La hipercolesterolemia familiar una causa genética de la enfermedad cardiovascular

Authors

Keywords:

Hipercolesterolemia familiar, Colesterol LDL, Enfermedades cardiovasculares, Mutaciones genéticas, Aterosclerosis

Abstract

Cardiovascular diseases are the leading cause of death worldwide and are strongly associated with behavioral and environmental risk factors. Familial hypercholesterolemia (FH) is a common genetic disorder characterized by elevated LDL-C levels and a significantly increased cardiovascular risk. It can present in homozygous or heterozygous forms with varying severity. Its pathophysiology involves LDL accumulation in arterial walls, promoting atherosclerosis. Although clinical diagnosis is useful, it has limitations; therefore, genetic testing is essential due to its high specificity. This approach enables identification of mutations, risk assessment, and the development of personalized therapeutic strategies aimed at preventing cardiovascular disease.

 

Downloads

Download data is not yet available.

References

1. Cardiovascular diseases (CVDs) [Internet]. [citado 19 de junio de 2026]. Disponible en: https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)

2. MSP previene enfermedades cardiovasculares con estrategias para disminuir los factores de riesgo – Ministerio de Salud Pública [Internet]. [citado 19 de junio de 2026]. Disponible en: https://www.salud.gob.ec/msp-previene-enfermedades-cardiovasculares-con-estrategias-para-disminuir-los-factores-de-riesgo/

3. Rahelić V, Perković T, Romić L, Perković P, Klobučar S, Pavić E, et al. The Role of Behavioral Factors on Chronic Diseases-Practice and Knowledge Gaps. Healthcare. 12 de diciembre de 2024;12(24):2520. doi:10.3390/healthcare12242520 PubMed PMID: 39765947; PubMed Central PMCID: PMC11675894.

4. Münzel T, Sørensen M, Lelieveld J, Landrigan PJ, Kuntic M, Nieuwenhuijsen M, et al. A comprehensive review/expert statement on environmental risk factors of cardiovascular disease. Cardiovasc Res. 29 de septiembre de 2025;121(11):1653-78. doi:10.1093/cvr/cvaf119 PubMed PMID: 40795898; PubMed Central PMCID: PMC12477681.

5. van Oort S, Beulens JWJ, van Ballegooijen AJ, Grobbee DE, Larsson SC. Association of Cardiovascular Risk Factors and Lifestyle Behaviors With Hypertension: A Mendelian Randomization Study. Hypertension. diciembre de 2020;76(6):1971-9. doi:10.1161/HYPERTENSIONAHA.120.15761 PubMed PMID: 33131310.

6. Henderson R, O’Kane M, McGilligan V, Watterson S. The genetics and screening of familial hypercholesterolaemia. J Biomed Sci. 16 de abril de 2016;23:39. doi:10.1186/s12929-016-0256-1 PubMed PMID: 27084339; PubMed Central PMCID: PMC4833930.

7. Dzhumaniiazova IK, Meshkov AN, Daniel VV, Ezhov MV, Zelenova EA, Chubykina UV, et al. Prevalence and penetrance of pathogenic and likely pathogenic LDLR and APOB gene variants linked to familial hypercholesterolemia and increased risk of ischemic heart disease. Front Genet. 2025;16:1589014. doi:10.3389/fgene.2025.1589014 PubMed PMID: 40927359; PubMed Central PMCID: PMC12414777.

8. Mehta R, Zubirán R, Martagón AJ, Vazquez-Cárdenas A, Segura-Kato Y, Tusié-Luna MT, et al. The panorama of familial hypercholesterolemia in Latin America: a systematic review. J Lipid Res. diciembre de 2016;57(12):2115-29. doi:10.1194/jlr.R072231 PubMed PMID: 27777316; PubMed Central PMCID: PMC5321217.

9. Hobbs HH, Brown MS, Goldstein JL. Molecular genetics of the LDL receptor gene in familial hypercholesterolemia. Hum Mutat. 1992;1(6):445-66.

10. Marais AD. Normal and abnormal lipid and lipoprotein metabolism. Contin Med Educ. 2009;27(3):118.

11. Mytilinaiou M, Kyrou I, Khan M, Grammatopoulos DK, Randeva HS. Familial Hypercholesterolemia: New Horizons for Diagnosis and Effective Management. Front Pharmacol. 12 de julio de 2018;9:707. doi:10.3389/fphar.2018.00707 PubMed PMID: 30050433; PubMed Central PMCID: PMC6052892.

12. Rallidis LS, Iordanidis D, Iliodromitis E. The value of physical signs in identifying patients with familial hypercholesterolemia in the era of genetic testing. J Cardiol. diciembre de 2020;76(6):568-72. doi:10.1016/j.jjcc.2020.07.005 PubMed PMID: 32741655.

13. Lozano P, Henrikson NB, Dunn J, Morrison CC, Nguyen M, Blasi PR, et al. Diagnostic Criteria for Familial Hypercholesterolemia. En: Lipid Screening in Childhood and Adolescence for Detection of Familial Hypercholesterolemia: A Systematic Evidence Review for the U.S. Preventive Services Task Force [Internet] [Internet]. Agency for Healthcare Research and Quality (US); 2016 [citado 22 de junio de 2026]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK379719/

14. Ahmad Z, Agarwala A, Cuchel M, Barton Duell P, Hegele RA, Hudgins L, et al. Update on familial hypercholesterolemia: An expert clinical consensus from the National Lipid Association. J Clin Lipidol. abril de 2026;20(4):708-37. doi:10.1016/j.jacl.2026.01.011 PubMed PMID: 41741298.

15. Medeiros AM, Alves AC, Miranda B, Chora JR, Bourbon M, investigators of the Portuguese FH Study. Unraveling the genetic background of individuals with a clinical familial hypercholesterolemia phenotype. J Lipid Res. febrero de 2024;65(2):100490. doi:10.1016/j.jlr.2023.100490 PubMed PMID: 38122934; PubMed Central PMCID: PMC10832474.

16. Santos RD, Gidding SS, Bourbon M, Iatan I, Harada-Shiba M, Raal FJ, et al. Recent advances in research and care of familial hypercholesterolaemia. Lancet Diabetes Endocrinol. diciembre de 2025;13(12):1054-71. doi:10.1016/S2213-8587(25)00286-4 PubMed PMID: 41138742.

Published

2026-07-28

How to Cite

Prieto, C. (2026). La hipercolesterolemia familiar una causa genética de la enfermedad cardiovascular. CEUS Scientific Journa, 7(3). Retrieved from https://ceus.ucacue.edu.ec/index.php/ceus/article/view/305

Similar Articles

1 2 3 > >> 

You may also start an advanced similarity search for this article.