Familial combined hyperlipidemia (FCHL) is a common inherited lipid di
sorder, affecting 1 to 2 percent of the population in Westernized soci
eties. Individuals with FCHL have large quantities of very low density
lipoprotein (VLDL) and low density lipoprotein (LDL) and develop prem
ature coronary heart disease. A mouse model displaying some of the fea
tures of FCHL was created by crossing mice carrying the human apolipop
rotein C-III (APOC3) transgene with mice deficient in the LDL receptor
. A synergistic interaction between the apolipoprotein C-III and the L
DL receptor defects produced large quantities of VLDL and LDL and enha
nced the development of atherosclerosis. This mouse model may provide
clues to the origin of human FCHL.