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Published on: October 12, 2017
Lipoprotein (a) and apolipoprotein (a) phenotypes in healthy Macedonian children
K Tosheska1, D Labudovic, S Alabakovska
1Department of Medical and Experimental Biochemistry, Medical Faculty, Skopje, Republic of Macedonia. tosheskatrajkovska@gmail.com
Insights
Genetic factors determine lipoprotein(a) [Lp(a)] levels, a risk for atherosclerosis. This study analyzed Lp(a) levels and apolipoprotein(a) [apo(a)] phenotypes in healthy Macedonian children, finding an inverse relationship between apo(a) size and Lp(a) concentration.
Area of Science:
- Cardiovascular Genetics
- Biochemistry
- Pediatric Health
Background:
- Plasma lipoprotein(a) [Lp(a)] levels are primarily determined by genetic variations in the apolipoprotein(a) [apo(a)] gene.
- Elevated Lp(a) levels are a significant risk factor for premature atherosclerosis.
- The relationship between apo(a) phenotypes and disease development is not well understood.
Purpose of the Study:
- To determine lipoprotein(a) [Lp(a)] levels and apolipoprotein(a) [apo(a)] isoforms (phenotypes) in healthy Macedonian children.
- To investigate the association between apo(a) phenotypes and plasma Lp(a) concentrations in a pediatric cohort.
Main Methods:
- Utilized 3-15% gradient SDS-PAGE for the separation and classification of apo(a) isoforms.
- Phenotypes were categorized into single-band (homozygotic), double-band (heterozygotic), and null phenotypes based on electrophoretic mobility.
- Plasma Lp(a) levels were quantified and analyzed in relation to apo(a) phenotypes.
Main Results:
- Single-band apo(a) phenotypes were more frequent (64%) than double-band (32%) and null phenotypes (4%).
- The S4 phenotype was the most common (42.65%).
- A significant inverse correlation was observed between apo(a) molecular weight and plasma Lp(a) concentration (r = -0.4257).
Conclusions:
- Lp(a) levels and apo(a) phenotypes in children can be determined using SDS-PAGE.
- Understanding these associations may aid in the prevention and reduction of atherosclerotic risk in pediatric populations.
- Further research into apo(a) phenotypes and Lp(a) levels in children is warranted.
Background:
Plasma levels of lipoprotein(a) [Lp(a)] are determined largely by genetic variation in the gene encoding apolipoprotein(a) [apo(a)], the unique protein component of Lp(a). High plasma levels of Lp(a) increase the risk of premature atherosclerosis. However, the association of apo(a) phenotypes with the development of these diseases remains largely unexplored.
Objectives:
Determination of Lp(a) levels and apo(a) isoforms (phenotypes) in 100 (51 boys, 49 girls) Macedonian healthy children aged 9-18.
Methods:
We used 3-15 % gradient SDS-PAGE for separation of apo(a) isoforms. According to the different apo(a) electrophoretic mobilities, Apo(a) was classified into five single and respective double-band phenotypes.
Results:
Each individual expressed a single (homozygotic), double-band (heterozygotic) or no band (null phenotype). The apo(a) phenotype frequencies revealed that the frequency of single-band phenotype expression (64 %) was higher than that of double bands (32 %) and that the frequency of phenotypes representative of low molecular weight was very low (4%). The most frequent phenotype was S4 (42.65%). The distribution of plasma Lp(a) levels was skewed, with the highest frequencies at low levels. The mean Lp(a) concentration was 11.95 (SD of 5.98 and median of 9.62 mg/dL). We did not find differences in the mean and median plasma Lp(a) levels between boys and girls (p > 0.05). A strong inverse relationship was found between the apparent molecular weight of apo(a) phenotypes and plasma Lp(a) concentration (r = -0.4257).
Conclusions:
Determination of Lp(a) levels and apo(a) phenotypes in children, may help in preventing and reducing the risk of atherosclerotic development (Tab. 6, Ref 32). Full Text (Free, PDF) www.bmj.sk.
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