Letter from Joseph L. Goldstein to Victor A. McKusick
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1971-02-17 (February 17, 1971)
Goldstein, Joseph L.
University of Washington. School of Medicine
McKusick, Victor A.
Original Repository: Alan Mason Chesney Medical Archives. Victor Almon McKusick Collection
Reproduced with permission of Joseph L. Goldstein.
Medical Subject Headings (MeSH):
Congresses as Topic
The Bar Harbor Course and "McKusick's Catalog," 1960-1980
Dear Dr. McKusick:
Thank you for the program of this summer's Birth Defects Conference.
As I mentioned to you recently, Dr. Motulsky and I, in collaboration with Ed Bierman of the Division of Metabolism, have begun
several studies on the geneticsof the hyperlipoproteinemias and their relationship to coronary artery disease. Other than
for the information available on familial hypercholesterolemia (Type II) ,there is no solid genetic data available on these
disorders. Hopefully, our
planned studies will provide a better understanding of the familial hypertriglyceridemias as well as an unbiased documentation
of how much coronary artery disease is associated with the genetic hyperlipoproteinemias. The results of these studies, unfortunately,
will not be ready for presentation this summer.
However, one of our side projects is to study a large Type II kindred in the
Aleutian Islands. Our field trip to Alaska is planned for March 17, 1971, and if all
goes as expected I'll have some interesting and new data to report. The kindred
we plan to study lives as an isolated group in the Aleutian Islands and arose from
the mating of an Aleut female (affected) and a German male (unaffected). In contrast to the large kindred with Type II reported
by Harlan, Estes, and Graham in Medicine in 1964, the affected members of the Alaska family are said to have severe and premature
coronary artery disease. Thus, formal genetic and linkage studies will obviously be of interest.
If agreeable with you, I thought I would present at the Baltimore Conference
data from our Aleutian expedition, emphasing the clinical characteristics in those
affected family members under age 20 and comparing this family with the Harlan
family and with Kachadurian's Lebaneese isolate. If the USPHS Hospital in Alaska
has any autopsy data on members of the Aleutian kindred, I will plan to include this
in my presentation. What do you think?
I look forward to seeing you in Atlantic City in May. I am very anxious to discuss with you some of my recent observations
on Alstrom's Syndrome (3 sisters) and on a family with dominantly inherited sexual ateliotic dwarfism in whom growth hormone,
glucose, insulin, and lipid responses are all normal!