Lipid Metabolism

Disorders of lipid metabolism, also known as dyslipidemia, involve abnormal levels of lipids in the blood, including elevated triglycerides and low-density lipoprotein (LDL), and reduced high-density lipoprotein (HDL), leading to conditions such as pancreatitis, atherosclerosis, and coronary artery disease. These disorders arise from genetic defects in enzymes or transport proteins involved in fatty acid oxidation and lipid processing, resulting in impaired lipid metabolism and toxic accumulation of lipids in tissues like the liver, brain, and bone marrow. They are classified as inborn errors of metabolism, with some forms presenting as metabolic myopathy. Key genes implicated include LIPC, associated with hepatic lipase activity, and pathways involving lipid and cation transport. Conditions such as hyperlipoproteinemia type III and familial hypobetalipoproteinemia are linked to these disorders. Management may include enzyme replacement therapy for specific cases, while lifestyle modifications and medications like Pitavastatin and Valsartan are used to control lipid levels. Newborn screening and genetic testing play crucial roles in early detection and carrier identification.