Disease Directory Abetalipoproteinemia
Metabolic

Abetalipoproteinemia

Also known as: Bassen-Kornzweig syndrome, MTP deficiency, microsomal triglyceride transfer protein deficiency

Prevalence

1-9 per 1,000,000 (Orphanet)

Onset

Infantile, Childhood

Type

Autosomal recessive genetic

Gene

MTTP

About Abetalipoproteinemia

Abetalipoproteinemia is caused by mutations in the MTTP gene encoding microsomal triglyceride transfer protein, which is essential for assembling apolipoprotein B-containing lipoproteins. This leads to near-zero plasma levels of LDL, VLDL, and chylomicrons, and severe malabsorption of fat-soluble vitamins. Clinical features include fat malabsorption, progressive spinocerebellar ataxia (due to vitamin E deficiency), retinitis pigmentosa, and acanthocytosis.

Common Clinical Features

Fat malabsorption and steatorrhea Failure to thrive Acanthocytosis Spinocerebellar ataxia Retinitis pigmentosa Vitamin E deficiency Peripheral neuropathy

Clinical Trial Eligibility Tips

What to know before applying to Abetalipoproteinemia trials.

Plasma cholesterol, LDL, and apolipoprotein B levels near zero are diagnostic hallmarks required for enrollment

Vitamin E status (plasma alpha-tocopherol) is both a monitoring biomarker and reflects treatment adherence

High-dose fat-soluble vitamin supplementation (A, D, E, K) is standard care — document current supplementation regimen

Acanthocyte percentage on peripheral blood smear is a required baseline hematological marker

Patient Resources

Patient Organization

Metabolic Support UK

Visit website ↗

Orphanet

European reference resource for rare diseases (ORPHA:14)

View on Orphanet ↗

NORD

National Organization for Rare Disorders

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Find recruiting Abetalipoproteinemia trials

Search 500,000+ studies from ClinicalTrials.gov, filtered for Abetalipoproteinemia. Updated daily.

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