raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:425

Apolipoprotein A-I deficiency

Synonyms: ApoA-I deficiency · Familial apoA-I deficiency · Familial hypoalphalipoproteinemia

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
All ages
Status
active

A rare lipoprotein metabolism disorder characterized biochemically by complete absence of apolipoprotein AI and extremely low plasma high density lipoprotein (HDL) cholesterol, and clinically by corneal opacities and xanthomas complicated with premature coronary heart disease (CHD).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enApolipoprotein A-I deficiencyApoA-I deficiency · Familial apoA-I deficiency · Familial hypoalphalipoproteinemia
frDéficit en apolipoprotéine A-IDéficit en ApoA-I · Déficit familial en ApoA-I · Hypoalphalipoprotéinémie familiale
deApolipoprotein A-I-MangelApo A I-Mangel · Familiärer Apolipoprotein A-I-Mangel · Hypoalphalipoproteinämie, familiäre
esDeficiencia de apolipoproteína A-IDeficiencia de apoA-I · Deficiencia de apoA-I familiar · Hipoalfalipoproteinemia familiar
itDeficit di apolipoproteina A-IDeficit familiare di apoA-I · Deficiti di ApoA-I · Ipoalfalipoproteinemia familiare
nlApolipoproteïne A-I-deficiëntieApoA-I-deficiëntie · Familiale apoA-I-deficiëntie · Familiale hypoalfalipoproteïnemie
ptDeficiência de apolipoproteina A-IDeficiência de apoA-I · Deficiência de apoA-I familiar · Hipoalfalipoproteinemia familiar
plNiedobór apolipoproteiny A-IHipoalfalipoproteinemia rodzinna · Niedobór ApoA-I · Rodzinny Niedobór apoA-I
csDeficit apolipoproteinu A-IDeficit apoA-I · Familiární deficit apoA-I · Familiární hypoalfalipoproteinémie
ukДефіцит аполіпопротеїну A-IДефіцит ApoA-I · Сімейний дефіцит апоА-I · Сімейна гіпоальфаліпопротеїнемія
zh载脂蛋白A-Ⅰ缺乏家族性低α脂蛋白血症
trApolipoprotein A-I eksikliğiApoA-I eksikliği · Ailesel apoA-I eksikliği · Ailesel hipoalfalipoproteinemi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM604091BTNTvalidated
OMIM618463BTNTvalidated
ICD-10E78.6NTBTattributedvalidated
ICD-115C81.0NTBTindexvalidated
MONDO0100189Evalidated
UMLSC0342898Evalidated
GARD2872Evalidated
MedDRA10065133Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ABCA1Disease-causing germline mutation(s) inAssessedHGNC:29ENSG000001650296000469q31.1ATP binding cassette subfamily A member 115158913[PMID]_22959828[PMID]
APOA1Disease-causing germline mutation(s) inAssessedHGNC:600ENSG0000011813710768011q23.3apolipoprotein A18240372[PMID]_8282791[PMID]
5

Prevalence and incidence

3 records
TypeClassValueAreaQualificationValidationSource
Cases/families30 familiesWorldwideFamily(ies)Validated17991756[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET
Point prevalence<1 / 1 000 000—EuropeClass onlyValidatedEuropean Medicines Agency 2014[OTHER]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

9 annotations · validated 2021-10-29
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003119Abnormal circulating lipid concentration
HP:0002621Atherosclerosis
HP:0003233Decreased HDL cholesterol concentration
HP:0007759Opacification of the corneal stroma
Frequent (79-30%)
HP:0001681Angina pectoris
HP:0000622Blurred vision
HP:0005181Premature coronary artery atherosclerosis
HP:0001114Xanthelasma
HP:0000991Xanthomatosis

Run the differential on the 4 obligate / very frequent terms

Annotation source: 28178939[PMID]_31003938[PMID]_32022753[PMID]

7

Sources for this card