Familial hypercholesterolemia mutations in the Middle Eastern and North African region: A need for a national registry

Mary Aderayo Bamimore, Ahmed Zaid, Yajnavalka Banerjee, Ahmad Al-Sarraf, Marianne Abifadel, Nabil G. Seidah, Khalid Al-Waili, Khalid Al-Rasadi, Zuhier Awan*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

41 Citations (Scopus)


Background Familial hypercholesterolemia (FH) is a well-understood Mendelian disorder that increases the risk of cardiovascular disease (CVD), a leading cause of mortality in Middle Eastern and North African (MENA) countries. Objective Review the reporting status of FH mutations across MENA and propose a systemic and strategic method for building a MENA FH registry. Methods Systematic literature search for statistics pertaining to CVD and comparison of number of FH mutations reported in MENA countries and countries with established FH registries. Results Only 57 mutations were reported in 17 MENA countries, whereas more than 500 mutations reported in 3 Western countries. Mortality rates due to CVD were significantly higher in MENA countries compared with Western countries. Conclusions The relatively low reporting of FH mutations in the consanguineous MENA communities with higher prevalence of CVD indicates poor awareness of CVD genetic risk and warrants a registry to prevent premature CVD due to FH. This registry will help in identifying novel and reported FH mutations, all of which will have clinical and research benefits in MENA countries.

Original languageEnglish
Pages (from-to)187-194
Number of pages8
JournalJournal of Clinical Lipidology
Issue number2
Publication statusPublished - Mar 1 2015


  • Cardiovascular diseases
  • Cascade testing
  • Familial hypercholesterolemia registry
  • Genetic screening
  • Mutations

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics
  • Cardiology and Cardiovascular Medicine


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