/Not reported | Adult | 0.37 | Definite or Probable FH (DLCN, n = 12) Definite or Probable FH (modified DLCN, n = 49) | LDL cholesterol > 130 mg/dL or 3.4 mmol/L Total blood cholesterol > 200 mg/dL or 5.2 mmol/L |
Ibarretxe et al. [37] | Spain/Not reported | Adult Pediatric | 0.09 | Definite FH (DLCN, n = 76) | LDL cholesterol > 130 mg/dL or 3.4 mmol/L Total blood cholesterol > 200 mg/dL or 5.2 mmol/L |
Chan et al. [38] | China/Not reported | Adult | 0.16 | Definite FH (DLCN, n = 38) Probable FH (DLCN, n = 34) Possible FH (DLCN, n = 24) | LDL cholesterol > 130 mg/dL or 3.4 mmol/L Total blood cholesterol > 200 mg/dL or 5.2 mmol/L Xanthoma Xanthelasma Corneal arcus Overt CAD (personal and individual) |
Cao et al. [65] | China/Not reported | Adult | 0.17 | Definite FH (DLCN, n = 16; SB, n = 10) Probable FH (DLCN, n = 12) Possible FH (DLCN, n = 49; SB, n = 8) Unlikely FH (DLCN, n = 28; SB, n = 87) | LDL cholesterol > 130 mg/dL or 3.4 mmol/L Total blood cholesterol > 200 mg/dL or 5.2 mmol/L Xanthoma Overt CAD (personal individual) |
Alver et al. [39] | Estonia/Not reported | Adult | 7.84 | Not reported | LDL cholesterol > 130 mg/dL or 3.4 mmol/L |
Clinical Outcome(s) Reported Among Populations Tested | Percent of Total Clinically Suspected Individuals Tested (n = 60,893) | Citation |
---|---|---|
Treatment initiation | 92.68 | Vohnout et al. [29] Sperlongano et al. [30] Setia et al. [32] Pang et al. [28] Abul-Husn et al. [21] Jones et al. [27] Wang et al. [63] Wu et al. [33] Truong et al. [34] Rubio-Marín et al. [36] Alver et al. [39] |
Continued treatment | 92.26 | Amor-Salamanca et al. [31] Setia et al. [32] Pang et al. [28] Abul-Husn et al. [21] Jones et al. [27] Gómez et al. [64] Rubio-Marín et al. [36] Alver et al. [39] |
Modified treatment and/or dose | 8.06 | Jones et al. [27] Rubio-Marín et al. [36] Alver et al. [39] |
Improved LDL cholesterol | 84.00 | Sperlongano et al. [30] Pang et al. [28] Abul-Husn et al. [21] Jones et al. [27] Wang et al. [63] Rubio-Marín et al. [36] |
Improved total blood cholesterol levels | 0.01 | Sperlongano et al. [30] |
Non-Clinical Outcome(s) Reported Among Populations Tested | Percent of Total Clinically Suspected Individuals Tested (n = 60,893) | Author/Study |
---|---|---|
Education on lifestyle management | 14.60 | Vohnout et al. [29] Setia et al. [32] Pang et al. [28] Averna et al. [60] Wu et al. [33] Rubio-Marín et al. [36] Alver et al. [39] |
Genetic counseling | 5.63 | Averna et al. [60] Jones et al. [27] |
None reported | 86.33 | Sperlongano et al. [30] Amor-Salamanca et al. [31] Minicocci et al. [61] Séguro et al. [62] Abul-Husn et al. [21] Wang et al. [63] Truong et al. [34] Tan et al. [35] Gómez et al. [64] Cui et al. [42] Ibarretxe et al. [37] Chan et al. [38] Cao et al. [65] |
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Hendricks-Sturrup, R.M.; Clark-LoCascio, J.; Lu, C.Y. A Global Review on the Utility of Genetic Testing for Familial Hypercholesterolemia. J. Pers. Med. 2020, 10, 23. https://doi.org/10.3390/jpm10020023
Hendricks-Sturrup RM, Clark-LoCascio J, Lu CY. A Global Review on the Utility of Genetic Testing for Familial Hypercholesterolemia. Journal of Personalized Medicine. 2020; 10(2):23. https://doi.org/10.3390/jpm10020023
Chicago/Turabian StyleHendricks-Sturrup, Rachele M., Jodi Clark-LoCascio, and Christine Y. Lu. 2020. "A Global Review on the Utility of Genetic Testing for Familial Hypercholesterolemia" Journal of Personalized Medicine 10, no. 2: 23. https://doi.org/10.3390/jpm10020023
APA StyleHendricks-Sturrup, R. M., Clark-LoCascio, J., & Lu, C. Y. (2020). A Global Review on the Utility of Genetic Testing for Familial Hypercholesterolemia. Journal of Personalized Medicine, 10(2), 23. https://doi.org/10.3390/jpm10020023