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1 Lp(a) and other lipid parameters were measured at baseli
2 Lp(a) concentrations (median [25th-75th percentile], in
3 Lp(a) concentrations were measured in plasma using an im
4 Lp(a) internalization was also dependent on clathrin-coa
5 Lp(a) internalization was reduced 0.35-fold in HAP1 and
6 Lp(a) is an independent predictor of CVD in men and wome
7 Lp(a) is composed of apolipoprotein B-100 and apolipopro
8 Lp(a) is considered a cardiovascular risk factor.
9 Lp(a) levels were elevated among carriers of rs10455872
10 Lp(a) levels were higher with wider interindividual vari
11 Lp(a) levels were positively associated with CVD events.
12 Lp(a) may be atherothrombotic through its low-density li
13 Lp(a) reductions were significantly correlated with perc
14 Lp(a) remains the last major lipoprotein disorder withou
15 Lp(a) transports oxidized phospholipids with a high cont
16 Lp(a) was associated with increased CV risk in both trea
17 Lp(a) was maximally internalized by 2 hours and was dete
18 Lp(a) was measured using a standardized isoform-independ
19 Lp(a) was similarly associated with risk of PAD (pooled
20 Lp(a), a low-density lipoprotein (LDL) particle linked t
21 Lp(a)-bound PCSK9 may be pursued as a biomarker for card
23 R-B1 is also a receptor for lipoprotein (a) (Lp(a)), mediating cellular uptake of Lp(a) in vitro and
27 oB, ApoAI, ApoAII, ApoE and lipoprotein (a) (Lpa) levels were measured in serum samples obtained prio
28 made in agreeing a role for lipoprotein (a) [Lp(a)] in clinical practice and developing therapies wit
29 studies have suggested that lipoprotein (a) [Lp(a)] is a causal mediator of cardiovascular disease (C
31 ipoproteins (OxPL/apoB) and lipoprotein (a) [Lp(a)], and risk of peripheral artery disease (PAD).
32 gen, which is homologous to lipoprotein (a) [Lp(a)], contains proinflammatory oxidized phospholipids
33 ine the relationship between lipoprotein(a) [Lp(a)] and cardiovascular disease (CVD) in a large cohor
34 Recent studies showed that lipoprotein(a) [Lp(a)] is a causal risk factor for cardiovascular diseas
44 h limited statistical power, lipoprotein(a) [Lp(a)] is not considered a risk factor for cardiovascula
45 d causal association between lipoprotein(a) [Lp(a)] levels and coronary risk, but the nature of the a
46 proteins (apo) A-1 and B and lipoprotein(a) [Lp(a)] levels and the development of subsequent cardiova
47 tudies have highlighted that lipoprotein(a) [Lp(a)] was associated with calcific aortic valve disease
48 ave acquired a great deal of knowledge about Lp(a), but this has not yet led to reductions in CVD.
50 k of CVD is higher in those patients with an Lp(a) level >50 mg/dl and carrying a receptor-negative m
52 cant for OxPL/apoB (OR: 1.99; p = 0.004) and Lp(a) (OR: 1.96; p < 0.001) in the IL-1(+) group versus
53 -1.04 mmol.L(-1) (99.0+/-40.1 mg.dL(-1)) and Lp(a) 3.74+/-1.63 micromol.L(-1) (104.9+/-45.7 mg.dL(-1)
55 .62; 95% confidence interval, 0.43-0.90) and Lp(a) less than the median (hazard ratio, 0.46; 95% conf
56 flects the biological activity of Lp(a), and Lp(a) levels were measured in 220 patients with mild-to-
58 xPL on apolipoprotein B-100 (OxPL/apoB), and Lp(a) levels were measured in 499 patients undergoing co
62 mean low-density lipoprotein cholesterol and Lp(a) were 2.56+/-1.04 mmol.L(-1) (99.0+/-40.1 mg.dL(-1)
63 ject with high levels of HDL cholesterol and Lp(a), SCARB1 was sequenced and demonstrated a missense
65 ith the extreme phenotype (HDL >80 mg/dL and Lp(a) >100 nmol/L in GeneSTAR, n=8, and >100 mg/dL in CC
66 minogen-independent cytokine inhibition, and Lp(a)/apo(a) inhibits plasminogen activation and regulat
67 n the understanding of Lp(a) metabolism, and Lp(a) levels, rather than apolipoprotein (a) isoform siz
70 Characterize the association of PCSK9 and Lp(a) in 39 subjects with high Lp(a) levels (range 39-32
71 also dependent on clathrin-coated pits, and Lp(a) was targeted for lysosomal and not proteasomal deg
72 ed with Lp(a) purified from human plasma and Lp(a) uptake studied using Western blot analysis and int
73 ed with Lp(a) purified from human plasma and Lp(a) uptake studied using Western blot analysis and int
74 rs, high-sensitivity C-reactive protein, and Lp(a), OxPL/apoB remained an independent predictor of CA
75 in the plasminogen-deficient background and Lp(a)tg mice were resistant to inhibition of macrophage
76 ivation was markedly reduced in apo(a)tg and Lp(a)tg mice in both peritonitis and vascular injury inf
77 transgenic mice were generated, apo(a)tg and Lp(a)tg mice, to determine whether Lp(a)/apo(a) modifies
79 into account the limited number of available Lp(a)-targeted drugs, L-carnitine might be an effective
82 lar disease among participants with baseline Lp(a) greater than or equal to the median (hazard ratio,
83 ntly greater in those patients with baseline Lp(a) of </=125 nmol/l, the absolute reduction was subst
86 k, but the nature of the association between Lp(a) levels and risk of type 2 diabetes (T2D) is unclea
89 es, there was an inverse association between Lp(a) levels and T2D: hazard ratio was 0.63 (95% CI 0.49
91 to PCSK9, on Lp(a), the relationship between Lp(a) and lowering of low-density lipoprotein cholestero
92 net reclassification improvement afforded by Lp(a) was 22.5% for noncases, 17.1% for cases, and 39.6%
94 etic variation in the LPA locus, mediated by Lp(a) levels, is associated with aortic-valve calcificat
96 OxPL circulate in plasma, are transported by Lp(a), and deposit in the vascular wall and induce local
97 ATX is transported in the aortic valve by Lp(a) and is also secreted by valve interstitial cells.
102 f ISIS-APO(a)Rx (50-400 mg) did not decrease Lp(a) concentrations at day 30, six doses of ISIS-APO(a)
110 After multivariable adjustment, elevated Lp(a) or OxPL-apoB levels remained independent predictor
111 shed CVD whose major risk factor is elevated Lp(a) levels and propose clinical studies and trials to
112 ecently, new data have emerged that elevated Lp(a) is causally associated with calcific aortic valve
113 d with risk of T2D, suggesting that elevated Lp(a) levels are not causally associated with a lower ri
114 However, a genetic variant that elevated Lp(a) levels was not associated with risk of T2D, sugges
118 s being developed for patients with elevated Lp(a) concentrations with existing cardiovascular diseas
119 nocytes isolated from subjects with elevated Lp(a) remain in a long-lasting primed state, as evidence
120 may offset the risk associated with elevated Lp(a), but it is unknown whether Lp(a) is a determinant
122 athophysiological insights, have established Lp(a) as an independent, genetic, and likely causal risk
125 VS of 1.6 (95% CI: 1.2 to 2.1) for a 10-fold Lp(a) increase, comparable to the observational hazard r
127 ne the intracellular trafficking pathway for Lp(a) and the receptor responsible for its uptake in liv
128 tic studies have supported a causal role for Lp(a) in accelerated atherosclerosis, independent of oth
131 known locus on chromosome 6q25-26 and found Lp(a) levels also to be significantly associated with a
133 of PCSK9 and Lp(a) in 39 subjects with high Lp(a) levels (range 39-320 mg/dL) and in transgenic mice
135 th FH, especially those with CVD, had higher Lp(a) plasma levels compared with their unaffected relat
136 R) for incident CVD was 1.37 per 1-SD higher Lp(a) level (SD = 32 mg/dl) and 2.37 when comparing the
137 We review recent studies that highlight Lp(a) in CVD and calcific aortic valve stenosis and prop
139 expressing either human apo(a) only or human Lp(a) (via coexpression of human apo(a) and human apolip
140 t was the percentage change from baseline in Lp(a) concentration at 30 days in the single-dose cohort
146 fidence interval) dose-related reductions in Lp(a) compared to control: 29.5% (23.3% to 35.7%) and 24
148 IS-APO(a)-LRx resulted in mean reductions in Lp(a) of 66% (SD 21.8) in the 10 mg group, 80% (SD 13.7%
149 comparatively smaller percent reductions in Lp(a) with AMG145 compared with those with lower baselin
151 trong evidence that the LDLR plays a role in Lp(a) catabolism and that this process can be modulated
153 which explained 26.8% of the variability in Lp(a) levels, was not associated with risk of T2D (OR 1.
155 These data indicate that, in inflammation, Lp(a)/apo(a) suppresses neutrophil recruitment by plasmi
157 , the apo(a) component from the internalized Lp(a) was resecreted back into the cellular media, where
159 justed hazard ratio per 1-SD increment in Ln[Lp(a)], 1.18; 95% confidence interval, 1.03-1.34; P=0.02
161 kexin-type 9 inhibitors and mipomersen lower Lp(a) 20% to 30%, and emerging RNA-targeted therapies lo
171 dies and trials to demonstrate that lowering Lp(a) levels will effectively reduce the risk of calcifi
173 icipants assigned to IONIS-APO(a)Rx had mean Lp(a) reductions of 66.8% (SD 20.6) in cohort A and 71.6
174 ignificant dose-dependent reductions in mean Lp(a) concentrations were noted in all single-dose IONIS
179 ), which reflects the biological activity of Lp(a), and Lp(a) levels were measured in 220 patients wi
181 sing 3 different approaches: (1) analysis of Lp(a) fractions isolated by ultracentrifugation; (2) imm
183 n this study, we assessed the association of Lp(a) levels with risk of incident T2D and tested whethe
185 On 6q locus, we detected associations of Lp(a)-cholesterol with 118 common variants (P = 5 x 10(-
186 ere investigated who commenced LA because of Lp(a)-hyperlipoproteinemia and progressive cardiovascula
188 he role of LDL receptors in the clearance of Lp(a), is poorly defined, and no mechanistic studies of
189 stinguishing kringle-containing component of Lp(a)) elicits cytoskeletal rearrangements in vascular e
191 been known that the plasma concentration of Lp(a) is highly heritable, with its genetic determinants
196 s review summarizes the current landscape of Lp(a), discusses controversies, and reviews emerging the
200 erapies with specific and potent lowering of Lp(a) are in phase II clinical trials and provide a tool
203 In vitro studies of the pathophysiology of Lp(a) on monocytes were performed with an in vitro model
206 e at least as strong, with a larger range of Lp(a) concentrations, in blacks compared with whites.
207 and specific treatments for the reduction of Lp(a) levels and the associated risk of cardiovascular d
208 a-analysis showed a significant reduction of Lp(a) levels following L-carnitine supplementation (WMD:
212 AS severity, patients in the top tertile of Lp(a) or OxPL-apoB had increased risk of aortic valve re
213 as faster in patients in the top tertiles of Lp(a) (peak aortic jet velocity: +0.26 +/- 0.26 vs. +0.1
215 provide a rationale for randomized trials of Lp(a)-lowering and OxPL-apoB-lowering therapies in AS.
217 continues to be made in the understanding of Lp(a) metabolism, and Lp(a) levels, rather than apolipop
219 in (a) (Lp(a)), mediating cellular uptake of Lp(a) in vitro and promoting clearance of Lp(a) in vivo.
220 imilar results were obtained with the use of Lp(a) cutoffs of </=10 mg/dL, >10 to </=20 mg/dL, >20 to
221 rationale for the potential clinical use of Lp(a)-lowering therapies in high-risk patients or patien
225 00 (OxPL/apoB), primarily reflecting OxPL on Lp(a), independently predict cardiovascular disease (CVD
227 fully human monoclonal antibody to PCSK9, on Lp(a), the relationship between Lp(a) and lowering of lo
229 at least partially due to disagreement over Lp(a) measurement methodologies, its physiological role
232 y IL-1 genotype, oxidation of phospholipids, Lp(a), and genetic predisposition to CAD and cardiovascu
236 ere mean percentage change in fasting plasma Lp(a) concentration at day 85 or 99 in the per-protocol
237 ere mean percentage change in fasting plasma Lp(a) concentration, safety, and tolerability at day 30
238 pendent, mean percentage decreases in plasma Lp(a) concentration of 39.6% from baseline in the 100 mg
239 istration, a significant reduction in plasma Lp(a) concentration was observed with oral (WMD: -9.00 m
244 o assess the impact of L-carnitine on plasma Lp(a) concentrations through systematic review and meta-
246 PCSK9 levels directly correlated with plasma Lp(a) levels but not with total plasma PCSK9 levels.
248 ale exists to develop novel agents to reduce Lp(a) and test the hypothesis that this will lead to red
251 mg, 105 mg, and 140 mg every 2 weeks reduced Lp(a) at 12 weeks by 18%, 32%, and 32%, respectively (P<
252 mg, 350 mg, and 420 mg every 4 weeks reduced Lp(a) by 18%, 23%, and 23%, respectively (P<0.001 for ea
256 on, the meta-analysis suggests a significant Lp(a) lowering by oral L-carnitine supplementation.
261 st irrefutable evidence has accumulated that Lp(a) is a causal, independent, genetic risk factor for
263 However, recent data has demonstrated that Lp(a) can be significantly lowered, along with reduction
264 (a) apheresis has offered some evidence that Lp(a)-lowering can improve cardiovascular end-points.
266 These findings support the hypothesis that Lp(a) mediates AS progression through its associated OxP
271 y defined, and no mechanistic studies of the Lp(a) lowering by alirocumab in humans have been publish
273 icipants treated with potent statin therapy, Lp(a) was a significant determinant of residual risk.
275 r race-specific 1-SD-greater log-transformed Lp(a) were 1.13 (1.04-1.23) for incident CVD, 1.11 (1.00
277 nvestigational efforts to further understand Lp(a) pathophysiology and assess whether reducing Lp(a)
280 (a)tg and Lp(a)tg mice, to determine whether Lp(a)/apo(a) modifies plasminogen-dependent leukocyte re
283 th elevated Lp(a), but it is unknown whether Lp(a) is a determinant of residual risk in the setting o
287 how that PCSK9 is physically associated with Lp(a) in vivo using 3 different approaches: (1) analysis
291 s3798220 and rs10455872 were associated with Lp(a)-cholesterol levels independent of each other and K
292 d two variants most strongly associated with Lp(a)-cholesterol, rs3798220 (P = 1.07 x 10(-14)) and rs
293 at plasma PCSK9 is found in association with Lp(a) particles in humans with high Lp(a) levels and in
298 o(a) only, and the association of PCSK9 with Lp(a) was not affected by the loss of the apo(a) region
300 S AND Human hepatoma cells were treated with Lp(a) purified from human plasma and Lp(a) uptake studie
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