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Features include always present findings: Hypertriglyceridemia, Hypercholesterolemia, Decreased circulating apolipoprotein C-II concentration, and Enlarged spleen (splenomegaly) and others; and common findings: Lipemia retinalis, Enlarged liver (hepatomegaly), and Pancreatitis. 9 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Digestive system | 3 | Enlarged liver (hepatomegaly), Pancreatitis, Enlarged spleen (splenomegaly) |
APOC2 encodes apolipoprotein C2 (101 aa). Component of chylomicrons, very low-density lipoproteins (VLDL), low-density lipoproteins (LDL), and high-density lipoproteins (HDL) in plasma. Highest expression in Liver (1,789 TPM) and Brain Spinal cord cervical c-1 (26.6 TPM).
Familial apolipoprotein C-II deficiency is associated with mutations in the APOC2 gene on chromosome 19.
The APOC2 protein participates in Expression of APOC2 regulated by NR1H2 or NR1H3, APOA4,APOA5,APOC2,CIDEC,FGF21 genes express APOA4,APOA5,APOC2,CIDEC,FGF21 proteins, and Expression of APOC1 regulated by NR1H2 or NR1H3 pathways.
APOC2 is classified as a druggable target (Druggable Genome and Enzyme categories) with score 2.1.
Genetic testing for APOC2 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for familial apolipoprotein C-II deficiency has been reported in the published literature.
Phenotype severity distribution: 5 always present features, 3 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for familial apolipoprotein C-II deficiency.
93 publications have been identified in PubMed for familial apolipoprotein C-II deficiency. Research spans Case Report / Case Series (27%), Review / Meta-Analysis (20%), and Clinical Trial Publication (15%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 25 | 27% |
Data assembled from 6 of 12 sources · Last updated Oct 4, 2026, 6:17 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Eyes | 1 | Lipemia retinalis |
Blood and immune system | 1 | Enlarged spleen (splenomegaly) |
Lab test results | 1 | Increased circulating chylomicron concentration |
Research summaries
19 |
20% |
Clinical study results | 14 | 15% |
Disease patterns and progression | 12 | 13% |
Laboratory research | 11 | 12% |
New treatment approaches | 8 | 9% |
Testing and diagnosis research | 3 | 3% |
Other research | 1 | 1% |
Syed YY (2026). [PMID: 41787196](https://pubmed.ncbi.nlm.nih.gov/41787196/). *Drugs*. [Review / Meta-Analysis]
Larouche M (2026). [PMID: 41934047](https://pubmed.ncbi.nlm.nih.gov/41934047/). *J Clin Lipidol*. [Basic Science / Preclinical]
Lau NKC (2026). [PMID: 41812787](https://pubmed.ncbi.nlm.nih.gov/41812787/). *Clin Chim Acta*. [Case Report / Case Series]
Menon J (2026). [PMID: 42136189](https://pubmed.ncbi.nlm.nih.gov/42136189/). *Pediatr Transplant*. [Case Report / Case Series]
Hang S (2026). [PMID: 41860018](https://pubmed.ncbi.nlm.nih.gov/41860018/). *Expert Rev Endocrinol Metab*. [Review / Meta-Analysis]
Ergun NÜ (2026). [PMID: 42148757](https://pubmed.ncbi.nlm.nih.gov/42148757/). *J Pediatr Endocrinol Metab*. [Case Report / Case Series]
Giammanco A (2026). [PMID: 41330803](https://pubmed.ncbi.nlm.nih.gov/41330803/). *Journal of clinical lipidology*. [Case Report / Case Series]
Vergès B (2026). [PMID: 41866072](https://pubmed.ncbi.nlm.nih.gov/41866072/). *Ann Endocrinol (Paris)*. [Review / Meta-Analysis]
Hang S (2026). [PMID: 42007892](https://pubmed.ncbi.nlm.nih.gov/42007892/). *Expert Rev Cardiovasc Ther*. [Review / Meta-Analysis]
Alterman JF (2026). [PMID: 41877501](https://pubmed.ncbi.nlm.nih.gov/41877501/). *Nucleic Acid Ther*. [Gene Therapy / Novel Therapeutics]