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June 8, 1978New England Journal of Medicine

Hypertriglyceridemia Associated with Deficiency of Apolipoprotein C-II

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Key result

Transfusion of 1 unit of normal plasma in a patient with apolipoprotein C-II deficiency reduced plasma triglycerides from 1000 to 250 mg/dL within one day.

Why the study?

Does normal plasma transfusion reduce plasma triglyceride concentrations in a patient with severe hypertriglyceridemia and apolipoprotein C-II deficiency?

Population

1 59-year-old man with severe hypertriglyceridemia and no post-heparin lipolytic activity.

Design

Case_report

Follow-up

6 days

Authors

WBW. C. BreckenridgeDalhousie UniversityJLJ.A. LittleUppsala UniversityGSGeorge SteinerMedical University of Vienna

Discussion

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Implication

Supports plasma transfusion as potential therapy in apo C-II deficiency; leaves open its utility in other hypertriglyceridemia etiologies.

Study Design

Type

Case Report (n=1)

Structured PICO

Does normal plasma transfusion reduce plasma triglyceride concentrations in a patient with severe hypertriglyceridemia and apolipoprotein C-II deficiency?

P
Population
A 59-year-old man with severe hypertriglyceridemia and apolipoprotein C-II deficiency who received a plasma transfusion.
I
Intervention
Transfusion of 1 unit of plasma from a normal subject.
O
Outcome
Plasma triglyceride concentrationssurrogate

Main Result

Absolute Event Rate: 250% vs 1000%

This case report identifies apolipoprotein C-II deficiency as a cause of severe hypertriglyceridemia, demonstrating that it can be temporarily corrected by normal plasma transfusion.

Cite This Study

Breckenridge et al. (1978) conducted a case report in Severe hypertriglyceridemia (n=1). Plasma transfusion from a normal subject vs. Pre-infusion baseline was evaluated on Plasma triglyceride concentrations. Transfusion of 1 unit of normal plasma in a patient with apolipoprotein C-II deficiency reduced plasma triglycerides from 1000 to 250 mg/dL within one day.

synapsesocial.com/papers/6a6add6fc068f641bcf41050https://doi.org/10.1056/nejm197806082982301
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Purified postheparin plasma lipoprotein lipase in primary hyperlipoproteinemias1975 · 24 citations
  2. 2Measurement of two plasma triglyceride lipases by an immunochemical method: studies in patients with hypertriglyceridemia1976 · 102 citations
  3. 3Post-Heparin Plasma Lipoprotein Lipase and Hepatic Lipase in Normal Subjects and in Patients with Hypertriglyceridaemia: Correlations to Sex, Age and Various Parameters of Triglyceride Metabolism1976 · 206 citations
  4. 4Selective Deficiency of Hepatic Triglyceride Lipase in Uremic Patients1977 · 173 citations
  5. 5Clearing-factor lipase in adipose tissue. A medium in which the enzyme activity of tissue from starved rats increases in vitro1966 · 117 citations