2004
DOI: 10.1159/000079200
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Relation of Apolipoprotein(a) Size to Alzheimer’s Disease and Vascular Dementia

Abstract: Lipoprotein(a) [Lp(a)] level is a newly established vascular risk factor which has been suggested to play a role in dementia. However, the majority of Lp(a) cell-to-cell interactions are mediated by its specific apolipoprotein(a) [apo(a)] moiety. This suggests that the size polymorphism of apo(a) may be of importance in conveying the Lp(a)-related risk. Specifically, we postulated that variation in apo(a) isoform size may lead to increased risk of vascular dementia (VaD), Alzheimer’s disease (AD), stroke, or a… Show more

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Cited by 21 publications
(8 citation statements)
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“…A previous study showed that serum ApoA concentration was highly correlated with the severity of AD [57]. A significant association of AD was found with Lp(a), which was shown to be related to dementia [58] and AD [59]. A significant association of AD with ALB was found in our study.…”
Section: Discussionsupporting
confidence: 77%
“…A previous study showed that serum ApoA concentration was highly correlated with the severity of AD [57]. A significant association of AD was found with Lp(a), which was shown to be related to dementia [58] and AD [59]. A significant association of AD with ALB was found in our study.…”
Section: Discussionsupporting
confidence: 77%
“…462 Lp(a) plasma concentration and fibrinolytic activity are reported to be dependent on the apo(a) isoform size. 462,463 A meta-analysis of 27 prospective studies with a mean follow-up period of 10 years found that patients with baseline Lp(a) levels in the top third of the concentration distribution have an Ϸ60% increased risk of coronary heart disease as compared with those with Lp(a) levels in the bottom third (RRϭ1.6; 95% CI 1.4 to 1.8; PϽ0.00001). 464 Considerable evidence suggests that high Lp(a) levels promote ischemic stroke, but findings have not been completely consistent (Table 4).…”
Section: Elevated Lipoprotein(a)mentioning
confidence: 99%
“…Stroke subtypes significantly contributed to heterogeneity assessed by meta-regression; stroke due to large artery atherosclerosis and stroke due to undetermined etiology reported significantly higher ORs (QM ¼ 6.89; p ¼ 0.03; beta ¼ 0.008; se ¼ 0.003). Four studies [47,48,54,56] dichotomized Lp(a) levels at 30 mg/dl (clinical cut-off) or 14 mg/dl, respectively, three studies [27,49,58] compared highest vs. lowest tertile or quartile, respectively, and three studies [45,55,57] reported risk differences for continuous increase in Lp(a), see eTable 6 in the supplement. Four studies reported sex-specific ORs [27,47,48,56].…”
Section: Caseecontrol Studiesmentioning
confidence: 99%