U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Sitosterolemia 2(STSL2)

MedGen UID:
1684715
Concept ID:
C5231453
Disease or Syndrome
Synonyms: SITOSTEROLEMIA 2; STSL2
 
Gene (location): ABCG5 (2p21)
 
Monarch Initiative: MONDO:0020748
OMIM®: 618666

Definition

Sitosterolemia, also known as phytosterolemia, is an autosomal recessive metabolic condition characterized by unrestricted intestinal absorption of both cholesterol and plant-derived cholesterol-like molecules, such as sitosterol. Patients with this disorder have very high levels of plant sterols in the plasma and develop tendon and tuberous xanthomas, accelerated atherosclerosis, and premature coronary artery disease (summary by Berge et al., 2000). For a general phenotypic description and a discussion of genetic heterogeneity of sitosterolemia, see 210250. [from OMIM]

Clinical features

From HPO
Premature coronary artery atherosclerosis
MedGen UID:
356830
Concept ID:
C1867743
Disease or Syndrome
Reduction of the diameter of the coronary arteries as the result of an accumulation of atheromatous plaques within the walls of the coronary arteries before age of 45.
Tendon xanthomatosis
MedGen UID:
450999
Concept ID:
C0221253
Disease or Syndrome
The presence of xanthomas (intra-and extra-cellular accumulations of cholesterol) extensor tendons (typically over knuckles, Achilles tendon, knee, and elbows).
Hypercholesterolemia
MedGen UID:
5687
Concept ID:
C0020443
Disease or Syndrome
An increased concentration of cholesterol in the blood.
Elevated circulating sitosterol concentration
MedGen UID:
1789149
Concept ID:
C5539528
Finding
An increased concentration of beta-sitosterol in the blood circulation.

Professional guidelines

PubMed

Brown EE, Sturm AC, Cuchel M, Braun LT, Duell PB, Underberg JA, Jacobson TA, Hegele RA
J Clin Lipidol 2020 Jul-Aug;14(4):398-413. Epub 2020 May 7 doi: 10.1016/j.jacl.2020.04.011. PMID: 32507592
Zanlungo S, Nervi F
Eur Rev Med Pharmacol Sci 2003 Mar-Apr;7(2):33-9. PMID: 12911117
Moghadasian MH, Frohlich JJ, Saleem M, Hong JM, Qayumi K, Scudamore CH
J Invest Surg 2001 Mar-Apr;14(2):71-8. doi: 10.1080/08941930152024183. PMID: 11396622

Recent clinical studies

Etiology

Loh WJ, Watts GF
Curr Opin Endocrinol Diabetes Obes 2023 Apr 1;30(2):123-127. Epub 2022 Dec 29 doi: 10.1097/MED.0000000000000795. PMID: 36597814
Fong V, Patel SB
Curr Opin Lipidol 2021 Apr 1;32(2):117-122. doi: 10.1097/MOL.0000000000000734. PMID: 33395105Free PMC Article
Brinton EA, Hopkins PN, Hegele RA, Geller AS, Polisecki EY, Diffenderfer MR, Schaefer EJ
J Clin Lipidol 2018 Jan-Feb;12(1):152-161. Epub 2017 Oct 27 doi: 10.1016/j.jacl.2017.10.013. PMID: 29169939
Zak A, Zeman M, Slaby A, Vecka M
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2014 Jun;158(2):181-8. Epub 2014 Apr 29 doi: 10.5507/bp.2014.016. PMID: 24781043
Vecka M, Zak A, Tvrzická E
Acta Univ Carol Med Monogr 2008;154:5-101. PMID: 19283968

Diagnosis

Loh WJ, Watts GF
Curr Opin Endocrinol Diabetes Obes 2023 Apr 1;30(2):123-127. Epub 2022 Dec 29 doi: 10.1097/MED.0000000000000795. PMID: 36597814
Loh WJ, Watts GF
Endocrinol Metab Clin North Am 2022 Sep;51(3):511-537. Epub 2022 Jul 4 doi: 10.1016/j.ecl.2022.02.006. PMID: 35963626
Zhou Z, Su X, Cai Y, Ting TH, Zhang W, Lin Y, Xu A, Mao X, Zeng C, Liu L, Li X
Lipids Health Dis 2022 Jan 18;21(1):11. doi: 10.1186/s12944-021-01619-1. PMID: 35042526Free PMC Article
Harper K, Bagot CN, Leach M
Br J Haematol 2019 Oct;187(2):137. Epub 2019 Jul 8 doi: 10.1111/bjh.16076. PMID: 31282987
Brinton EA, Hopkins PN, Hegele RA, Geller AS, Polisecki EY, Diffenderfer MR, Schaefer EJ
J Clin Lipidol 2018 Jan-Feb;12(1):152-161. Epub 2017 Oct 27 doi: 10.1016/j.jacl.2017.10.013. PMID: 29169939

Therapy

Zhou Z, Su X, Cai Y, Ting TH, Zhang W, Lin Y, Xu A, Mao X, Zeng C, Liu L, Li X
Lipids Health Dis 2022 Jan 18;21(1):11. doi: 10.1186/s12944-021-01619-1. PMID: 35042526Free PMC Article
Fong V, Patel SB
Curr Opin Lipidol 2021 Apr 1;32(2):117-122. doi: 10.1097/MOL.0000000000000734. PMID: 33395105Free PMC Article
Harper K, Bagot CN, Leach M
Br J Haematol 2019 Oct;187(2):137. Epub 2019 Jul 8 doi: 10.1111/bjh.16076. PMID: 31282987
Brinton EA, Hopkins PN, Hegele RA, Geller AS, Polisecki EY, Diffenderfer MR, Schaefer EJ
J Clin Lipidol 2018 Jan-Feb;12(1):152-161. Epub 2017 Oct 27 doi: 10.1016/j.jacl.2017.10.013. PMID: 29169939
Darkes MJ, Poole RM, Goa KL
Am J Cardiovasc Drugs 2003;3(1):67-76; discussion 77-8. doi: 10.2165/00129784-200303010-00007. PMID: 14727947

Prognosis

Ishibashi Y, Yoshida H, Kotani K, Akiyama Y, Fujii H, Harada-Shiba M, Ishida T, Ishigaki Y, Kabata D, Kihara Y, Kurisu S, Masuda D, Matoba T, Matsuki K, Matsumura T, Mori K, Nakagami T, Nakazato M, Taniuchi S, Ueno H, Yamashita S, Yano S, Yoshida H, Shoji T
J Atheroscler Thromb 2023 Oct 1;30(10):1336-1349. Epub 2023 May 30 doi: 10.5551/jat.63943. PMID: 36740276Free PMC Article
Gandhi GD, Aamer W, Krishnamoorthy N, Syed N, Aliyev E, Al-Maraghi A, Kohailan M, Alenbawi J, Elanbari M; Qatar Genome Program Research Consortium (QGPRC), Mifsud B, Mokrab Y, Abi Khalil C, Fakhro KA
J Transl Med 2022 Nov 3;20(1):502. doi: 10.1186/s12967-022-03697-w. PMID: 36329474Free PMC Article
Lee JH, Song DY, Jun SH, Song SH, Shin CH, Ki CS, Lee K, Song J
PLoS One 2020;15(8):e0238079. Epub 2020 Aug 26 doi: 10.1371/journal.pone.0238079. PMID: 32845916Free PMC Article
Tada H, Nomura A, Nohara A, Inazu A, Mabuchi H, Yamagishi M, Kawashiri MA
J Atheroscler Thromb 2018 Dec 1;25(12):1188-1195. Epub 2018 Jul 12 doi: 10.5551/jat.44768. PMID: 29998912Free PMC Article
Nomura A, Tada H, Nohara A, Kawashiri MA, Yamagishi M
J Atheroscler Thromb 2018 Aug 1;25(8):741-746. Epub 2018 Jan 20 doi: 10.5551/jat.42960. PMID: 29353827Free PMC Article

Clinical prediction guides

Loh WJ, Watts GF
Curr Opin Endocrinol Diabetes Obes 2023 Apr 1;30(2):123-127. Epub 2022 Dec 29 doi: 10.1097/MED.0000000000000795. PMID: 36597814
Zhou Z, Su X, Cai Y, Ting TH, Zhang W, Lin Y, Xu A, Mao X, Zeng C, Liu L, Li X
Lipids Health Dis 2022 Jan 18;21(1):11. doi: 10.1186/s12944-021-01619-1. PMID: 35042526Free PMC Article
Huang D, Zhou Q, Chao YQ, Zou CC
Medicine (Baltimore) 2019 Apr;98(15):e15013. doi: 10.1097/MD.0000000000015013. PMID: 30985648Free PMC Article
Mymin D, Salen G, Triggs-Raine B, Waggoner DJ, Dembinski T, Hatch GM
Atherosclerosis 2018 Feb;269:122-128. Epub 2017 Dec 28 doi: 10.1016/j.atherosclerosis.2017.12.024. PMID: 29353227
Tikkanen MJ
Handb Exp Pharmacol 2005;(170):215-30. doi: 10.1007/3-540-27661-0_7. PMID: 16596801

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...