Reference values of plasma lipoprotein (a) in newly classified apolipoprotein(a) phenotype groups in the Japanese population

Ann Clin Biochem. 2000 Sep:37 ( Pt 5):701-7. doi: 10.1258/0004563001899753.

Abstract

We tried to establish the reference values of plasma lipoprotein (a) [Lp(a)] concentration in phenotype groups of apoliprotein(a) [apo A] classified by a new criterion. Lp(a) concentration was determined by latex agglutination immunoassay, and apo A was analysed by electrophoresis in sodium dodecyl sulphate-polyacrylamide gel and a Western blotting technique. According to the relative mobility to the apo B-100 band, apo A was classified into 11 isoforms, i.e. F, B, and S1-S9, and the phenotype was defined by their apparent combination. The frequency ratio of single-band versus double-band was approximately 2:1. In 382 cases of single-band, the most frequent phenotype was S5 (24.3%), followed by S4 (17.3%), S6 (15.4%) and S3 (14.4%). In 181 cases of double-band, S5/S6 phenotype was observed most frequently (12.2%). followed by S4/S5 (10.5%) and S3/S6 (7.2%). The reference value was determined between antilogs of the mean +/- 1.96 standard deviation by logarithmic transformation of all observed values for individual phenotype cases. These results suggest that the reference values shown to be variable with apo A phenotypes should be useful for evaluating Lp(a) values in diagnosis of atherosclerosis.

MeSH terms

  • Arteriosclerosis / diagnosis
  • Blood Protein Electrophoresis
  • Blotting, Western
  • Electrophoresis, Polyacrylamide Gel
  • Humans
  • Japan
  • Latex Fixation Tests
  • Lipoprotein(a) / blood*
  • Lipoprotein(a) / classification
  • Phenotype
  • Protein Isoforms / blood
  • Protein Isoforms / classification
  • Reference Values

Substances

  • Lipoprotein(a)
  • Protein Isoforms