Molecular & Clinical Evaluation of Low HDL Syndromes

NCT ID: NCT00006295

Last Updated: 2020-01-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

370 participants

Study Classification

OBSERVATIONAL

Study Start Date

2000-08-31

Study Completion Date

2006-07-31

Brief Summary

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To study the genetic cause of low HDL-C, a risk factor for premature atherosclerotic vascular disease in patients with normal total cholesterol. The focus is primarily on the identification of a single mutation, as has been demonstrated in one family.

Detailed Description

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BACKGROUND:

Low levels of high density lipoprotein cholesterol (HDL-C) have been found to be associated with an increased risk for coronary artery disease (CAD). However, the genetic basis for this association is not well understood and the clinical implications of this association have not been extensively addressed. The study, in seeking to elucidate the genetic basis for low HDL-C and examine the clinical implications of low HDL-C, focuses upon an important research topic.

DESIGN NARRATIVE:

Specific aims of the study include: 1) Collection and characterization of plasma and DNA from probands with very low HDL-C. Linkage analysis will be performed using highly polymorphic markers within or near HDL-C candidate genes. The hypothesis to be tested is that polymorphic microsatellites segregate with the low HDL-C phenotype.

2\) Further genetic characterization of families evidence of linkage to specific HDL-C candidate genes identified in Specific Aim 1. The hypothesis to be tested is that structural variants in HDL-C candidates are responsible for low HDL-C.

3\) Evaluate the physiologic significance of novel genomic variants identified in Specific Aim 2. The hypothesis to be tested is that structural variants will affect expression of the gene product.

4\) Examine early atherosclerosis in low HDL-C syndromes. The hypothesis to be tested is that increased carotid intima-medial thickness is prevalent with isolated low HDL-C.

Conditions

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Cardiovascular Diseases Heart Diseases Atherosclerosis

Study Design

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Observational Model Type

FAMILY_BASED

Study Time Perspective

PROSPECTIVE

Study Groups

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Pedigree 1

No interventions assigned to this group

Pedigree 2

No interventions assigned to this group

Pedigree 3

No interventions assigned to this group

Pedigree 4

No interventions assigned to this group

Pedigree 5

No interventions assigned to this group

Pedigree 6

No interventions assigned to this group

Pedigree 7

No interventions assigned to this group

Pedigree 8

No interventions assigned to this group

Pedigree 9

No interventions assigned to this group

Pedigree 10

No interventions assigned to this group

Pedigree 11

No interventions assigned to this group

Pedigree 12

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

No eligibility criteria
Maximum Eligible Age

100 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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National Heart, Lung, and Blood Institute (NHLBI)

NIH

Sponsor Role collaborator

University of Maryland, Baltimore

OTHER

Sponsor Role lead

Responsible Party

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Michael Miller

Professor of Cardiovascular Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

References

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Hong SH, Riley W, Rhyne J, Friel G, Miller M. Lack of association between increased carotid intima-media thickening and decreased HDL-cholesterol in a family with a novel ABCA1 variant, G2265T. Clin Chem. 2002 Nov;48(11):2066-70.

Reference Type BACKGROUND
PMID: 12407001 (View on PubMed)

Hong SH, Rhyne J, Zeller K, Miller M. ABCA1(Alabama): a novel variant associated with HDL deficiency and premature coronary artery disease. Atherosclerosis. 2002 Oct;164(2):245-50. doi: 10.1016/s0021-9150(02)00106-5.

Reference Type BACKGROUND
PMID: 12204794 (View on PubMed)

Ho Hong S, Rhyne J, Zeller K, Miller M. Novel ABCA1 compound variant associated with HDL cholesterol deficiency. Biochim Biophys Acta. 2002 May 21;1587(1):60-4. doi: 10.1016/s0925-4439(02)00066-2.

Reference Type BACKGROUND
PMID: 12009425 (View on PubMed)

Miller M, Zhan M, Georgopoulos A. Effect of desirable fasting triglycerides on the postprandial response to dietary fat. J Investig Med. 2003 Feb;51(1):50-5. doi: 10.2310/6650.2003.33544.

Reference Type BACKGROUND
PMID: 12580321 (View on PubMed)

Friend M, Vucenik I, Miller M. Research pointers: Platelet responsiveness to aspirin in patients with hyperlipidaemia. BMJ. 2003 Jan 11;326(7380):82-3. doi: 10.1136/bmj.326.7380.82. No abstract available.

Reference Type BACKGROUND
PMID: 12521973 (View on PubMed)

Miller M. Niacin as a component of combination therapy for dyslipidemia. Mayo Clin Proc. 2003 Jun;78(6):735-42. doi: 10.4065/78.6.735.

Reference Type BACKGROUND
PMID: 12934785 (View on PubMed)

Miller M, Zhan M. Genetic determinants of low high-density lipoprotein cholesterol. Curr Opin Cardiol. 2004 Jul;19(4):380-4. doi: 10.1097/01.hco.0000126584.12520.b5.

Reference Type BACKGROUND
PMID: 15218400 (View on PubMed)

Hong SH, Rhyne J, Miller M. Novel polypyrimidine variation (IVS46: del T -39...-46) in ABCA1 causes exon skipping and contributes to HDL cholesterol deficiency in a family with premature coronary disease. Circ Res. 2003 Nov 14;93(10):1006-12. doi: 10.1161/01.RES.0000102957.84247.8F. Epub 2003 Oct 23.

Reference Type BACKGROUND
PMID: 14576201 (View on PubMed)

Ahmad I, Zhan M, Miller M. High prevalence of C-reactive protein elevation with normal triglycerides (100-149 mg/dL): are triglyceride levels below 100 mg/dL more optimal in coronary heart disease risk assessment? Am J Med Sci. 2005 Apr;329(4):173-7. doi: 10.1097/00000441-200504000-00002.

Reference Type BACKGROUND
PMID: 15832099 (View on PubMed)

Miller M, Zhan M, Havas S. High attributable risk of elevated C-reactive protein level to conventional coronary heart disease risk factors: the Third National Health and Nutrition Examination Survey. Arch Intern Med. 2005 Oct 10;165(18):2063-8. doi: 10.1001/archinte.165.18.2063.

Reference Type BACKGROUND
PMID: 16216995 (View on PubMed)

Other Identifiers

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R01HL061369

Identifier Type: NIH

Identifier Source: secondary_id

View Link

912

Identifier Type: -

Identifier Source: org_study_id

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