[a] have been described in humans, ranging in size from Ļ½ 300 kDa to Ļ¾ 800 kDa (2).Plasma levels of Lp[a] vary greatly between individuals, from Ļ½ 1 mg/dl to Ļ¾ 100 mg/dl (2). The source of most of this variability in plasma concentrations is variability in the production rate of Lp[a] (3, 4), which, in turn, is controlled largely by the apo[a] gene locus (5). Apo[a] is synthesized by hepatocytes and rapidly associates with LDL after secretion to form Lp[a] in the sinusoids of the liver (2, 6). Although the steps involved in Lp[a] production are known, the major mechanisms involved in Lp [a] clearance from plasma are not currently known. It has been suggested that the kidney might play a major role in Lp[a] clearance, after several clinical studies reported increased plasma Lp[a] levels in patients with renal failure (7,8). In addition, Kronenberg et al. (9) Several receptors that mediate the binding and uptake of lipoproteins containing apoB-100 have been proposed as receptors for Lp [a] catabolism. These include the LDL receptor (LDLR) (10-15), megalin/gp330 (16), the LDL receptor-related protein (LRP) (17), and the VLDL receptor (18). The latter two receptors can mediate binding to lipoproteins through apoE. According to the secretioncapture model, apoE that is secreted by the liver rapidly