What is Tangier disease (Familial alpha-lipoprotein deficiency)?

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Last updated: March 7, 2025View editorial policy

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From the Research

Tangier disease is a rare genetic disorder characterized by extremely low levels of high-density lipoprotein (HDL) cholesterol, caused by mutations in the ABCA1 gene, which prevents cells from removing excess cholesterol properly, as reported in the most recent study 1.

Key Characteristics

  • Extremely low levels of HDL cholesterol
  • Caused by mutations in the ABCA1 gene
  • Prevents cells from removing excess cholesterol properly
  • Patients typically have orange-yellow tonsils, enlarged liver and spleen, peripheral neuropathy, and corneal clouding

Diagnosis and Management

  • Diagnosis is based on clinical findings, laboratory tests, and genetic analysis
  • Management focuses on treating symptoms and preventing complications through a low-fat diet, regular exercise, and avoiding smoking
  • Medications like statins may be prescribed to manage overall cholesterol levels, though they don't correct the fundamental HDL deficiency
  • Regular monitoring by specialists including cardiologists, neurologists, and lipid specialists is essential as patients have an increased risk of cardiovascular disease despite their unique lipid profile

Inheritance Pattern

  • Tangier disease follows an autosomal recessive inheritance pattern, meaning both parents must carry the defective gene for a child to develop the condition, as noted in 1

Current Research and Treatment

  • There is currently no specific cure for Tangier disease, but research is ongoing to develop new treatments, such as ABCA1-stimulating drugs, which have shown promise in increasing HDL levels and reducing cardiovascular risk, as discussed in 2
  • Genetic counseling is recommended for affected individuals and their families to understand the risks and implications of the disease, as emphasized in 1

References

Research

Current Diagnosis and Management of Tangier Disease.

Journal of atherosclerosis and thrombosis, 2021

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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