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Lp(a) Lipoprotein: A Monogenic Risk Factor for Cardiovascular Disease

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Genetic factors in coronary heart disease

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 156))

Abstract

The Lp(a) lipoprotein1 is a distinct class of serum lipoprotein particles which was detected because of its immunological properties. It consists of a low density lipoprotein (LDL) particle to which a long polypeptide chain has been attached (the Lp(a) polypeptide chain, the Lp(a) apolipoprotein or apolipoprotein(a)). It is the Lp(a) polypeptide chain that confers the unique antigenic properties to the Lp(a) lipoprotein particle.

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References

  1. Berg K. A new serum type system in man — the Lp system. Acta Pathol Microbiol Scand. 1963;59:369–82.

    Article  PubMed  CAS  Google Scholar 

  2. Berg K. Lp(a) lipoprotein: An overview. In: Scanu A, ed. Lipoprotein(a). New York: Academic Press; 1990:1–23.

    Google Scholar 

  3. Berg K. Genetics of atherogenic Lp(a) lipoprotein. In: Berg K, Retterstøl N, Refsum S, eds. From phenotype to gene in common disorders. Copenhagen: Munksgaard; 1990:138–62.

    Google Scholar 

  4. Berg K. The Lp system. Ser Haematol. 1968;1:111–36.

    Google Scholar 

  5. Berg K. Inherited lipoprotein variation and atherosclerotic disease. In: Scanu AM, Wissler RW, Getz GS, eds. The biochemistry of atherosclerosis. New York: Marcel Dekker Inc; 1979:419–90.

    Google Scholar 

  6. Berg K, Mohr J. Genetics of the Lp system. Acta Genet. 1963;13:349–60.

    PubMed  CAS  Google Scholar 

  7. Mohr J, Berg K. Genetics of the Lp serum types: associations and linkage relations. Acta Genet. 1963;13:343–8.

    PubMed  CAS  Google Scholar 

  8. Schultz JS, Shreffler DC, Sing CF. The genetics of the Lp antigen. I. Its quantitation and distribution in a sample population. Ann Hum Genet. 1974;38:39–46.

    Article  PubMed  CAS  Google Scholar 

  9. Sing CF, Schultz JS, Shreffler DC. The genetics of the Lp antigen. II. A family study and proposed models of genetic control. Ann Hum Genet. 1974;38:47–56.

    Article  PubMed  CAS  Google Scholar 

  10. Morton NE, Berg K, Dahlén G, Ferrell RE, Rhoads GG. Genetics of the Lp lipoprotein in Japanese-Americans. Genet Epidemiol. 1985;2:113–21.

    Article  PubMed  CAS  Google Scholar 

  11. Berg K. The Lp system — Interpretations and views. In: de Grouchy J, Ebling FJG, Henderson IW, eds. Proceedings of the IVth International Congress of Human Genetics, Paris, 1971. Amsterdam: Excerpta Medica; 1972:352–62.

    Google Scholar 

  12. Fless GM, Rolih CA, Scanu AM. Heterogeneity of human plasma lipoprotein(a). J Biol Chem. 1984;259:11470–8.

    PubMed  CAS  Google Scholar 

  13. Utermann G, Menzl HJ, Kraft HG, Duba HC, Kemmier HG, Seitz C. Lp(a) glycoprotein phenotypes. J Clin Invest. 1987;80:458–65.

    Article  PubMed  CAS  Google Scholar 

  14. Utermann G, Kraft H-G, Menzel H, Hopferwieser T, Seitz C. Genetics of the quantitative Lp(a) lipoprotein trait. I. Relation of Lp(a) glycoprotein phenotypes to Lp(a) lipoprotein concentrations in plasma. Hum Genet. 1988;78:41–6.

    Article  PubMed  CAS  Google Scholar 

  15. Utermann G, Duba HC, Menzel HI. Genetics of the quantitative Lp(a) lipoprotein trait. II. Inheritance of Lp(a) glycoprotein phenotypes. Hum Genet. 1988;78:47–50.

    Article  PubMed  CAS  Google Scholar 

  16. Morrisett JD, Gaubatz JW, Knapp RD, Guevara Jr J. Structural properties of apo(a): a major apoprotein of human lipoprotein(a). In: Scanu A, ed. Lipoprotein(a). New York: Academic Press; 1990:53–74.

    Google Scholar 

  17. Gaubatz JW, Ghanem KI, Guevara Jr J, Nava ML, Patsch W, Morrisett JD. Polymorphic forms of human apolipoprotein(a): inheritance and relationship of their molecular weights to plasma levels of lipoprotein(a). J Lipid Res. 1990;31:603–13.

    PubMed  CAS  Google Scholar 

  18. Boerwinkle E, Menzel HJ, Kraft HG, Utermann G. Genetics of the quantitative Lp(a) lipoprotein trait. III. Contribution of Lp(a) glycoprotein phenotypes to normal lipid variation. Hum Genet. 1989;82:73–8.

    Article  PubMed  CAS  Google Scholar 

  19. Utermann G. Genetics of the Lp(a) lipoprotein. In: Scanu A, ed. Lipoprotein(a). New York: Academic Press; 1990:75–85.

    Google Scholar 

  20. McLean JW, Tomlinson JE, Kuang W-J, et al. cDNA sequence of human apolipoprotein (a) is homologous to plasminogen. Nature. 1987;330:132–7.

    Article  PubMed  CAS  Google Scholar 

  21. Berg K, Kondo I, Drayna D, Lawn R. Restriction site polymorphism at the LPA (Lp(a) apolipoprotein; apolipoprotein(a)) locus. Clin Genet. 1990;37:473–80.

    Article  PubMed  CAS  Google Scholar 

  22. Berg K. Lp(a) lipoprotein: an overview. In: Morrisett JD, Gotto Jr AM, eds. Proceedings of the 2nd International Symposium on Lp(a) Lipoprotein. New Orleans, 1992. Chem Phys Lipids. 1994;67/68:9–16.

    Google Scholar 

  23. Berg K. Lp(a) lipoprotein: An important genetic risk factor for atherosclerosis. In: Lusis AJ, Rotter JI, Sparkes RS, eds. Molecular genetics and coronary artery disease. Candidate genes and processes in atherosclerosis. Basel: Karger; 1992:189–207.

    Google Scholar 

  24. Berg K. Genetics of atherogenic Lp(a) lipoprotein. In: Berg K, Retterst N, Refsum N, eds. From phenotype to gene in common disorders. Copenhagen: Munksgaard; 1990:138–62.

    Google Scholar 

  25. Drayna DT, Hegele RA, Hass PE, et al. Genetic linkage between lipoprotein(a) phenotype and a DNA polymorphism in the plasminogen gene. Genomics. 1988;3:230–6.

    Article  PubMed  CAS  Google Scholar 

  26. Weitkamp LR, Guttormsen SA, Schultz JS. Linkage between the loci for the Lp(a) lipoprotein (LPA) and plasminogen (PLG). Hum Genet. 1988;79:80–2.

    Article  PubMed  CAS  Google Scholar 

  27. Berg K. Close linkage between Lp(a) lipoprotein and plasminogen. Cytogenet Cell Genet. 1989;51:961.

    Google Scholar 

  28. Hegele RA, Emi M, White RL, et al. Lipoprotein(a) and plasminogen: Linkage analysis. In: Scanu A, ed. Lipoprotein(a). New York: Academic Press; 1990:129–39.

    Google Scholar 

  29. Lackner C, Boerwinkle E, Lerffert CC, Rahmig T, Hobbs HH. Molecular basis of apolipoprotein (a) isoform size heterogeneity as revealed by pulsed-field gel electrophoresis. J Clin Invest. 1991;87:2153–61.

    Article  PubMed  CAS  Google Scholar 

  30. Berg K, Dahlèn G, Frick MH. Lp(a) lipoprotein and pre-β 1-lipoprotein in patients with coronary heart disease. Clin Genet. 1974;6:230–5.

    Article  PubMed  CAS  Google Scholar 

  31. Dahlén G, Berg K, Frick MH. Lp(a) lipoprotein/pre-β 1-lipoprotein, serum lipids and atherosclerotic disease. Clin Genet. 1976;9:558–66.

    Article  PubMed  Google Scholar 

  32. Frick MH, Dahlén G, Berg K, Valle M, Hekali P. Serum lipids in angiographically assessed coronary atherosclerosis. Chest. 1978;73:62–5.

    Article  PubMed  CAS  Google Scholar 

  33. Dahlén G, Berg K, Gillnäs T, Ericson C. Lp(a) lipoprotein/pre-β 1-lipoprotein in Swedish middle-aged males and in patients with coronary heart disease. Clin Genet. 1975;7:334–41.

    Article  PubMed  Google Scholar 

  34. Rhoads GG, Dahlén G, Berg K, Morton NE, Dannenberg AL. Lp(a) lipoprotein as a risk factor for myocardial infarction. J Am Med Assoc. 1986;256:2540–4.

    Article  CAS  Google Scholar 

  35. Kostner GM, Avogaro P, Cazzolato G, Marth E, Bittolo-Bon G, Quinci GB. Lipoprotein Lp(a) and the risk for myocardial infarction. Atherosclerosis. 1981;38:51–61

    Article  PubMed  CAS  Google Scholar 

  36. Wottawa A, Fromme K, Klein G. Lipoprotein(a) bei koronarer Herzkrankheit und Myokardinfarkt. Münch Med Wschr. 1984;126:53–5.

    CAS  Google Scholar 

  37. Klein G, Brugger P, Kullich W, Marth E, Kostner GM. Lipoprotein-Lp(a) als Risikofaktor für den Herzinfarkt — eine Familienstudie. Wien Med Wschr. 1984;18:403–8.

    Google Scholar 

  38. Dahlén GH, Guyton JR, Attar M, Farmer JA, Kautz JA, Gotto AM Jr. Association of levels of lipoprotein Lp(a), plasma lipids and other lipoproteins with coronary artery disease documented by angiography. Circulation. 1986;74:758–65.

    Article  PubMed  Google Scholar 

  39. Murai A, Miyahara T, Fujimoto N, Matsuda M, Kameyama M. Lp(a) lipoprotein as a risk factor for coronary heart disease and cerebral infarction. Atherosclerosis. 1986;59:199–204.

    Article  PubMed  CAS  Google Scholar 

  40. Durrington PN, Hunt L, Ishola M, Arrol S, Bhatnagar D. Apolipoproteins (a), AI, and B and parental history in men with early onset ischaemic heart disease. Lancet. 1988;1:1070–3.

    Article  PubMed  CAS  Google Scholar 

  41. Schwartzkopff W, Schleicher J, Pottins I, Yu S-B, Han C-Z, Du D-Y. Lipids, lipoproteins, apolipoproteins and other risk factors in Chinese men and women with and without myocardial infarction. Atherosclerosis. 1990;82:253–9.

    Article  PubMed  CAS  Google Scholar 

  42. Sandkamp M, Funke H, Schulte H, Köhler E, Assmann G. Lipoprotein(a) as an independent risk factor for myocardial infarction at a young age. Clin Chem. 1990;36:20–3.

    PubMed  CAS  Google Scholar 

  43. Armstrong VW, Cremer P, Eberle E, et al. The association between serum Lp(a) concentrations and angiographically assessed coronary atherosclerosis. Dependence on serum LDL levels. Atherosclerosis. 1986;62:249–57.

    Article  CAS  Google Scholar 

  44. Rosengren A, Wilhelmsen L, Eriksson E, Risberg B, Wedel H. Lipoprotein(a) and coronary heart disease: a prospective case-control study in a general population sample of middle aged men. Br Med J. 1990;301:1248–51.

    Article  CAS  Google Scholar 

  45. Dahlén G. Incidence of Lp(a) lipoprotein among populations. In Scanu A, ed. Lipoprotein(a). New York: Academic Press; 1990:151–73.

    Google Scholar 

  46. Berg K, Dahlén G, Børresen A-L. Lp(a) phenotypes, other lipoprotein parameters, and a family history of coronary heart disease in middle-aged males. Clin Genet. 1979;16:347–52.

    Article  PubMed  CAS  Google Scholar 

  47. Seed M, Hoppichler F, Reaveley D, et al. Relation of serum lipoprotein(a) concentration and apolipoprotein(a) phenotype to coronary heart disease in patients with familial hypercholesterolemia. N Engl J Med. 1990;322:1494–9.

    Article  PubMed  CAS  Google Scholar 

  48. Wiklund O, Angelin B, Olofsson S-O, et al. Apolipoprotein(a) and ischaemic heart disease in familial hypercholesterolaemia. Lancet. 1990;1:1360–3.

    Article  Google Scholar 

  49. Költringer P, Jürgens G. A dominant role of lipoprotein(a) in the investigation and evaluation of parameters indicating the development of cervical atherosclerosis. Atherosclerosis. 1985;58:187–98.

    Article  PubMed  Google Scholar 

  50. Urakami K, Murai T, Takahashi K. Lp(a) lipoprotein in cerebrovascular disease and dementia. Jpn J Psychiatr Neurol. 1987;41:743–8.

    CAS  Google Scholar 

  51. Woo J, Lau E, Lam CWK, et al. Hypertension, lipoprotein(a), and apolipoprotein A-I as a risk factor for stroke in the Chinese. Stroke. 1991;22:203–8.

    Article  PubMed  CAS  Google Scholar 

  52. Zenker G, Költringer P, Boné G, Niederkorn K, Pfeiffer K, Jürgens G. Lipoprotein(a) as a strong indicator for cerebrovascular disease. Stroke. 1986;17:942–5.

    Article  PubMed  CAS  Google Scholar 

  53. Hoff HF, Beck GJ, Skibinski CI, et al. Serum Lp(a) level as a predictor of vein graft stenosis after coronary artery bypass surgery in patients. Circulation. 1988;77:1238–44.

    Article  PubMed  CAS  Google Scholar 

  54. Cushing GL, Gaubatz JW, Nava ML, et al. Quantitation and localization of apolipoproteins (a) and B in coronary artery bypass vein grafts resected at re-operation. Arteriosclerosis. 1989;9:593–603.

    Article  PubMed  CAS  Google Scholar 

  55. Rath M, Niendorf A, Reblin T, Dietel M, Krebber H-J, Beisiegel U. Detection and quantification of lipoprotein(a) in the arterial wall of 107 coronary bypass patients. Arteriosclerosis. 1989;9:579–92.

    Article  PubMed  CAS  Google Scholar 

  56. Niendorf A, Rath M, Wolf K, et al. Morphological detection and quantification of lipoprotein(a) deposition in atheromatous lesions of human aorta and coronary arteries. Virchows Arch A Pathol Anat. 1990;417:105–11.

    Article  CAS  Google Scholar 

  57. Beisiegel U, Niendorf A, Wolf K, Reblin T, Rath M. Lipoprotein(a) in the arterial wall. Eur Heart J. 1990;11:174–83.

    Article  PubMed  CAS  Google Scholar 

  58. Harpel PC, Gordon BR, Parker TS. Plasmin catalyzes binding of lipoprotein (a) to immobilized fibrinogen and fibrin. Proc Natl Acad Sci USA. 1989;86:3847–51.

    Article  PubMed  CAS  Google Scholar 

  59. Hajjar KA, Gavish D, Breslow JL, Nachman RL. Lipoprotein (a) modulation of endothelial cell surface fibrinolysis and its potential role in atherosclerosis. Nature. 1989;339:303–5.

    Article  PubMed  CAS  Google Scholar 

  60. Miles LA, Fless GM, Levin EG, Scanu AM, Plow EF. A potential basis for the thrombotic risks associated with lipoprotein (a). Nature. 1989;339:301–3.

    Article  PubMed  CAS  Google Scholar 

  61. Loscalzo J, Fless GM, Scanu AM. Lp(a) and the fibrinolytic system. In: Scanu A, ed. Lipoprotein(a). New York: Academic Press; 1990:103–15.

    Google Scholar 

  62. Halvorsen S, Skjønsberg OH, Berg K, Ruyter R, Godal HC. Does Lp(a) lipoprotein inhibit the fibrinolytic system? Thromb Res. 1992;68:223–32.

    Article  PubMed  CAS  Google Scholar 

  63. Harpel PC, Nachman RL. Physiological role of lipoprotein(a). In: Beam AG, ed. Genetics of coronary heart disease. Oslo: University of Oslo; 1992:53–62.

    Google Scholar 

  64. Lawn RM. Lipoprotein(a) in heart disease. Sci Am. 1992;266:26–32.

    Article  Google Scholar 

  65. Lawn RM, Wade DP. Structure and function of the apolipoprotein(a) gene. In: Beam AG, ed. Genetics of coronary heart disease. Oslo: University of Oslo; 1992:9–21.

    Google Scholar 

  66. Brown MS, Goldstein JL. Teaching old dogmas new tricks. Nature. 1987;330:113–14.

    Article  PubMed  CAS  Google Scholar 

  67. Grainger DJ, Kirschenlohr HL, Metcalfe JC, Weissberg PL, Wade DP, Lawn RM. Proliferation of human smooth muscle cells promoted by lipoprotein(a). Science. 1993;260:1655–8.

    Article  PubMed  CAS  Google Scholar 

  68. Lawn RM, Wade DP, Hammer RE, Chiesa G, Verstuyft JG, Rubin EM. Atherogenesis in transgenic mice expressing human apolipoprotein(a). Nature. 1992;360:670–2.

    Article  PubMed  CAS  Google Scholar 

  69. Berg K, Roald B, Sande H. High Lp(a) lipoprotein level in maternal serum may interfere with placental circulation and cause fetal growth retardation. Clin Genet. 1994;46:52–6.

    Article  PubMed  CAS  Google Scholar 

  70. Berg K, Rø OC. Lp(a) lipoprotein level and longevity. Ann Génét. 1991;34:264–9.

    PubMed  CAS  Google Scholar 

  71. März W, Siekmeier R, Gross W, Kostner GM. Determination of lipoprotein(a): Evaluation of three methods. Eur J Clin Chem Clin Biochem. 1993;31:295–301.

    PubMed  Google Scholar 

  72. Berg K. Confounding results of Lp(a) lipoprotein measurements with some test kits. Clin Genet. 1994;46:57–62.

    Article  PubMed  CAS  Google Scholar 

  73. Scanu AM, Lawn RM, Berg K. Lipoprotein(a) and atherosclerosis. Ann Int Med. 1991;115:209–18.

    Article  PubMed  CAS  Google Scholar 

  74. Thompson GR, Wilson PW. Coronary risk factors and their assessment. London: Science Press; 1992.

    Google Scholar 

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Berg, K. (1994). Lp(a) Lipoprotein: A Monogenic Risk Factor for Cardiovascular Disease. In: Goldbourt, U., de Faire, U., Berg, K. (eds) Genetic factors in coronary heart disease. Developments in Cardiovascular Medicine, vol 156. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-1130-0_18

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  • DOI: https://doi.org/10.1007/978-94-011-1130-0_18

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