Update of the role of Lp(a) in determination of the CV risk and methods of influencing it
Authors:
Zlatohlávek L.
Authors place of work:
3. interní klinika 1. LF UK a VFN, Praha
Published in the journal:
Kardiol Rev Int Med 2019, 21(2): 68-69
Summary
Lipids are transported by lipoproteins in the blood system. Lipoprotein (a) is a unique lipoprotein of the human plasma discovered by Professor Kåre Berg in 1963. Lp(a) is composed of apoliprotein (a) and LDL. In comparison with the other lipoprotein particles, the lipoprotein (a) plasma level is rather constant, only slightly affected by endogenous and exogenous factors. Elevated Lp(a) levels are considered to be a risk factor for atherosclerosis and aortic stenosis. The risk level is over 50 mg/ dl. High levels of Lp(a) have been detected in elderly patients, it is possible that this protective effect supports the reparation of tissue and anticancer activity.
Keywords:
Atherosclerosis – therapy – lipoprotein (a)
Zdroje
1. Berg K. A new serum type system in man: the Lp sytem. Acta Pathol Microbial Scand 1963; 59: 369–382.
2. Morrisett JD, Guyton JR, Gaubatz JW et al. Lipoprotein (a): structure, metabolism and epidemiology. In: Plasma lipoproteins. Gotto AM. (ed). New Comprehensive Biochemistry. Elsevier Sci Publ 1987; 14: 129–152. doi: 10.1016/ S0167-7306(08)60198-2.
3. Seegers W, Hirschhorn K, Burnett L et al. Double beta-lipoprotein: a new genetic variant in man. Science 1965; 149(3681): 303–304. doi: 10.1126/ science.149.3681.303.
4. Dahlén G, Ericson C, Furberg C et al. Studies on an extra pre-beta lipoprotein fraction. Acta Med Scand Suppl 1972; 531: 1–29.
5. Sines J, Rothnagel R, van Heel M et al. Electron cryomycroscopy and digital image processing of Lp(a). Chem Phys Lipids 1994; 67/ 68: 81–89.
6. Marcovina SM, Morrisett JD. Structure and metabolism of lipoprotein (a). Curr Opin Lipidol 1995; 6(3): 136–145.
7. Koschinsky ML, Cote GP, Gabel B et al. Identification of the cystein residue in apolipoprotein(a) that mediates extracellular couping with apolipoprotein B-100. J Bioch Chem 1993; 268(26): 1819–19825.
8. Hixson JE, Britten ML, Manis GS et al. Apolipoprotein(a) glycoprotein isoform result from size differences in Apo(a) mRNA in baboons. J Biol Chem 1989; 264(11): 6013–6016.
9. Morrisett JD, Gaubatz JW, Knapp RD et al. Structural properties of apo (a): a major apoprotein of human lipoprotein (a). In: Lipoprotein (a). Scanu AM (ed). San Diego: Academic Press Ic. 1990: 53–74.
10. Lackner C, Cohen JC, Hobs HH. Molecular definition of the extreme size polymorphism in apolipoprotein(a). Hum Mol Genet 1993; 2(7): 933–940. doi: 10.1093/ hmg/ 2.7.933.
11. Eaton DL, Fless GM, Kohr W jet al. Partial amino acid sequence of apolipoprotein(a) shows that it is homologous to plasminogen. Proc Natl Acad Sci USA 1987; 84(10): 3224–3228. doi: 10.1073/ pnas.84.10.3224.
12. White AL, Hixson JE, Rainwater DL et al. Molecular basis for „null“ lipoprotein(a) phenotyps and influence of apolipoprotein(a) size on plasma lipoprotein(a) level in the baboon. J Biol Chem 1994; 269(12): 9060–9066.
13. Lackner C, Boerwinkle E, Leffert C et al. Molecular basis of apolipoprotein(a) isoform size heterogenity as revealed by pulsed-field gel electrophoresis. J Clin Invest 1991; 87(6): 2153–2161. doi: 10.1172/ JCI115248.
14. Boerwinkle E. Genetics of plasma lipoprotein (a) concentrations. Curr Opin Lipidology 1992; 3: 128–136.
15. Krempler F, Kostner GM, Bolzano K et al. Turnover of lipoprotein (a) in man. J Clin Invest 1980; 62(6): 1483–1490. doi: 10.1172/ JCI109813.
16. Kraft HG, Menzel HJ, Hoppichler F et al. Changes of genetics apolipoprotein phenotypes caused by liver transplantation. Implication for apolipoprotein synthesis. J Clin Invest 1989; 83(1): 137–142. doi: 10.1172/ JCI113849.
17. Hobbs HH, White AL. Lipoprotein(a): intrigues and insights. Curr Opin Lipidol 1999; 10(3): 225–236.
18. Argraves KM, Kozarsky KF, Fallon JT et al. The atherogenic lipoprotein Lp(a) is internalized and degraded in a process mediated by the VLDL receptor. J Clin Invest 1997; 100(9): 2170–2181. doi: 10.1172/ JCI119753.
19. Parra HJ, Mezdour H, Cachera C et al. Lp(a) lipoprotein in patients with chronical renal failure treated by hemodialysis. Clin Chem 1987; 33(5): 721.
20. Higazi AA, Lavi E, Bdeir K et al. Defensin stimulated the binding of lipoprotein (a) to human vascular endothelial and smooth muscle cells. Blood 1997; 89(12): 4290–4298.
21. Philips ML, Lembertas AV, Schumaker VN et al. Physical properties of recombinant apo(a) and its association with LDL to form an Lp(a)-like complex. Biochemistry 1993; 32(14): 3722–3728.
22. Yano Y, Shimokawa K, Okada Y et al. Immunolocalizacion of lp(a) in wounded tissues. J Histochem Cytochem 1997; 45(4): 559–568. doi: 10.1177/ 002215549704500408.
23. Baggio G, Donazzan S, Monti D et al. Lipoprotein(a) and lipoprotein profile in healthy centenarians: a reappraisal of vascular risk factor. FASEB J
1998; 12(6): 433–437. doi: 10.1096/ fasebj.12.6.433.
24. Marcovina SM, Albers JJ, Wijsman E et al. Differences in Lp(a) concentrations and apo(a) polymorphysm between black a white Americans. J Lipid Res 1996; 37(12): 2569–2585.
25. Kojima S, Harpel PC, Rifkin DB et al. Lipoprotein (a) inhibits the generation of trasforming growth factor beta: an endogenous inhibitor of smooth muscle cell migration. J Cell Biol 1991; 113(6): 1439–1445. doi: 10.1083/ jcb.113.6.1439.
26. Heberland ME, Fless GM, Scanu AM et al. Malondialdehyde modification of lipoprotein(a) produces avid uptake by human monocytemacrophages. J Biol Chem 1992; 267(6): 4143–4151.
27. Nachman RL. Thrombosis and atherogenesis: molecular connections. Blood 1992; 79(8): 1897–1906.
28. Hajjar KA, Nachman RL. The role of lipoprotein(a) in atherogenesis and thrombosis. Annu Rev Med 1996; 47: 423–442. doi: 10.1146/ annurev.med.47.1.423.
29. Cooke JP. The pathophysiology of periferal arterial disease: rational targets for drug intervention. Vasc Med 1997; 2: 227–230.
30. Seman LJ, DeLuca C, Jenner JL et al. Lipoprotein(a)-cholestrol and coronary heart disease in the Framingham Heart Study. Clin Chem 1999; 45(7): 1039–1046.
31. Milionis HJ, Winder AF, Mikhailidis DP et al. Lipoprotein(a) and stroke. J Clin Pathol 2000; 53(7): 487–496. doi: 10.1136/ jcp.53.7.487.
32. Miner SE, Hegele RA, Sparkes J et al. Homocystein, lipoproteine(a) levels and restenosis after PTCA: a prospective study. Am Heart J 2000; 140:
272–278.
33. von Depka M, Nowak-Göttl U, Eisert R et al. Increased lipoprotein (a) levels as an indipendent risk factor for venous tromboembolism. Blood 2000; 96(10): 3364–3368.
34. Angelin B. Therapy for lowering lipoprotein (a) levels. Curr Opin Lipidol 1997; 8(6): 337–341.
35. Seed M, O’Connor B, Perombelon N et al. The effect of nicotin acid and acipimox on lipoprotein (a) concentration and turnover. Atherosclerosis 1993; 101(1): 61–68.
36. Ramharack R, Spahi MA, Hicks GW et al. Gemfibrozil significantly lowers cynomolgus monkey plasma lipoprotein (a)-protein and liver apolipoprotein (a) mRNA levels. J Lipid Res 1995; 36(6): 1294–1304.
37. Galetta F, Sampietro T, Basta G et al. Effects of simvastatin on blood levels of lipoprotein (a). Minerva Med 1995; 86(7–8): 299–303.
38. Bambauer R, Schiel R, Keller HE et al. Low-density lipoprotein apheresis in the treatment of two patients with coronary heart disease and extremely elevated lipoprotein (a) levels.. Artif Organs 1996; 20(4): 340–343.
39. Henriksson P, Angelin B, Berglund L. Hormonal regulatulation of serum Lp (a) levels. Opposite effects after estrogen treatment and orchidectomy in males with prostatic carcinoma. J Clin Invest 1992; 89(4): 1166–1171. doi: 10.1172/ JCI115699.
40. Navarese EP, Kolodziejczak M, Schulze V et al. Effects of proprotein convertase subtilisin/ kexin type 9 antibodies in adults with hypercholesterolemia: a systematic review and meta-analysis. Ann Intern Med 2015; 163(1): 40–51. doi: 10.7326/ M14-2957.
41. Gaudet D, Watts GF, Robinson JG et al. Effect of alirocumab on lipoprotein(a) over ≥1.5 years (from the Phase 3 ODYSSEY Program). Am J Cardiol 2017; 119(1): 40–46. doi: 10.1016/ j.amjcard.2016.09.010.
42. O'Donoghue ML, Fazio S, Giugliano RP et al. Lipoprotein(a), PCSK9 inhibition, and cardiovascular risk. Circulation 2019; 139(12): 1483–1492. doi: 10.1161/ CIRCULATIONAHA.118.037184.
43. Viney NJ, van Capelleveen JC, Geary RS et al. Antisense oligonucleotides targeting apolipoprotein(a) in people with raised lipoprotein(a): two randomised, double-blind, placebo-controlled, dose-ranging trials. Lancet 2016; 388(10057): 2239–2253. doi: 10.1016/ S0140-6736(16)31009-1.
44. Catapano AL, Graham I, De Backer G et al. 2016 ESC/ EAS Guidelines for the management of dyslipidaemias. Eur Heart J 2016; 37(39): 2999–3058. doi: 10.1093/ eurheartj/ ehw272.
Štítky
Paediatric cardiology Internal medicine Cardiac surgery CardiologyČlánok vyšiel v časopise
Cardiology Review
2019 Číslo 2
Najčítanejšie v tomto čísle
- Beta-blockers in cardiovascular diseases – Pros and Cons
- Update of the role of Lp(a) in determination of the CV risk and methods of influencing it
- Mechanical circulatory supports – basic principles and clinical evidence
- News about familial hypercholesterolaemia for cardiologists