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Updated: Aug 24, 2026

Isolation and Analysis of Plasma Lipoproteins by Ultracentrifugation
Published on: January 28, 2021
Lipoprotein(a): new insights into mechanisms of atherogenesis and thrombosis
1Division of Cardiovascular Diseases and Molecular Medicine Program, Mayo Clinic, Rochester, Minnesota 55905, USA.
Insights
Lipoprotein(a) (Lp[a]) is a controversial molecule linked to vascular disease. New research suggests complex, tissue-specific effects in blood and tissue contribute to atherosclerosis and thrombosis.
Area of Science:
- Cardiovascular Medicine
- Biochemistry
- Pathophysiology
Background:
- Lipoprotein(a) (Lp[a]) is a molecule with an unclear physiological role.
- Emerging evidence suggests Lp[a] contributes to atherosclerosis and its complications.
Purpose of the Study:
- To review the structure and biochemical function of Lp(a).
- To summarize pathophysiologic mechanisms of Lp[a]-induced vascular disease.
- To highlight the role of cell and tissue-specific effects in atherogenesis and thrombosis.
Main Methods:
- Literature review of current research on Lp(a).
Main Results:
- Lp(a) has complex effects that differ between vascular tissue and blood.
- A combination of tissue-specific effects is likely key to Lp[a]'s pathogenicity.
- Mechanisms include contributions to atherogenesis and thrombosis.
Conclusions:
- Lp(a) plays a significant, albeit complex, role in vascular disease.
- Understanding tissue-specific effects is crucial for elucidating Lp[a]'s pathogenicity.
Abstract:
Lipoprotein(a) (Lp[a]) continues to be a controversial molecule regarding its role in human vascular disease. Although the physiologic role of this molecule is still unclear, novel discoveries within the last few years have suggested numerous mechanisms whereby Lp(a) may contribute to atherosclerosis and its complications in human subjects. These effects may differentially occur in vascular tissue and circulating blood compartments. A complex interplay between tissue-specific effects is probably more relevant to the pathogenicity of this molecule than one single effect alone. This review briefly describes the structure of Lp(a) in relation to its biochemical function, summarizing the current literature on various pathophysiologic mechanisms of Lp(a)-induced vascular disease and the role of cell and tissue-specific effects in promoting atherogenesis and thrombosis.
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