LPA Gene - Lipoprotein(a)

Genetic determinant of lipoprotein(a) levels and cardiovascular risk

Gene Information Card

Symbol LPA
Full Name Lipoprotein(a)
Gene Type protein-coding
Chromosomal Location 6q25.3-q26
NCBI Gene ID 4018 ncbi.nlm.nih.gov/gene/4018
Ensembl ID ENSG00000198670
UniProt ID P08519
OMIM ID 147200
HGNC ID 6667
Aliases APOA, LP, apo(a)

Description

The LPA gene encodes apolipoprotein(a), a serine protease-like protein that covalently binds to apolipoprotein B-100 to form lipoprotein(a) [Lp(a)]. Lp(a) is a low-density lipoprotein (LDL)-like particle with an additional apo(a) component. The gene is highly polymorphic, with copy number variation in kringle IV type 2 repeats determining isoform size and plasma Lp(a) concentration. Elevated Lp(a) is an independent, causal risk factor for atherosclerotic cardiovascular disease and calcific aortic valve stenosis.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Atherosclerotic cardiovascular disease Elevated Lp(a) promotes prothrombotic and proinflammatory effects via apo(a) kringle domains and oxidized phospholipids Multiple genome-wide association studies; Mendelian randomization evidence (PMID: 30586733)
Calcific aortic valve stenosis Lp(a) deposition and oxidation in valve leaflets promote calcification ClinVar; OMIM #147200; PMID: 30586733
Familial hypercholesterolemia LPA variants can modify LDL cholesterol levels and cardiovascular risk ClinVar; PMID: 30586733

Expression Profile

Tissue Expression
Tissue nTPM level
Liver 0.1 Not detected
Hepatocytes 0.1 Not detected
Plasma N/A Secreted; measured as Lp(a) concentration
Cell Line Expression
Cell Line nTPM Notes
HepG2 0.1 Hepatocellular carcinoma cell line; minimal endogenous expression
Primary hepatocytes 0.1 Low expression; LPA is primarily expressed in liver but at very low mRNA levels
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
Kringle IV type 2 repeat expansion Copy number variation Variable (common) Inversely associated with Lp(a) plasma levels; larger isoforms → lower Lp(a)
rs10455872 (intronic) SNP ~15% in Europeans Associated with increased Lp(a) levels and CAD risk
rs3798220 (missense) SNP ~2% in Europeans Associated with increased Lp(a) levels and CAD risk
Mutation functional classification

Loss of Function (LOF)

Rare nonsense/frameshift variants that reduce Lp(a) levels are associated with lower cardiovascular risk.

Gain of Function (GOF)

Not clearly defined; increased Lp(a) due to copy number or regulatory variants is considered a gain-of-function risk factor.

Dominant Negative (DN)

Not reported for LPA.

Pathways

• Lipoprotein metabolism (Reactome: R-HSA-174824)
• Plasminogen activating cascade (Reactome: R-HSA-75205)

Protein Summary

Apolipoprotein(a) is a large glycoprotein composed of multiple kringle domains (homologous to plasminogen kringle IV and V) followed by an inactive protease-like domain. It binds covalently to apolipoprotein B-100 via a disulfide bond to form Lp(a). The protein inhibits plasminogen activation, contributing to its prothrombotic effects. Isoform size varies from ~200 to >800 kDa due to kringle IV type 2 repeats.

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