Familial combined hyperlipidaemia is a common cause of coronary heart
disease. Its aetiology is heterogeneous. The genetic and metabolic bas
is of the disorder has not yet been defined. This review discusses the
putative role of adipose tissue in the pathogenesis of familial combi
ned hyperlipidaemia. It is possible that mutations in genes regulating
the turnover of lipids in fat cells are involved in the aetiology.