Knowledge (XXG)

Lipoprotein(a)

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5248: 1052:(ARIC) Study is a community-based cohort from 4 geographically diverse US communities. The ARIC Study found that the proportion of Atherosclerotic Cardiovascular Disease cases potentially attributable to elevated Lp(a) was 10.2% among Black adults compared with 4.7% among white adults. The population-attributable fraction ratio for Black adults compared with white adults was 2.30. Because the hazard ratios for ASCVD associated with higher Lp(a) did not significantly differ between races, the ARIC study concluded that these differences appeared to be driven largely by racial differences in the distribution of Lp(a) levels. 236: 261: 5084: 5039: 5114: 5099: 5069: 5054: 469: 267: 61: 1098:-causing cholesterol and binds atherogenic pro-inflammatory oxidised phospholipids as a preferential carrier of oxidised phospholipids in human plasma, which attracts inflammatory cells to vessel walls and leads to smooth muscle cell proliferation. Moreover, Lp(a) also is hypothesised to be involved in wound healing and tissue repair by interacting with components of the vascular wall and 1042:
two- to threefold higher mean Lp(a) plasma concentration in populations of African descent compared to Asian, Oceanic, or European populations. The general inverse correlation between apo(a) isoform size and Lp(a) plasma concentration is observed in all populations. However, it was also discovered that mean Lp(a) associated with certain apo(a) isoforms varies between populations.
1163:, and stroke. However, the association between Lp(a) levels and stroke is not as strong as that between Lp(a) and cardiovascular disease. Lp(a) concentrations may be affected by disease states (for example kidney failure), but are only slightly affected by diet, exercise, and other environmental factors. 2233:
Kronenberg F, Mora S, Stroes ESG, Ference BA, Arsenault BJ, Berglund L, Dweck MR, Koschinsky M, Lambert G, Mach F, McNeal CJ, Moriarty PM, Natarajan P, Nordestgaard BG, Parhofer KG, Virani SS, von Eckardstein A, Watts GF, Stock JK, Ray KK, Tokgözoğlu LS, Catapano AL. Lipoprotein(a) in atherosclerotic
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Patel AP, Wang (汪敏先) M, Pirruccello JP, Ellinor PT, Ng K, Kathiresan S, Khera AV. Lp(a) (Lipoprotein) Concentrations and Incident Atherosclerotic Cardiovascular Disease: New Insights From a Large National Biobank. Arterioscler Thromb Vasc Biol. 2021 Jan;41(1):465-474. doi: 10.1161/ATVBAHA.120.315291.
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Prior studies of the relationship between Lp(a) and ethnicity have shown inconsistent results. Lp(a) levels seem to differ in different populations. For example, in some African populations, Lp(a) levels are higher on average than in other groups, so that using a risk threshold of 30 mg/dl could
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Lp(a) appears with different isoforms (per kringle repeats) of apolipoprotein; 40% of the variation in Lp(a) levels when measured in mg/dl can be attributed to different isoforms. Lighter Lp(a) are also associated with disease. Thus, a test with simple quantitative results may not provide a complete
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classify over 50% of the individuals as higher risk. Some part of this complexity may be related to the different genetic factors involved in determining Lp(a) levels. One recent study showed that in different ethnic groups, different genetic alterations were associated with increased Lp(a) levels.
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High Lp(a) correlates with early atherosclerosis independently of other cardiac risk factors, including LDL. In patients with advanced cardiovascular disease, Lp(a) indicates a coagulant risk of plaque thrombosis. Apo(a) contains domains that are very similar to plasminogen (PLG). Lp(a) accumulates
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L-carnitine may also reduce Lp(a) levels. A systematic review and meta-analysis found a significant reduction with oral but not intravenous carnitine. Other medications that are in various stages of development include thyromimetics, cholesterol-ester-transfer protein (CETP inhibitors), anti-sense
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If the level is elevated, treatment should be initiated to bring the level below 50 mg/dL. In addition, the patient's other cardiovascular risk factors (including LDL levels) should be managed optimally. Apart from the total Lp(a) plasma concentration, the apo(a) isoform might be an important
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Lp(a) concentrations can vary by more than one thousand between individuals, from <0.2 to >200 mg/dL. This range of concentrations is observed in all populations studied by scientists so far. The mean and median concentrations differ among world populations. Most prominently, there is a
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now recommends that all children between the ages of nine and eleven years old be screened for hyperlipidemia. Lp(a) levels should be considered in particular in children with a family history of early heart disease or high blood cholesterol levels. However, there have not been enough studies to
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In one homogeneous tribal population of Tanzania, vegetarians have higher levels of Lp(a) than fish eaters, raising the possibility that pharmacologic amounts of fish oil supplements may help lower the levels of Lp(a). Researchers in studies in 1995 and 1998 concluded that regular consumption of
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The half-life of Lp(a) in circulation is approximately three to four days. The mechanism and sites of Lp(a) catabolism are largely unknown. The LDL receptor has been reported as a receptor for Lp(a) clearance, but is not a major pathway of Lp(a) metabolism under normal or hypercholesterolemic
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Grant JK, Martin SS, Zhang S, Matsushita K, Virani SS, Blumenthal RS, Hoogeveen RC, Boerwinkle E, Ballantyne CM, Coresh J, Ndumele CE. Racial Differences in the Burden of Atherosclerotic Cardiovascular Disease Related to Elevated Lipoprotein(a) Levels: The ARIC Study. Circulation. 2024 Jul
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There is a general inverse correlation between the size of the apo(a) isoform and the Lp(a) plasma concentration. One theory explaining this correlation involves different rates of protein synthesis. Specifically, the larger the isoform, the more apo(a) precursor protein accumulates
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Study followed 3467 African Americans and 9851 whites for 20 years. The researchers found that an elevated Lp(a) conferred the same risk in each group. African Americans had roughly three times the level of Lp(a), however, and Lp(a) also predicted an increased risk of stroke.
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Anagnostis P, Galanis P, Chatzistergiou V, Stevenson JC, Godsland IF, Lambrinoudaki I, et al. (May 2017). "The effect of hormone replacement therapy and tibolone on lipoprotein (a) concentrations in postmenopausal women: A systematic review and meta-analysis".
87: 1208:. Animal studies have shown that Lp(a) may directly contribute to atherosclerotic damage by increasing plaque size, inflammation, instability, and smooth muscle cell growth. Genetic data also support the theory that Lp(a) causes cardiovascular disease. 4827:"Inhibition of N-linked glycosylation results in retention of intracellular apo[a] in hepatoma cells, although nonglycosylated and immature forms of apolipoprotein[a] are competent to associate with apolipoprotein B-100 in vitro" 1105:
Nonetheless, individuals without Lp(a) or with very low Lp(a) levels seem to be healthy. Thus, plasma Lp(a) is not vital, at least under normal environmental conditions. Since apo(a)/Lp(a) appeared rather recently in mammalian evolution – only
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Approximate levels of risk are indicated by the results below, although at present there are a variety of different methods by which to measure Lp(a). A standardized international reference material has been developed and is accepted by the
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The European Atherosclerosis Society currently recommends that patients with a moderate or high risk of cardiovascular disease should have their Lp(a) levels checked. Any patient with one of the following risk factors should be screened:
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Sahebkar A, Reiner Ž, Simental-Mendía LE, Ferretti G, Cicero AF (November 2016). "Effect of extended-release niacin on plasma lipoprotein(a) levels: A systematic review and meta-analysis of randomized placebo-controlled trials".
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Romagnuolo R, DeMarco K, Scipione CA, Boffa MB, Koschinsky ML (September 2018). "Apolipoprotein(a) inhibits the conversion of Glu-plasminogen to Lys-plasminogen on the surface of vascular endothelial and smooth muscle cells".
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Romagnuolo R, Scipione CA, Bazzi ZA, Boffa MB, Koschinsky ML (August 2018). "Inhibition of pericellular plasminogen activation by apolipoprotein(a): Roles of urokinase plasminogen activator receptor and integrins
1130:(vitamin C), which is needed to repair arteries; following the loss of GULO, those primates who adopted diets less abundant in vitamin C may have used Lp(a) as an ascorbic-acid surrogate to repair arterial walls. 1110:
and humans have been shown to harbour Lp(a) – its function might not be vital, but just evolutionarily advantageous under certain environmental conditions, e.g. in case of exposure to certain infectious diseases.
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has given the Tina-quant® lipoprotein Lp(a) RxDx assay from Roche, a Breakthrough Device Designation. The assay is designed to identify patients who may benefit from therapies aimed at decreasing Lp(a) levels.
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cardiovascular disease and aortic stenosis: a European Atherosclerosis Society consensus statement. Eur Heart J. 2022 Oct 14;43(39):3925-3946. doi: 10.1093/eurheartj/ehac361. PMID: 36036785; PMCID: PMC9639807.
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gene. This size variation at the gene level is expressed on the protein level as well, resulting in apo(a) proteins with 10 to more than 50 kringle IV repeats (each of the variable kringle IV consists of 114
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Pan S, Kleppe LS, Witt TA, Mueske CS, Simari RD (September 2004). "The effect of vascular smooth muscle cell-targeted expression of tissue factor pathway inhibitor in a murine model of arterial thrombosis".
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Testosterone is known to reduce Lp(a) levels. Testosterone replacement therapy also appears to be associated with lower Lp(a) levels. Estrogen replacement therapy in post-menopausal women will reduce Lp(a).
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Sandholzer C, Hallman DM, Saha N, Sigurdsson G, Lackner C, Császár A, et al. (April 1991). "Effects of the apolipoprotein(a) size polymorphism on the lipoprotein(a) concentration in 7 ethnic groups".
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Boerwinkle E, Menzel HJ, Kraft HG, Utermann G (April 1989). "Genetics of the quantitative Lp(a) lipoprotein trait. III. Contribution of Lp(a) glycoprotein phenotypes to normal lipid variation".
4089:"Use of a reference material proposed by the International Federation of Clinical Chemistry and Laboratory Medicine to evaluate analytical methods for the determination of plasma lipoprotein(a)" 1188:
in the vessel wall and inhibits the binding of PLG to the cell surface, reducing plasmin generation, which increases clotting. This inhibition of PLG by Lp(a) also promotes the proliferation of
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Artemeva NV, Safarova MS, Ezhov MV, Afanasieva OI, Dmitrieva OA, Pokrovsky SN (May 2015). "Lowering of lipoprotein(a) level under niacin treatment is dependent on apolipoprotein(a) phenotype".
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Lobentanz EM, Krasznai K, Gruber A, Brunner C, Müller HJ, Sattler J, et al. (April 1998). "Intracellular metabolism of human apolipoprotein(a) in stably transfected Hep G2 cells".
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Klausen IC, Sjøl A, Hansen PS, Gerdes LU, Møller L, Lemming L, et al. (July 1997). "Apolipoprotein(a) isoforms and coronary heart disease in men: a nested case-control study".
3840: 1033:. Lp(a) is not fully synthesised until the precursor protein is released from the cell, so the slower rate of production for the larger isoforms limits the plasma concentration. 4267: 5470: 5450: 1256: 4718: 4475: 1307:
A meta-analysis suggested that atorvastatin may lower Lp(a) levels. In severe cases, such as familial hypercholesterolemia or treatment-resistant hypercholesterolemia,
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Numerous studies confirming a strong correlation between elevated Lp(a) and heart disease have led to the consensus that Lp(a) is an important independent predictor of
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cell membrane surface, which is similar to typical LDL particles. However, there are other possible locations of assembly. The particles mainly exist in plasma.
2338:"Variation in lipoprotein(a) concentrations among individuals with the same apolipoprotein (a) isoform is determined by the rate of lipoprotein(a) production" 1538:
Kamstrup PR, Tybjærg-Hansen A, Nordestgaard BG (April 2011). "Lipoprotein(a) and risk of myocardial infarction--genetic epidemiologic evidence of causality".
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McLean JW, Tomlinson JE, Kuang WJ, Eaton DL, Chen EY, Fless GM, et al. (1987). "cDNA sequence of human apolipoprotein(a) is homologous to plasminogen".
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Koschinsky ML, Marcovina SM (April 2004). "Structure-function relationships in apolipoprotein(a): insights into lipoprotein(a) assembly and pathogenicity".
1102:. Apo(a), a distinct feature of the Lp(a) particle, binds to immobilized fibronectin and endows Lp(a) with the serine-proteinase-type proteolytic activity. 4026:"Associations between lipoprotein(a) levels and cardiovascular outcomes in black and white subjects: the Atherosclerosis Risk in Communities (ARIC) Study" 5113: 5098: 5068: 5053: 2247:
Pati N, Rouf A, Pati U (February 2000). "Simultaneous mutations (A/G(-418) and C/T(-384)) in the apo(a) promoter of individuals with low Lp(a) levels".
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Dati F, Tate JR, Marcovina SM, Steinmetz A (2004). "First WHO/IFCC International Reference Reagent for Lipoprotein(a) for Immunoassay--Lp(a) SRM 2B".
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Knight BL, Perombelon YF, Soutar AK, Wade DP, Seed M (April 1991). "Catabolism of lipoprotein(a) in familial hypercholesterolaemic subjects".
5018: 4200: 3497:"Fish intake, independent of apo(a) size, accounts for lower plasma lipoprotein(a) levels in Bantu fishermen of Tanzania: The Lugalawa Study" 3315: 1874:"Genome-Wide Characterization of a Highly Penetrant Form of Hyperlipoprotein(a)emia Associated With Genetically Elevated Cardiovascular Risk" 4868:"Apolipoprotein[a] secretion from hepatoma cells is regulated in a size-dependent manner by alterations in disulfide bond formation" 1443: 1263:. Although further standardization is still needed, development of a reference material is an importance step toward standardizing results. 5549: 5425: 5147: 1247: 1049: 3953:"Variation in LPA is associated with Lp(a) levels in three populations from the Third National Health and Nutrition Examination Survey" 885: 4614:"Impact of L-carnitine on plasma lipoprotein(a) concentrations: A systematic review and meta-analysis of randomized controlled trials" 4331:
Sahebkar A, Katsiki N, Ward N, Reiner Ž (May 2021). "Flaxseed Supplementation Reduces Plasma Lipoprotein(a) Levels: A Meta-Analysis".
3118:"Lipoprotein(a) catabolism is regulated by proprotein convertase subtilisin/kexin type 9 through the low density lipoprotein receptor" 2661:"Lipoprotein(a) catabolism is regulated by proprotein convertase subtilisin/kexin type 9 through the low density lipoprotein receptor" 4259: 5388: 1084: 5508: 5211: 1311:
may dramatically reduce Lp(a). The goal of the treatment is to reduce levels to below 50 mg/dL. Cost is prohibitively high.
4782:"Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: summary report" 3904:"The importance of the relation between lipoprotein(a) and lipids for development of atherosclerosis and cardiovascular disease" 3691:"High levels of Lp(a) with a small apo(a) isoform are associated with coronary artery disease in African American and white men" 5140: 3951:
Dumitrescu L, Glenn K, Brown-Gentry K, Shephard C, Wong M, Rieder MJ, et al. (January 2011). Kloss-Brandstaetter A (ed.).
1430: 1624:"Circulating lipoprotein (a) and all-cause and cause-specific mortality: a systematic review and dose-response meta-analysis" 1350: 1184:) has been shown to reduce the levels of Lp(a) significantly in individuals with high levels of low-molecular weight Lp(a). 996:
contained in the outer shell of the particle. Lp(a) plasma concentrations are highly heritable and mainly controlled by the
260: 235: 5398: 5380: 3754:"Contribution of the apo[a] phenotype to plasma Lp[a] concentrations shows considerable ethnic variation" 3442:"Lipoprotein (a) binds and inactivates tissue factor pathway inhibitor: a novel link between lipoproteins and thrombosis" 2985:
Kostner GM, Bihari-Varga M (August 1990). "Is the atherogenicity of Lp(a) caused by its reactivity with proteoglycans?".
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Tsimikas S, Witztum JL (August 2008). "The role of oxidized phospholipids in mediating lipoprotein(a) atherogenicity".
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moderate amounts of alcohol led to a significant decline in plasma levels of Lp(a). Other studies did not report this.
1363: 3552:"Effect of moderate alcohol consumption on lp(a) lipoprotein concentrations. Reduction is supported by other studies" 2171:"The number of identical kringle IV repeats in apolipoprotein(a) affects its processing and secretion by HepG2 cells" 3795:"Serum LP(a) levels in African aboriginal Pygmies and Bantus, compared with Caucasian and Asian population samples" 3334:
Takagi H, Umemoto T (January 2012). "Atorvastatin decreases lipoprotein(a): a meta-analysis of randomized trials".
273: 5011: 266: 5564: 5559: 5232: 4969: 5092:: NMR Solution Structure, Dynamics and Binding Properties of the Kringle IV Type 8 module of apolipoprotein(a) 4909:"Mapping of a minimal apolipoprotein(a) interaction motif conserved in fibrin(ogen) beta - and gamma -chains" 1166:
Most commonly prescribed lipid-reducing drugs have little or no effect on Lp(a) concentration. Results using
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25.3–q26. Apo(a) proteins vary in size due to a size polymorphism , which is caused by a variable number of
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Dieplinger H, Utermann G (June 1999). "The seventh myth of lipoprotein(a): where and how is it assembled?".
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cells. These unique features of Lp(a) suggest that Lp(a) causes generation of clots and atherosclerosis.
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Klose R, Fresser F, Kochl S, Parson W, Kapetanopoulos A, Fruchart-Najib J, et al. (December 2000).
4712: 4663: 4592: 4529: 4469: 4122: 4067: 4004: 3732: 3669: 3530: 3475: 3245: 2789: 2639: 2204: 2149: 2100: 1917: 1770: 1667: 1515: 1375: 1030: 4551:"The Effects of Tamoxifen on Plasma Lipoprotein(a) Concentrations: Systematic Review and Meta-Analysis" 4288:
Boden WE, Sidhu MS, Toth PP (March 2014). "The therapeutic role of niacin in dyslipidemia management".
2012:"Lp(a) glycoprotein phenotypes. Inheritance and relation to Lp(a)-lipoprotein concentrations in plasma" 3069: 2169:
Brunner C, Lobentanz EM, Pethö-Schramm A, Ernst A, Kang C, Dieplinger H, et al. (December 1996).
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In addition to size effects, mutations in the LPA promoter may lead to a decreased apo(a) production.
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medications have been mixed in most trials, although a meta-analysis published in 2012 suggests that
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Caplice NM, Panetta C, Peterson TE, Kleppe LS, Mueske CS, Kostner GM, et al. (November 2001).
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Coassin S, Chemello K, Khantalin I, Forer L, Döttelmayer P, Schönherr S, et al. (April 2022).
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Marcovina SM, Kennedy H, Bittolo Bon G, Cazzolato G, Galli C, Casiglia E, et al. (May 1999).
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Tsimikas S, Brilakis ES, Miller ER, McConnell JP, Lennon RJ, Kornman KS, et al. (July 2005).
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Serban MC, Sahebkar A, Mikhailidis DP, Toth PP, Jones SR, Muntner P, et al. (January 2016).
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Virani SS, Brautbar A, Davis BC, Nambi V, Hoogeveen RC, Sharrett AR, et al. (January 2012).
3933: 3863:"Genetics of the Lp(a)/apo(a) system in an autochthonous Black African population from the Gabon" 3832: 3720: 3084: 2967: 2918: 2736: 2596:
Nordestgaard BG, Chapman MJ, Ray K, Borén J, Andreotti F, Watts GF, et al. (December 2010).
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Nordestgaard BG, Chapman MJ, Ray K, Borén J, Andreotti F, Watts GF, et al. (December 2010).
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daily, typically in an extended-release form. Niacin therapy may reduce Lp(a) levels by 20–30%.
1301: 1177: 1091:. It also may enhance coagulation by inhibiting the function of tissue factor pathway inhibitor. 209: 806: 4087:
Marcovina SM, Albers JJ, Scanu AM, Kennedy H, Giaculli F, Berg K, et al. (December 2000).
3204:"The low density lipoprotein receptor is not required for normal catabolism of Lp(a) in humans" 3021:"Lipoprotein(a) binds to fibronectin and has serine proteinase activity capable of cleaving it" 1622:
Amiri M, Raeisi-Dehkordi H, Verkaar AJ, Wu Y, van Westing AC, Berk KA, et al. (May 2023).
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conditions. The kidney has been identified as playing a role in Lp(a) clearance from plasma.
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2256: 2182: 2129: 2072: 2031: 2023: 1976: 1965:"Lipoprotein(a) in clinical practice: New perspectives from basic and translational science" 1895: 1885: 1844: 1803: 1742: 1696: 1645: 1635: 1594: 1547: 1493: 1485: 993: 353: 284: 5485: 5460: 1122:(GULO) deficiency, found only in certain lines of mammals. GULO is required for converting 5334: 5132: 3689:
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Romagnuolo R, Scipione CA, Boffa MB, Marcovina SM, Seidah NG, Koschinsky ML (May 2015).
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Beyond cholesterol: 7 life-saving heart disease tests that your doctor may not give you
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Banach M, Aronow WS, Serban C, Sahabkar A, Rysz J, Voroneanu L, et al. (2015).
2449: 2092: 1567: 992:-like particle and the specific apolipoprotein(a), which is bound covalently to the 60: 5493: 5188: 4317: 3836: 2971: 2740: 2529: 2294:"Cell surface assembly of lipoprotein(a) in primary cultures of baboon hepatocytes" 1790:
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Hidden Causes of Heart Attack and Stroke: Inflammation, Cardiology's New Frontier
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2906: 1599: 1582: 1551: 213: 5203: 5192: 5176: 5167: 4734:"New Therapeutic Approaches to the Treatment of Dyslipidemia 2: LDL-C and Lp(a)" 1448:
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Utermann G, Menzel HJ, Kraft HG, Duba HC, Kemmler HG, Seitz C (August 1987).
1988: 1808: 1791: 4793: 3879: 3862: 3134: 2826: 2677: 1339: 1327: 1079:) and it competes with plasminogen for its binding site, leading to reduced 642: 446: 367: 312: 299: 201: 30:
Not to be confused with members of the apolipoprotein A subgroup, including
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The current simplest treatment for elevated Lp(a) is to take 1–3 grams of
928: 2772: 2755: 2724: 1367: 917: 764: 3019:
Salonen EM, Jauhiainen M, Zardi L, Vaheri A, Ehnholm C (December 1989).
2756:"Oxidized phospholipids, Lp(a) lipoprotein, and coronary artery disease" 4990: 4980: 4229: 3267:"Evidence mounts for a role of the kidney in lipoprotein(a) catabolism" 2076: 1123: 750: 707: 4637: 3819: 3617: 3600: 3219: 2353: 2133: 2027: 1583:"Lipoprotein (a) and stroke: a meta-analysis of observational studies" 1261:
International Federation of Clinical Chemistry and Laboratory Medicine
150: 146: 142: 138: 134: 130: 126: 122: 118: 114: 110: 106: 5417: 5352: 2954: 2937: 1746: 1167: 966: 898: 664: 1246:
More recent data suggest that prior studies were underpowered. The
5528: 5523: 5518: 5480: 5475: 5435: 5282: 5277: 5272: 5163: 5122:: RECOMBINANT KRINGLE IV-10/W72R MUTANT OF HUMAN APOLIPOPROTEIN(A) 5107:: RECOMBINANT KRINGLE IV-10/M66 VARIANT OF HUMAN APOLIPOPROTEIN(A) 5077:: RECOMBINANT KRINGLE IV-10/M66 VARIANT OF HUMAN APOLIPOPROTEIN(A) 1343: 43: 39: 35: 31: 5062:: SOLUTION STRUCTURE OF HUMAN APOLIPOPROTEIN(A) KRINGLE IV TYPE 6 3793:
Cobbaert C, Mulder P, Lindemans J, Kesteloot H (September 1997).
627: 623: 5465: 5455: 5445: 5440: 5430: 4399:
Zmunda JM, Thompson PD, Dickenson R, Bausserman LL (June 1996).
4358:
Zmunda JM, Thompson PD, Dickenson R, Bausserman LL (June 1996).
2811:"Lipoprotein (a)-We Know So Much Yet Still Have Much to Learn …" 2598:"Lipoprotein(a) as a cardiovascular risk factor: current status" 1474:"Lipoprotein(a) as a cardiovascular risk factor: current status" 1315: 977: 5136: 5000: 2336:
Rader DJ, Cain W, Zech LA, Usher D, Brewer HB (February 1993).
1687:
Berg K (1963). "A new serum type system in man—the Ld system".
477: 4996: 1540:
Scandinavian Journal of Clinical and Laboratory Investigation
4975:
Overview of all the structural information available in the
980:
encoding apolipoprotein(a) was successfully cloned in 1987.
4825:
Bonen DK, Nassir F, Hausman AM, Davidson NO (August 1998).
3861:
Schmidt K, Kraft HG, Parson W, Utermann G (February 2006).
1228:
recurrent cardiovascular disease despite statin treatment
336: 4290:
Journal of Cardiovascular Pharmacology and Therapeutics
1833:"Value of Genetic Testing for Lipoprotein(a) Variants" 1342:), and proprotein convertase subtilisin/kexin type 9 ( 1314:
A meta-analysis of six clinical trials confirmed that
2938:"Plasma lipoproteins: teaching old dogmas new tricks" 458: 3601:"Lipoprotein(a) should be taken much more seriously" 2224:
Epub 2020 Oct 29. PMID: 33115266; PMCID: PMC7769893.
1279:
Very high risk: >50 mg/dL (>125 nmol/L)
1017:). These variable apo(a) sizes are known as "apo(a) 957:
have identified lipoprotein(a) as a risk factor for
27:
Low-density lipoprotein containing apolipoprotein(a)
5507: 5407: 5379: 5350: 5255: 5175: 4788:. 128 Suppl 5 (Suppl 5): S213–S256. December 2011. 3265:Albers JJ, Koschinsky ML, Marcovina SM (May 2007). 1963:Scipione CA, Koschinsky ML, Boffa MB (2018-01-02). 1467: 1465: 1463: 1461: 1459: 1457: 1270:
Desirable: <14 mg/dL (<35 nmol/L)
1071:. The structure of apolipoprotein(a) is similar to 863: 844: 820: 799: 3695:Arteriosclerosis, Thrombosis, and Vascular Biology 3501:Arteriosclerosis, Thrombosis, and Vascular Biology 3070:"A Unified Theory of Human Cardiovascular Disease" 1422: 1420: 1418: 1257:WHO Expert Committee on Biological Standardization 1222:family history of premature cardiovascular disease 283: 1969:Critical Reviews in Clinical Laboratory Sciences 3329: 3327: 3014: 3012: 2553:"Lipids, blood pressure and kidney update 2014" 2242: 2240: 1689:Acta Pathologica et Microbiologica Scandinavica 1354:determine which therapies might be beneficial. 1276:High risk: 31–50 mg/dL (75–125 nmol/L) 4401:"Testosterone decreases lipoprotein(a) in men" 4360:"Testosterone decreases lipoprotein(a) in men" 2331: 2329: 2057: 2055: 1533: 1531: 1318:supplementation modestly lowers Lp(a) levels. 1273:Borderline risk: 14–30 mg/dL (35–75 nmol/L) 1083:. Also, because Lp(a) stimulates secretion of 5148: 5012: 4717:: CS1 maint: DOI inactive as of April 2024 ( 4474:: CS1 maint: DOI inactive as of April 2024 ( 3599:Kamstrup PR, Nordestgaard BG (October 2009). 1720: 1718: 608:negative regulation of endopeptidase activity 8: 4333:Alternative Therapies in Health and Medicine 1581:Smolders B, Lemmens R, Thijs V (June 2007). 4866:Nassir F, Xie Y, Davidson NO (April 2003). 1878:Circulation. Genomic and Precision Medicine 1837:Circulation. Genomic and Precision Medicine 1427:GRCh38: Ensembl release 89: ENSG00000198670 1118:, is that Lp(a) is a primate adaptation to 613:low-density lipoprotein particle remodeling 5155: 5141: 5133: 5019: 5005: 4997: 4191:. New York: St. Martin's Griffin. p.  4144:Clinical Chemistry and Laboratory Medicine 3550:Sharpe PC, Young IS, Evans AE (May 1998). 1831:Langsted A, Nordestgaard BG (April 2022). 1326:has not been shown to reduce Lp(a), while 1248:Atherosclerosis Risk in Communities (ARIC) 638: 493: 324: 221: 95: 4968:at the U.S. National Library of Medicine 4924: 4883: 4842: 4801: 4757: 4645: 4574: 4511: 4416: 4375: 4104: 4049: 3986: 3976: 3919: 3878: 3818: 3769: 3706: 3616: 3575: 3512: 3457: 3282: 3227: 3143: 3133: 3044: 2953: 2834: 2815:Journal of the American Heart Association 2771: 2686: 2676: 2621: 2572: 2361: 2309: 2186: 2035: 1899: 1889: 1848: 1807: 1649: 1639: 1598: 1497: 972:Lipoprotein(a) was discovered in 1963 by 3419:10.1016/j.atherosclerosissup.2015.02.008 5034: 4185:Ryan, George M, Julius Torelli (2005). 3902:Dahlén GH, Ekstedt B (September 2001). 1414: 184:, AK38, APOA, LP, Lipoprotein(a), Lp(a) 4940: 4710: 4661: 4590: 4527: 4467: 4120: 4065: 4002: 3730: 3667: 3528: 3473: 3243: 2787: 2637: 2292:White AL, Lanford RE (November 1994). 2202: 2147: 2098: 1915: 1768: 1665: 1513: 50: 3208:The Journal of Clinical Investigation 2494:10.1016/j.atherosclerosis.2018.05.029 2342:The Journal of Clinical Investigation 2016:The Journal of Clinical Investigation 288: 247: 242: 7: 4738:Journal of Lipid and Atherosclerosis 1147:High Lp(a) in blood correlates with 1067:Lp(a) contributes to the process of 949:variant containing a protein called 4913:The Journal of Biological Chemistry 3336:International Journal of Cardiology 3122:The Journal of Biological Chemistry 2760:The New England Journal of Medicine 2665:The Journal of Biological Chemistry 2298:The Journal of Biological Chemistry 2175:The Journal of Biological Chemistry 1796:The Journal of Biological Chemistry 1050:Atherosclerosis Risk in Communities 4947:: CS1 maint: overridden setting ( 4668:: CS1 maint: overridden setting ( 4597:: CS1 maint: overridden setting ( 4534:: CS1 maint: overridden setting ( 4405:The American Journal of Cardiology 4364:The American Journal of Cardiology 4127:: CS1 maint: overridden setting ( 4072:: CS1 maint: overridden setting ( 4009:: CS1 maint: overridden setting ( 3867:European Journal of Human Genetics 3737:: CS1 maint: overridden setting ( 3674:: CS1 maint: overridden setting ( 3535:: CS1 maint: overridden setting ( 3480:: CS1 maint: overridden setting ( 3310:. Abigon Press. pp. 182–183. 3250:: CS1 maint: overridden setting ( 3077:Journal of Orthomolecular Medicine 3037:10.1002/j.1460-2075.1989.tb08586.x 2794:: CS1 maint: overridden setting ( 2644:: CS1 maint: overridden setting ( 2209:: CS1 maint: overridden setting ( 2154:: CS1 maint: overridden setting ( 2105:: CS1 maint: overridden setting ( 1944:. Hugo Gene Nomenclature Committee 1922:: CS1 maint: overridden setting ( 1775:: CS1 maint: overridden setting ( 1701:10.1111/j.1699-0463.1963.tb01808.x 1672:: CS1 maint: overridden setting ( 1520:: CS1 maint: overridden setting ( 1114:Another possibility, suggested by 860: 841: 817: 796: 774: 755: 731: 712: 688: 669: 536:serine-type endopeptidase activity 463: 424: 362: 341: 25: 4042:10.1161/CIRCULATIONAHA.111.045120 2989:. 11 Suppl E (Suppl E): 184–189. 2249:Molecular Genetics and Metabolism 5246: 5112: 5097: 5082: 5067: 5052: 5037: 4732:Kim KA, Park HJ (January 2023). 3921:10.1046/j.1365-2796.2001.00889.x 3799:Journal of Clinical Epidemiology 2995:10.1093/eurheartj/11.suppl_e.184 2434:10.1097/00041433-200404000-00009 2399:10.1097/00041433-199906000-00010 1628:European Journal of Epidemiology 1225:family history of elevated Lp(a) 1216:premature cardiovascular disease 526:endopeptidase inhibitor activity 467: 272: 265: 259: 234: 59: 4504:10.1016/j.maturitas.2017.02.009 4270:from the original on 2024-05-26 3843:from the original on 2024-06-11 3098:from the original on 2018-12-26 2936:Brown MS, Goldstein JL (1987). 988:Lipoprotein(a) consists of an 2530:10.1016/j.thromres.2018.07.002 1351:American Academy of Pediatrics 1219:familial hypercholesterolaemia 961:and related diseases, such as 541:serine-type peptidase activity 478:More reference expression data 447:More reference expression data 402:olfactory zone of nasal mucosa 1: 4844:10.1016/S0022-2275(20)32192-1 4685:Current Pharmaceutical Design 4442:Current Pharmaceutical Design 4418:10.1016/S0002-9149(96)00174-9 4377:10.1016/S0002-9149(96)00174-9 3811:10.1016/S0895-4356(97)00129-7 3771:10.1016/S0022-2275(20)41895-4 3654:10.1016/S0021-9150(97)00071-3 3384:10.1016/j.metabol.2016.08.007 2895:Current Opinion in Lipidology 2860:Current Vascular Pharmacology 2422:Current Opinion in Lipidology 2387:Current Opinion in Lipidology 2311:10.1016/S0021-9258(19)61964-2 1981:10.1080/10408363.2017.1415866 1334:oligonucleopeptides (such as 257: 3978:10.1371/journal.pone.0016604 3908:Journal of Internal Medicine 3407:Atherosclerosis. Supplements 3348:10.1016/j.ijcard.2011.09.060 3181:10.1016/0021-9150(91)90025-X 2907:10.1097/MOL.0b013e328308b622 1600:10.1161/STROKEAHA.106.480657 1552:10.3109/00365513.2010.550311 1398:Very-low-density lipoprotein 1077:tissue plasminogen activator 5550:Genes on human chromosome 6 4989:(Apolipoprotein(a)) at the 4106:10.1093/clinchem/46.12.1956 572:plasma lipoprotein particle 5586: 4885:10.1194/jlr.M200451-JLR200 4697:10.2174/138161211795428777 4454:10.2174/138161211795428777 3068:Pauling L, Rath M (1992). 2872:10.2174/157016111797484071 2713:Thrombosis and Haemostasis 2565:10.1016/j.phrs.2015.03.009 1891:10.1161/CIRCGEN.121.003489 1850:10.1161/CIRCGEN.122.003737 1641:10.1007/s10654-022-00956-4 1060:Lp(a) is assembled at the 29: 5244: 5032: 4872:Journal of Lipid Research 4831:Journal of Lipid Research 4750:10.12997/jla.2023.12.1.37 4567:10.1007/s40265-017-0767-4 3758:Journal of Lipid Research 3708:10.1161/01.ATV.20.12.2619 3568:10.1136/bmj.316.7145.1675 3459:10.1182/blood.V98.10.2980 1444:"Human PubMed Reference:" 932: 927: 923: 916: 897: 886:Chr 6: 160.53 – 160.66 Mb 880: 867: 848: 837: 824: 803: 792: 781: 777: 762: 758: 749: 738: 734: 719: 715: 706: 695: 691: 676: 672: 663: 648: 641: 637: 621: 496: 492: 475: 466: 457: 444: 431: 427: 374: 365: 335: 327: 323: 306: 293: 256: 233: 224: 220: 191: 188: 178: 171: 166: 103: 98: 81: 76: 71: 67: 58: 53: 4970:Medical Subject Headings 4302:10.1177/1074248413514481 3514:10.1161/01.ATV.19.5.1250 3306:Christian Wilde (2003). 2614:10.1093/eurheartj/ehq386 2557:Pharmacological Research 2188:10.1074/jbc.271.50.32403 1809:10.1074/jbc.272.48.30387 1490:10.1093/eurheartj/ehq386 1362:Lp(a) has been shown to 1239:risk parameter as well. 1134:Catabolism and clearance 1094:Moreover, Lp(a) carries 5381:Lipid transfer proteins 4794:10.1542/peds.2009-2107C 4699:(inactive 2024-04-11). 4456:(inactive 2024-04-11). 3880:10.1038/sj.ejhg.5201512 3135:10.1074/jbc.M114.611988 2827:10.1161/JAHA.116.003597 2809:Banach M (April 2016). 2678:10.1074/jbc.M114.611988 1938:"Symbol report for LPA" 1403:Combined hyperlipidemia 1266:Lipoprotein(a) - Lp(a) 1120:L-gulonolactone oxidase 955:epidemiological studies 947:low-density lipoprotein 5409:Cell surface receptors 4926:10.1074/jbc.M003640200 3605:Biomarkers in Medicine 2987:European Heart Journal 2602:European Heart Journal 2261:10.1006/mgme.1999.2956 1478:European Heart Journal 1206:cardiovascular disease 1153:cardiovascular disease 1149:coronary heart disease 1056:Function and pathology 963:coronary heart disease 516:apolipoprotein binding 82:Human UniProt search: 4156:10.1515/CCLM.2004.114 3284:10.1038/sj.ki.5002240 1376:fibrinogen beta chain 1031:endoplasmic reticulum 394:palpebral conjunctiva 5511:cassette transporter 3271:Kidney International 2773:10.1056/NEJMoa043175 2725:10.1160/TH04-01-0006 1284:assessment of risk. 1100:extracellular matrix 567:extracellular region 250:Chromosome 6 (human) 99:List of PDB id codes 72:Available structures 5238:Remnant cholesterol 5170:particle metabolism 4919:(49): 38206–38212. 4630:2016NatSR...619188S 3969:2011PLoSO...616604D 3128:(18): 11649–11662. 2671:(18): 11649–11662. 2518:Thrombosis Research 2304:(46): 28716–28723. 2181:(50): 32403–32410. 1802:(48): 30387–30399. 1739:1987Natur.330..132M 1174:may be of benefit. 511:fibronectin binding 382:right lobe of liver 4618:Scientific Reports 4230:10.1007/BF00288277 4093:Clinical Chemistry 2559:. 95–96: 111–125. 2077:10.1007/BF00201550 1200:Diagnostic testing 1008:IV repeats in the 581:Biological process 560:Cellular component 551:hydrolase activity 521:peptidase activity 504:Molecular function 5537: 5536: 5130: 5129: 4638:10.1038/srep19188 4561:(11): 1187–1197. 4411:(14): 1244–1247. 4370:(14): 1244–1247. 4202:978-0-312-34863-2 4099:(12): 1956–1967. 3764:(12): 1919–1928. 3701:(12): 2619–2624. 3618:10.2217/bmm.09.57 3452:(10): 2980–2987. 3378:(11): 1664–1678. 3317:978-0-9724959-0-5 3220:10.1172/JCI117794 3031:(13): 4035–4040. 2948:(6144): 113–114. 2608:(23): 2844–2853. 2354:10.1172/JCI116221 2134:10.1021/bi972761t 2128:(16): 5417–5425. 2028:10.1172/JCI113093 1733:(6144): 132–137. 1484:(23): 2844–2853. 1108:old world monkeys 951:apolipoprotein(a) 940: 939: 936: 935: 912: 911: 876: 875: 857: 856: 833: 832: 814: 813: 788: 787: 771: 770: 745: 744: 728: 727: 702: 701: 685: 684: 633: 632: 593:blood circulation 488: 487: 484: 483: 453: 452: 440: 439: 421: 420: 398:prefrontal cortex 319: 318: 162: 161: 158: 157: 16:(Redirected from 5577: 5250: 5179:particle classes 5157: 5150: 5143: 5134: 5116: 5101: 5086: 5071: 5056: 5041: 5021: 5014: 5007: 4998: 4953: 4952: 4946: 4938: 4928: 4904: 4898: 4897: 4887: 4863: 4857: 4856: 4846: 4837:(8): 1629–1640. 4822: 4816: 4815: 4805: 4778: 4772: 4771: 4761: 4729: 4723: 4722: 4716: 4708: 4680: 4674: 4673: 4667: 4659: 4649: 4609: 4603: 4602: 4596: 4588: 4578: 4546: 4540: 4539: 4533: 4525: 4515: 4486: 4480: 4479: 4473: 4465: 4437: 4431: 4430: 4420: 4396: 4390: 4389: 4379: 4355: 4349: 4348: 4328: 4322: 4321: 4285: 4279: 4278: 4276: 4275: 4256: 4250: 4249: 4213: 4207: 4206: 4182: 4176: 4175: 4139: 4133: 4132: 4126: 4118: 4108: 4084: 4078: 4077: 4071: 4063: 4053: 4021: 4015: 4014: 4008: 4000: 3990: 3980: 3948: 3942: 3941: 3923: 3899: 3893: 3892: 3882: 3858: 3852: 3851: 3849: 3848: 3822: 3805:(9): 1045–1053. 3790: 3784: 3783: 3773: 3749: 3743: 3742: 3736: 3728: 3710: 3686: 3680: 3679: 3673: 3665: 3637: 3631: 3630: 3620: 3596: 3590: 3589: 3579: 3547: 3541: 3540: 3534: 3526: 3516: 3507:(5): 1250–1256. 3492: 3486: 3485: 3479: 3471: 3461: 3437: 3431: 3430: 3402: 3396: 3395: 3366: 3360: 3359: 3331: 3322: 3321: 3303: 3297: 3296: 3286: 3262: 3256: 3255: 3249: 3241: 3231: 3214:(3): 1403–1408. 3199: 3193: 3192: 3175:(2–3): 227–237. 3164: 3158: 3157: 3147: 3137: 3113: 3107: 3106: 3104: 3103: 3097: 3074: 3065: 3059: 3058: 3048: 3025:The EMBO Journal 3016: 3007: 3006: 2982: 2976: 2975: 2957: 2955:10.1038/330113a0 2933: 2927: 2926: 2890: 2884: 2883: 2855: 2849: 2848: 2838: 2806: 2800: 2799: 2793: 2785: 2775: 2751: 2745: 2744: 2707: 2701: 2700: 2690: 2680: 2656: 2650: 2649: 2643: 2635: 2625: 2593: 2587: 2586: 2576: 2548: 2542: 2541: 2512: 2506: 2505: 2460: 2454: 2453: 2417: 2411: 2410: 2382: 2376: 2375: 2365: 2333: 2324: 2323: 2313: 2289: 2283: 2279: 2273: 2272: 2244: 2235: 2231: 2225: 2221: 2215: 2214: 2208: 2200: 2190: 2166: 2160: 2159: 2153: 2145: 2117: 2111: 2110: 2104: 2096: 2059: 2050: 2049: 2039: 2007: 2001: 2000: 1960: 1954: 1953: 1951: 1949: 1934: 1928: 1927: 1921: 1913: 1903: 1893: 1869: 1863: 1862: 1852: 1828: 1822: 1821: 1811: 1787: 1781: 1780: 1774: 1766: 1747:10.1038/330132a0 1722: 1713: 1712: 1684: 1678: 1677: 1671: 1663: 1653: 1643: 1619: 1613: 1612: 1602: 1593:(6): 1959–1966. 1578: 1572: 1571: 1535: 1526: 1525: 1519: 1511: 1501: 1469: 1452: 1451: 1440: 1434: 1424: 1000:gene located on 925: 924: 908: 893: 888: 871: 861: 852: 842: 838:RefSeq (protein) 828: 818: 809: 797: 775: 756: 732: 713: 689: 670: 639: 603:lipid metabolism 494: 480: 471: 464: 449: 425: 406:body of pancreas 370: 368:Top expressed in 363: 342: 325: 315: 302: 291: 276: 269: 263: 252: 238: 222: 216: 183: 176: 153: 96: 90: 69: 68: 63: 51: 21: 5585: 5584: 5580: 5579: 5578: 5576: 5575: 5574: 5565:Lipid disorders 5560:Apolipoproteins 5540: 5539: 5538: 5533: 5510: 5503: 5403: 5375: 5346: 5257:Apolipoproteins 5251: 5242: 5180: 5171: 5161: 5131: 5126: 5123: 5117: 5108: 5102: 5093: 5087: 5078: 5072: 5063: 5057: 5048: 5042: 5028: 5025: 4962: 4957: 4956: 4939: 4906: 4905: 4901: 4865: 4864: 4860: 4824: 4823: 4819: 4780: 4779: 4775: 4731: 4730: 4726: 4709: 4682: 4681: 4677: 4660: 4611: 4610: 4606: 4589: 4548: 4547: 4543: 4526: 4488: 4487: 4483: 4466: 4439: 4438: 4434: 4398: 4397: 4393: 4357: 4356: 4352: 4330: 4329: 4325: 4287: 4286: 4282: 4273: 4271: 4258: 4257: 4253: 4215: 4214: 4210: 4203: 4184: 4183: 4179: 4141: 4140: 4136: 4119: 4086: 4085: 4081: 4064: 4023: 4022: 4018: 4001: 3950: 3949: 3945: 3901: 3900: 3896: 3860: 3859: 3855: 3846: 3844: 3792: 3791: 3787: 3751: 3750: 3746: 3729: 3688: 3687: 3683: 3666: 3642:Atherosclerosis 3639: 3638: 3634: 3598: 3597: 3593: 3549: 3548: 3544: 3527: 3494: 3493: 3489: 3472: 3439: 3438: 3434: 3404: 3403: 3399: 3368: 3367: 3363: 3333: 3332: 3325: 3318: 3305: 3304: 3300: 3277:(10): 961–962. 3264: 3263: 3259: 3242: 3201: 3200: 3196: 3169:Atherosclerosis 3166: 3165: 3161: 3115: 3114: 3110: 3101: 3099: 3095: 3072: 3067: 3066: 3062: 3018: 3017: 3010: 2984: 2983: 2979: 2935: 2934: 2930: 2892: 2891: 2887: 2857: 2856: 2852: 2808: 2807: 2803: 2786: 2753: 2752: 2748: 2709: 2708: 2704: 2658: 2657: 2653: 2636: 2595: 2594: 2590: 2550: 2549: 2545: 2514: 2513: 2509: 2482:Atherosclerosis 2479: 2475: 2471: 2467: 2462: 2461: 2457: 2419: 2418: 2414: 2384: 2383: 2379: 2335: 2334: 2327: 2291: 2290: 2286: 2280: 2276: 2246: 2245: 2238: 2232: 2228: 2222: 2218: 2201: 2168: 2167: 2163: 2146: 2119: 2118: 2114: 2097: 2061: 2060: 2053: 2009: 2008: 2004: 1962: 1961: 1957: 1947: 1945: 1936: 1935: 1931: 1914: 1871: 1870: 1866: 1830: 1829: 1825: 1789: 1788: 1784: 1767: 1724: 1723: 1716: 1686: 1685: 1681: 1664: 1621: 1620: 1616: 1580: 1579: 1575: 1537: 1536: 1529: 1512: 1471: 1470: 1455: 1442: 1441: 1437: 1425: 1416: 1411: 1384: 1360: 1298: 1202: 1183: 1157:atherosclerosis 1145: 1136: 1096:atherosclerosis 1058: 1039: 1027:intracellularly 986: 959:atherosclerosis 929:View/Edit Human 906: 891: 884: 881:Location (UCSC) 869: 850: 826: 805: 722:ENSG00000198670 617: 588:lipid transport 576: 555: 546:protein binding 531:heparin binding 476: 445: 436: 417: 414:urinary bladder 412: 408: 404: 400: 396: 392: 388: 384: 380: 366: 310: 297: 289: 279: 278: 277: 270: 248: 225:Gene location ( 214:LPA - orthologs 192: 179: 172: 105: 83: 47: 28: 23: 22: 18:Lipoprotein (a) 15: 12: 11: 5: 5583: 5581: 5573: 5572: 5567: 5562: 5557: 5552: 5542: 5541: 5535: 5534: 5532: 5531: 5526: 5521: 5515: 5513: 5505: 5504: 5502: 5501: 5496: 5490: 5489: 5488: 5483: 5478: 5473: 5468: 5463: 5458: 5453: 5448: 5443: 5438: 5433: 5421: 5420: 5413: 5411: 5405: 5404: 5402: 5401: 5396: 5391: 5385: 5383: 5377: 5376: 5374: 5373: 5368: 5363: 5357: 5355: 5351:Extracellular 5348: 5347: 5345: 5344: 5343: 5342: 5332: 5327: 5322: 5317: 5316: 5315: 5310: 5305: 5300: 5292: 5287: 5286: 5285: 5280: 5275: 5270: 5261: 5259: 5253: 5252: 5245: 5243: 5241: 5240: 5235: 5230: 5225: 5222: 5219: 5214: 5200: 5195: 5184: 5182: 5181:and subclasses 5173: 5172: 5162: 5160: 5159: 5152: 5145: 5137: 5128: 5127: 5125: 5124: 5118: 5111: 5109: 5103: 5096: 5094: 5088: 5081: 5079: 5073: 5066: 5064: 5058: 5051: 5049: 5043: 5036: 5033: 5030: 5029: 5026: 5024: 5023: 5016: 5009: 5001: 4995: 4994: 4973: 4966:Lipoprotein(a) 4961: 4960:External links 4958: 4955: 4954: 4899: 4878:(4): 816–827. 4858: 4817: 4773: 4724: 4691:(9): 871–876. 4675: 4604: 4541: 4481: 4448:(9): 871–876. 4432: 4391: 4350: 4323: 4296:(2): 141–158. 4280: 4266:. 2024-05-22. 4251: 4218:Human Genetics 4208: 4201: 4177: 4150:(6): 670–676. 4134: 4079: 4036:(2): 241–249. 4016: 3943: 3914:(3): 265–267. 3894: 3873:(2): 190–201. 3853: 3785: 3744: 3681: 3632: 3611:(5): 439–441. 3591: 3562:(7145): 1675. 3542: 3487: 3432: 3397: 3361: 3342:(2): 183–186. 3323: 3316: 3298: 3257: 3194: 3159: 3108: 3060: 3008: 2977: 2928: 2901:(4): 369–377. 2885: 2866:(6): 682–692. 2850: 2821:(4): e003597. 2801: 2746: 2719:(3): 495–502. 2702: 2651: 2588: 2543: 2507: 2477: 2473: 2469: 2465: 2455: 2428:(2): 167–174. 2412: 2393:(3): 275–283. 2377: 2348:(2): 443–447. 2325: 2284: 2274: 2255:(2): 165–167. 2236: 2226: 2216: 2161: 2112: 2071:(6): 607–614. 2065:Human Genetics 2051: 2022:(2): 458–465. 2002: 1955: 1929: 1884:(2): e003489. 1864: 1843:(2): e003737. 1823: 1782: 1714: 1695:(3): 369–382. 1679: 1634:(5): 485–499. 1614: 1573: 1527: 1453: 1435: 1413: 1412: 1410: 1407: 1406: 1405: 1400: 1395: 1393:Apolipoprotein 1390: 1383: 1380: 1359: 1356: 1346:) inhibitors. 1297: 1294: 1281: 1280: 1277: 1274: 1271: 1236: 1235: 1232: 1229: 1226: 1223: 1220: 1217: 1201: 1198: 1181: 1144: 1141: 1135: 1132: 1089:thrombogenesis 1087:, it leads to 1057: 1054: 1038: 1035: 985: 982: 953:. Genetic and 943:Lipoprotein(a) 938: 937: 934: 933: 931: 921: 920: 914: 913: 910: 909: 904: 902: 895: 894: 889: 882: 878: 877: 874: 873: 865: 864: 858: 855: 854: 846: 845: 839: 835: 834: 831: 830: 822: 821: 815: 812: 811: 801: 800: 794: 790: 789: 786: 785: 779: 778: 772: 769: 768: 760: 759: 753: 747: 746: 743: 742: 736: 735: 729: 726: 725: 717: 716: 710: 704: 703: 700: 699: 693: 692: 686: 683: 682: 674: 673: 667: 661: 660: 655: 650: 646: 645: 635: 634: 631: 630: 619: 618: 616: 615: 610: 605: 600: 595: 590: 584: 582: 578: 577: 575: 574: 569: 563: 561: 557: 556: 554: 553: 548: 543: 538: 533: 528: 523: 518: 513: 507: 505: 501: 500: 490: 489: 486: 485: 482: 481: 473: 472: 461: 455: 454: 451: 450: 442: 441: 438: 437: 435: 432: 429: 428: 422: 419: 418: 416: 415: 411: 407: 403: 399: 395: 391: 387: 383: 379: 375: 372: 371: 359: 358: 350: 339: 333: 332: 329:RNA expression 321: 320: 317: 316: 308: 304: 303: 295: 292: 287: 281: 280: 271: 264: 258: 254: 253: 246: 240: 239: 231: 230: 218: 217: 190: 186: 185: 177: 169: 168: 164: 163: 160: 159: 156: 155: 101: 100: 92: 91: 80: 74: 73: 65: 64: 56: 55: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 5582: 5571: 5568: 5566: 5563: 5561: 5558: 5556: 5553: 5551: 5548: 5547: 5545: 5530: 5527: 5525: 5522: 5520: 5517: 5516: 5514: 5512: 5506: 5500: 5497: 5495: 5491: 5487: 5484: 5482: 5479: 5477: 5474: 5472: 5469: 5467: 5464: 5462: 5459: 5457: 5454: 5452: 5449: 5447: 5444: 5442: 5439: 5437: 5434: 5432: 5429: 5428: 5427: 5423: 5422: 5419: 5415: 5414: 5412: 5410: 5406: 5400: 5397: 5395: 5392: 5390: 5387: 5386: 5384: 5382: 5378: 5372: 5369: 5367: 5364: 5362: 5359: 5358: 5356: 5354: 5349: 5341: 5338: 5337: 5336: 5333: 5331: 5328: 5326: 5323: 5321: 5318: 5314: 5311: 5309: 5306: 5304: 5301: 5299: 5296: 5295: 5293: 5291: 5288: 5284: 5281: 5279: 5276: 5274: 5271: 5269: 5266: 5265: 5263: 5262: 5260: 5258: 5254: 5249: 5239: 5236: 5234: 5231: 5229: 5226: 5223: 5220: 5218: 5215: 5213: 5209: 5205: 5201: 5199: 5196: 5194: 5190: 5186: 5185: 5183: 5178: 5174: 5169: 5165: 5158: 5153: 5151: 5146: 5144: 5139: 5138: 5135: 5121: 5115: 5110: 5106: 5100: 5095: 5091: 5085: 5080: 5076: 5070: 5065: 5061: 5055: 5050: 5046: 5040: 5035: 5031: 5022: 5017: 5015: 5010: 5008: 5003: 5002: 4999: 4992: 4988: 4987: 4982: 4978: 4974: 4971: 4967: 4964: 4963: 4959: 4950: 4944: 4936: 4932: 4927: 4922: 4918: 4914: 4910: 4903: 4900: 4895: 4891: 4886: 4881: 4877: 4873: 4869: 4862: 4859: 4854: 4850: 4845: 4840: 4836: 4832: 4828: 4821: 4818: 4813: 4809: 4804: 4799: 4795: 4791: 4787: 4783: 4777: 4774: 4769: 4765: 4760: 4755: 4751: 4747: 4743: 4739: 4735: 4728: 4725: 4720: 4714: 4706: 4702: 4698: 4694: 4690: 4686: 4679: 4676: 4671: 4665: 4657: 4653: 4648: 4643: 4639: 4635: 4631: 4627: 4623: 4619: 4615: 4608: 4605: 4600: 4594: 4586: 4582: 4577: 4572: 4568: 4564: 4560: 4556: 4552: 4545: 4542: 4537: 4531: 4523: 4519: 4514: 4513:10044/1/48763 4509: 4505: 4501: 4497: 4493: 4485: 4482: 4477: 4471: 4463: 4459: 4455: 4451: 4447: 4443: 4436: 4433: 4428: 4424: 4419: 4414: 4410: 4406: 4402: 4395: 4392: 4387: 4383: 4378: 4373: 4369: 4365: 4361: 4354: 4351: 4346: 4342: 4338: 4334: 4327: 4324: 4319: 4315: 4311: 4307: 4303: 4299: 4295: 4291: 4284: 4281: 4269: 4265: 4261: 4255: 4252: 4247: 4243: 4239: 4235: 4231: 4227: 4223: 4219: 4212: 4209: 4204: 4198: 4194: 4190: 4189: 4181: 4178: 4173: 4169: 4165: 4161: 4157: 4153: 4149: 4145: 4138: 4135: 4130: 4124: 4116: 4112: 4107: 4102: 4098: 4094: 4090: 4083: 4080: 4075: 4069: 4061: 4057: 4052: 4047: 4043: 4039: 4035: 4031: 4027: 4020: 4017: 4012: 4006: 3998: 3994: 3989: 3984: 3979: 3974: 3970: 3966: 3963:(1): e16604. 3962: 3958: 3954: 3947: 3944: 3939: 3935: 3931: 3927: 3922: 3917: 3913: 3909: 3905: 3898: 3895: 3890: 3886: 3881: 3876: 3872: 3868: 3864: 3857: 3854: 3842: 3838: 3834: 3830: 3826: 3821: 3816: 3812: 3808: 3804: 3800: 3796: 3789: 3786: 3781: 3777: 3772: 3767: 3763: 3759: 3755: 3748: 3745: 3740: 3734: 3726: 3722: 3718: 3714: 3709: 3704: 3700: 3696: 3692: 3685: 3682: 3677: 3671: 3663: 3659: 3655: 3651: 3647: 3643: 3636: 3633: 3628: 3624: 3619: 3614: 3610: 3606: 3602: 3595: 3592: 3587: 3583: 3578: 3573: 3569: 3565: 3561: 3557: 3553: 3546: 3543: 3538: 3532: 3524: 3520: 3515: 3510: 3506: 3502: 3498: 3491: 3488: 3483: 3477: 3469: 3465: 3460: 3455: 3451: 3447: 3443: 3436: 3433: 3428: 3424: 3420: 3416: 3412: 3408: 3401: 3398: 3393: 3389: 3385: 3381: 3377: 3373: 3365: 3362: 3357: 3353: 3349: 3345: 3341: 3337: 3330: 3328: 3324: 3319: 3313: 3309: 3302: 3299: 3294: 3290: 3285: 3280: 3276: 3272: 3268: 3261: 3258: 3253: 3247: 3239: 3235: 3230: 3225: 3221: 3217: 3213: 3209: 3205: 3198: 3195: 3190: 3186: 3182: 3178: 3174: 3170: 3163: 3160: 3155: 3151: 3146: 3141: 3136: 3131: 3127: 3123: 3119: 3112: 3109: 3094: 3090: 3086: 3082: 3078: 3071: 3064: 3061: 3056: 3052: 3047: 3042: 3038: 3034: 3030: 3026: 3022: 3015: 3013: 3009: 3004: 3000: 2996: 2992: 2988: 2981: 2978: 2973: 2969: 2965: 2961: 2956: 2951: 2947: 2943: 2939: 2932: 2929: 2924: 2920: 2916: 2912: 2908: 2904: 2900: 2896: 2889: 2886: 2881: 2877: 2873: 2869: 2865: 2861: 2854: 2851: 2846: 2842: 2837: 2832: 2828: 2824: 2820: 2816: 2812: 2805: 2802: 2797: 2791: 2783: 2779: 2774: 2769: 2765: 2761: 2757: 2750: 2747: 2742: 2738: 2734: 2730: 2726: 2722: 2718: 2714: 2706: 2703: 2698: 2694: 2689: 2684: 2679: 2674: 2670: 2666: 2662: 2655: 2652: 2647: 2641: 2633: 2629: 2624: 2619: 2615: 2611: 2607: 2603: 2599: 2592: 2589: 2584: 2580: 2575: 2570: 2566: 2562: 2558: 2554: 2547: 2544: 2539: 2535: 2531: 2527: 2523: 2519: 2511: 2508: 2503: 2499: 2495: 2491: 2487: 2483: 2459: 2456: 2451: 2447: 2443: 2439: 2435: 2431: 2427: 2423: 2416: 2413: 2408: 2404: 2400: 2396: 2392: 2388: 2381: 2378: 2373: 2369: 2364: 2359: 2355: 2351: 2347: 2343: 2339: 2332: 2330: 2326: 2321: 2317: 2312: 2307: 2303: 2299: 2295: 2288: 2285: 2278: 2275: 2270: 2266: 2262: 2258: 2254: 2250: 2243: 2241: 2237: 2230: 2227: 2220: 2217: 2212: 2206: 2198: 2194: 2189: 2184: 2180: 2176: 2172: 2165: 2162: 2157: 2151: 2143: 2139: 2135: 2131: 2127: 2123: 2116: 2113: 2108: 2102: 2094: 2090: 2086: 2082: 2078: 2074: 2070: 2066: 2058: 2056: 2052: 2047: 2043: 2038: 2033: 2029: 2025: 2021: 2017: 2013: 2006: 2003: 1998: 1994: 1990: 1986: 1982: 1978: 1974: 1970: 1966: 1959: 1956: 1943: 1939: 1933: 1930: 1925: 1919: 1911: 1907: 1902: 1897: 1892: 1887: 1883: 1879: 1875: 1868: 1865: 1860: 1856: 1851: 1846: 1842: 1838: 1834: 1827: 1824: 1819: 1815: 1810: 1805: 1801: 1797: 1793: 1786: 1783: 1778: 1772: 1764: 1760: 1756: 1752: 1748: 1744: 1740: 1736: 1732: 1728: 1721: 1719: 1715: 1710: 1706: 1702: 1698: 1694: 1690: 1683: 1680: 1675: 1669: 1661: 1657: 1652: 1647: 1642: 1637: 1633: 1629: 1625: 1618: 1615: 1610: 1606: 1601: 1596: 1592: 1588: 1584: 1577: 1574: 1569: 1565: 1561: 1557: 1553: 1549: 1545: 1541: 1534: 1532: 1528: 1523: 1517: 1509: 1505: 1500: 1495: 1491: 1487: 1483: 1479: 1475: 1468: 1466: 1464: 1462: 1460: 1458: 1454: 1449: 1445: 1439: 1436: 1432: 1428: 1423: 1421: 1419: 1415: 1408: 1404: 1401: 1399: 1396: 1394: 1391: 1389: 1386: 1385: 1381: 1379: 1377: 1373: 1369: 1365: 1357: 1355: 1352: 1347: 1345: 1341: 1337: 1331: 1329: 1325: 1319: 1317: 1312: 1310: 1309:LDL apheresis 1305: 1303: 1295: 1293: 1290: 1285: 1278: 1275: 1272: 1269: 1268: 1267: 1264: 1262: 1258: 1252: 1249: 1244: 1240: 1233: 1230: 1227: 1224: 1221: 1218: 1215: 1214: 1213: 1209: 1207: 1199: 1197: 1193: 1191: 1190:smooth muscle 1185: 1179: 1175: 1173: 1169: 1164: 1162: 1158: 1154: 1150: 1142: 1140: 1133: 1131: 1129: 1128:ascorbic acid 1125: 1121: 1117: 1116:Linus Pauling 1112: 1109: 1103: 1101: 1097: 1092: 1090: 1086: 1082: 1078: 1074: 1070: 1069:atherogenesis 1065: 1063: 1055: 1053: 1051: 1046: 1043: 1036: 1034: 1032: 1028: 1022: 1020: 1016: 1011: 1007: 1003: 1002:chromosome 6q 999: 995: 991: 983: 981: 979: 975: 970: 968: 964: 960: 956: 952: 948: 944: 930: 926: 922: 919: 915: 905: 903: 900: 896: 890: 887: 883: 879: 872: 866: 862: 859: 853: 847: 843: 840: 836: 829: 823: 819: 816: 810: 808: 802: 798: 795: 793:RefSeq (mRNA) 791: 784: 780: 776: 773: 767: 766: 761: 757: 754: 752: 748: 741: 737: 733: 730: 724: 723: 718: 714: 711: 709: 705: 698: 694: 690: 687: 681: 680: 675: 671: 668: 666: 662: 659: 656: 654: 651: 647: 644: 640: 636: 629: 625: 620: 614: 611: 609: 606: 604: 601: 599: 596: 594: 591: 589: 586: 585: 583: 580: 579: 573: 570: 568: 565: 564: 562: 559: 558: 552: 549: 547: 544: 542: 539: 537: 534: 532: 529: 527: 524: 522: 519: 517: 514: 512: 509: 508: 506: 503: 502: 499: 498:Gene ontology 495: 491: 479: 474: 470: 465: 462: 460: 456: 448: 443: 433: 430: 426: 423: 413: 409: 405: 401: 397: 393: 389: 385: 381: 377: 376: 373: 369: 364: 361: 360: 357: 355: 351: 349: 348: 344: 343: 340: 338: 334: 330: 326: 322: 314: 309: 305: 301: 296: 286: 282: 275: 268: 262: 255: 251: 245: 241: 237: 232: 228: 223: 219: 215: 211: 207: 203: 199: 195: 187: 182: 175: 170: 165: 154: 152: 148: 144: 140: 136: 132: 128: 124: 120: 116: 112: 108: 102: 97: 94: 93: 89: 86: 79: 75: 70: 66: 62: 57: 52: 49: 45: 41: 37: 33: 19: 5555:Lipoproteins 5509:ATP-binding 5227: 5202:delivery of 5187:delivery of 5119: 5104: 5089: 5074: 5059: 5044: 4984: 4943:cite journal 4916: 4912: 4902: 4875: 4871: 4861: 4834: 4830: 4820: 4785: 4776: 4744:(1): 37–46. 4741: 4737: 4727: 4713:cite journal 4688: 4684: 4678: 4664:cite journal 4621: 4617: 4607: 4593:cite journal 4558: 4554: 4544: 4530:cite journal 4495: 4491: 4484: 4470:cite journal 4445: 4441: 4435: 4408: 4404: 4394: 4367: 4363: 4353: 4339:(3): 50–53. 4336: 4332: 4326: 4293: 4289: 4283: 4272:. Retrieved 4263: 4254: 4224:(1): 73–78. 4221: 4217: 4211: 4187: 4180: 4147: 4143: 4137: 4123:cite journal 4096: 4092: 4082: 4068:cite journal 4033: 4029: 4019: 4005:cite journal 3960: 3956: 3946: 3911: 3907: 3897: 3870: 3866: 3856: 3845:. Retrieved 3802: 3798: 3788: 3761: 3757: 3747: 3733:cite journal 3698: 3694: 3684: 3670:cite journal 3648:(1): 77–84. 3645: 3641: 3635: 3608: 3604: 3594: 3559: 3555: 3545: 3531:cite journal 3504: 3500: 3490: 3476:cite journal 3449: 3445: 3435: 3410: 3406: 3400: 3375: 3371: 3364: 3339: 3335: 3307: 3301: 3274: 3270: 3260: 3246:cite journal 3211: 3207: 3197: 3172: 3168: 3162: 3125: 3121: 3111: 3100:. Retrieved 3080: 3076: 3063: 3028: 3024: 2986: 2980: 2945: 2941: 2931: 2898: 2894: 2888: 2863: 2859: 2853: 2818: 2814: 2804: 2790:cite journal 2766:(1): 46–57. 2763: 2759: 2749: 2716: 2712: 2705: 2668: 2664: 2654: 2640:cite journal 2605: 2601: 2591: 2556: 2546: 2521: 2517: 2510: 2485: 2481: 2458: 2425: 2421: 2415: 2390: 2386: 2380: 2345: 2341: 2301: 2297: 2287: 2277: 2252: 2248: 2229: 2219: 2205:cite journal 2178: 2174: 2164: 2150:cite journal 2125: 2122:Biochemistry 2121: 2115: 2101:cite journal 2068: 2064: 2019: 2015: 2005: 1975:(1): 33–54. 1972: 1968: 1958: 1946:. Retrieved 1941: 1932: 1918:cite journal 1881: 1877: 1867: 1840: 1836: 1826: 1799: 1795: 1785: 1771:cite journal 1730: 1726: 1692: 1688: 1682: 1668:cite journal 1631: 1627: 1617: 1590: 1586: 1576: 1546:(2): 87–93. 1543: 1539: 1516:cite journal 1481: 1477: 1447: 1438: 1361: 1358:Interactions 1348: 1332: 1320: 1313: 1306: 1299: 1286: 1282: 1265: 1253: 1245: 1241: 1237: 1210: 1203: 1194: 1186: 1176: 1172:atorvastatin 1165: 1146: 1137: 1113: 1104: 1093: 1081:fibrinolysis 1066: 1059: 1047: 1044: 1040: 1023: 1009: 997: 987: 976:. The human 971: 950: 942: 941: 868: 849: 825: 804: 782: 763: 739: 720: 696: 677: 657: 652: 410:human kidney 352: 345: 311:160,664,275 298:160,531,482 189:External IDs 104: 48: 5193:Chylomicron 5177:Lipoprotein 5168:lipoprotein 5027:PDB gallery 4030:Circulation 1388:Lipoprotein 1372:fibronectin 1073:plasminogen 1037:Populations 1015:amino acids 598:proteolysis 167:Identifiers 5570:Cardiology 5544:Categories 4786:Pediatrics 4274:2024-06-11 3847:2023-11-30 3820:1765/68815 3372:Metabolism 3102:2012-01-09 1433:, May 2017 1409:References 1336:Pelacarsen 1324:Raloxifene 1180:(Vitamin B 1161:thrombosis 1062:hepatocyte 356:(ortholog) 290:6q25.3-q26 194:HomoloGene 4624:: 19188. 4498:: 27–36. 4492:Maturitas 3413:: 53–58. 2488:: 11–21. 1989:1040-8363 1340:Olpasiran 1328:tamoxifen 1296:Treatment 1075:and tPA ( 984:Structure 974:Kåre Berg 807:NM_005577 643:Orthologs 202:GeneCards 4935:10980194 4894:12562843 4812:22084329 4768:36761062 4705:21476974 4656:26754058 4585:28573436 4522:28364865 4462:21476974 4345:31634874 4310:24363242 4268:Archived 4264:HCP Live 4172:24696473 4164:15259385 4115:11106328 4060:22128224 3997:21305047 3957:PLOS ONE 3938:44679184 3930:11555135 3889:16267501 3841:Archived 3725:12507462 3717:11116062 3627:20477514 3523:10323776 3468:11698280 3427:25936305 3392:27733255 3356:21996415 3293:17495935 3154:25778403 3093:Archived 3089:37023416 2923:24081304 2915:18607184 2880:21529331 2845:27108250 2782:16000355 2733:15351845 2697:25778403 2632:20965889 2583:25819754 2538:29990619 2502:29852400 2450:45103589 2442:15017359 2407:10431664 2269:10720444 2093:19657929 1997:29262744 1910:35133173 1859:35311528 1709:14064818 1660:36708412 1651:10164031 1609:17478739 1568:23045050 1560:21231777 1508:20965889 1429:– 1382:See also 1368:calnexin 1364:interact 1316:flaxseed 1259:and the 1019:isoforms 918:Wikidata 622:Sources: 386:testicle 5353:enzymes 4991:PDBe-KB 4981:UniProt 4853:9717723 4803:4536582 4759:9884549 4647:4709689 4626:Bibcode 4576:5501893 4427:8651107 4386:8651107 4318:5134822 4238:2523852 4051:3760720 3988:3030597 3965:Bibcode 3837:2188933 3829:9363039 3780:1840066 3662:9247362 3586:9603764 3577:1113249 3238:7883987 3189:1830206 3145:4416867 3055:2531657 3003:2146124 2972:4322332 2964:3670399 2836:4859302 2741:1212821 2688:4416867 2623:3295201 2574:4696333 2524:: 1–7. 2372:8432853 2320:7961823 2197:8943305 2142:9548923 2085:2026424 2046:2956279 1948:19 June 1901:9018215 1818:9374529 1763:4344313 1755:3670400 1735:Bibcode 1499:3295201 1431:Ensembl 1155:(CVD), 1151:(CHD), 1143:Disease 1124:glucose 1029:in the 1006:kringle 751:UniProt 708:Ensembl 649:Species 628:QuickGO 331:pattern 174:Aliases 5499:LRPAP1 5418:SCARB1 5224:sd LDL 5221:lb LDL 5164:Lipids 4986:P08519 4972:(MeSH) 4933:  4892:  4851:  4810:  4800:  4766:  4756:  4703:  4654:  4644:  4583:  4573:  4520:  4460:  4425:  4384:  4343:  4316:  4308:  4246:912295 4244:  4236:  4199:  4170:  4162:  4113:  4058:  4048:  3995:  3985:  3936:  3928:  3887:  3835:  3827:  3778:  3723:  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Index

Lipoprotein (a)
APOA1
APOA2
APOA4
APOA5

PDB
PDBe
RCSB
1I71
1JFN
1KIV
2FEB
4BV5
4BV7
4BVC
4BVD
4BVV
4BVW
3KIV
4KIV
Aliases
LPA
HomoloGene
87856
GeneCards
LPA
OMA
LPA - orthologs
Human

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