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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1997-8-18
pubmed:abstractText
Elevated plasma levels of lipoprotein(a) [Lp(a)] represent a significant independent risk factor for the development of atherosclerosis. Interindividual levels of apo(a) vary over 1000-fold and are mainly due to inheritance that is linked to the locus of the apolipoprotein(a) [apo(a)] gene. The apo(a) gene encodes multiple repeats of a sequence exhibiting up to 85% DNA sequence homology with plasminogen kringle IV (K.IV), a lysine binding domain. In our search for sequence polymorphisms in the K.IV coding domain, we identified a polymorphism predicting a Thr-->Pro substitution located at amino acid position 12 of kringle IV type 8 of apo(a). The functional and clinical significance of this polymorphism was analysed in a case-control study and by comparing the in vitro lysine binding characteristics of the two Lp(a) subtypes. The case-control study (involving 153 subjects having symptomatic atherosclerosis and 153 age and gender matched normolipidemic controls) revealed a overall allele frequency for the Thr12-->Pro substitution in kringle IV type 8 of 14% and a negative association between presence of the Pro12-subtype and symptomatic atherosclerosis (p < 0.03). The in vitro lysine binding studies, using Lp(a) isolated from subjects homozygous for either Thr12 or Pro12 in K.IV type 8, revealed comparable lysine-Sepharose binding fractions for the two subtypes. The binding affinity (Kd) for immobilised plasmin degraded des-AA-fibrin (Desafib-X) was also comparable for the two subtypes, however a decreased maximal attainable binding (Bmax) for immobilised desafib-X was observed for the Pro12-subtype Lp(a).
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0340-6245
pubmed:author
pubmed:issnType
Print
pubmed:volume
77
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
949-54
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:9184408-Adult, pubmed-meshheading:9184408-Arteriosclerosis, pubmed-meshheading:9184408-Case-Control Studies, pubmed-meshheading:9184408-DNA Primers, pubmed-meshheading:9184408-Female, pubmed-meshheading:9184408-Humans, pubmed-meshheading:9184408-Kringles, pubmed-meshheading:9184408-Lipoprotein(a), pubmed-meshheading:9184408-Male, pubmed-meshheading:9184408-Phenotype, pubmed-meshheading:9184408-Plasminogen, pubmed-meshheading:9184408-Polymerase Chain Reaction, pubmed-meshheading:9184408-Polymorphism, Genetic, pubmed-meshheading:9184408-Proline, pubmed-meshheading:9184408-Protein Structure, Secondary, pubmed-meshheading:9184408-Reference Values, pubmed-meshheading:9184408-Repetitive Sequences, Nucleic Acid, pubmed-meshheading:9184408-Risk Factors, pubmed-meshheading:9184408-Sequence Homology, Nucleic Acid, pubmed-meshheading:9184408-Threonine
pubmed:year
1997
pubmed:articleTitle
The identification and significance of a Thr-->Pro polymorphism in kringle IV type 8 of apolipoprotein(a).
pubmed:affiliation
Department of Clinical Chemistry, University Hospital Utrecht, The Netherlands. j.prins@lab.azu.nl
pubmed:publicationType
Journal Article