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- W3113714094 abstract "Elevated lipoprotein(a) [Lp(a)] concentrations in blood represent a causal risk factor for cardiovascular diseases [ [1] Nordestgaard B.G. Langsted A. Lipoprotein (a) as a cause of cardiovascular disease: insights from epidemiology, genetics, and biology. J. Lipid Res. 2016; 57: 1953-1975 Abstract Full Text Full Text PDF PubMed Scopus (213) Google Scholar ]. The underlying pathogenic mechanisms are not yet fully clarified. Although several studies have shown that Lp(a) contributes to artherosclerosis, it is still uncertain whether or not Lp(a) is involved as a prothrombotic factor [ [2] Boffa M.B. Koschinsky M.L. Lipoprotein (a): truly a direct prothrombotic factor in cardiovascular disease?. J. Lipid Res. 2016; 57: 745-757 Abstract Full Text Full Text PDF PubMed Scopus (109) Google Scholar ]. There is firm biochemical evidence that Lp(a), due to the similarity between apolipoprotein(a) [apo(a)] and plasminogen, inhibits fibrinolysis. However, it remains unknown whether this inhibitory effect is sufficiently strong to play a significant role in the global fibrinolytic activity of the circulating blood that depends on many hemostatic factors. We reviewed the literature and selected only papers with fibrinolysis tests in whole blood or whole plasma. Several studies were unable to demonstrate an association between Lp(a) concentration and fibrinolysis in blood samples from different individuals [ 3 Halvorsen S. Skjonsberg O.H. Berg K. Ruyter R. Godal H.C. Does Lp(a) lipoprotein inhibit the fibrinolytic system?. Thromb. Res. 1992; 68: 223-232 Abstract Full Text PDF PubMed Scopus (27) Google Scholar , 4 Mansson M. Kalies I. Bergstrom G. Schmidt C. Legnehed A. Hulten L.M. et al. Lp(a) is not associated with diabetes but affects fibrinolysis and clot structure ex vivo. Sci. Rep. 2014; 4: 5318 Crossref PubMed Scopus (7) Google Scholar , 5 Skuza A.A. Polak M. Undas A. Elevated lipoprotein(a) as a new risk factor of cerebral venous sinus thrombosis: association with fibrin clot properties. J. Thromb. Thrombolysis. 2019; 47: 8-15 Crossref PubMed Scopus (3) Google Scholar , 6 Stegnar M. Ambrozic J. Berger B. Keber I. In-vitro plasma and euglobulin clot lysis in subjects with elevated lipoprotein(a). Fibrinolysis. 1995; 9: 304-308 Crossref Scopus (7) Google Scholar , 7 Terres W. Krewitt M. Hamm C.W. Effects of lipoprotein(a) on in vitro lysis of whole blood thrombi from healthy volunteers. Thromb. Res. 1993; 69: 479-487 Abstract Full Text PDF PubMed Scopus (14) Google Scholar ] whereas other studies reported a strong association [ 8 Rowland C.M. Pullinger C.R. Luke M.M. Shiffman D. Green L. Movsesyan I. et al. Lipoprotein (a), LPA Ile4399Met, and fibrin clot properties. Thromb. Res. 2014; 133: 863-867 Abstract Full Text Full Text PDF PubMed Scopus (19) Google Scholar , 9 Undas A. Ciesla-Dul M. Drazkiewicz T. Sadowski J. Altered fibrin clot properties are associated with residual vein obstruction: effects of lipoprotein(a) and apolipoprotein(a) isoform. Thromb. Res. 2012; 130: e184-e187 Abstract Full Text Full Text PDF PubMed Scopus (25) Google Scholar , 10 Undas A. Plicner D. Stepien E. Drwila R. Sadowski J. Altered fibrin clot structure in patients with advanced coronary artery disease: a role of C-reactive protein, lipoprotein(a) and homocysteine. J. Thromb. Haemost. 2007; 5: 1988-1990 Crossref PubMed Scopus (65) Google Scholar , 11 Undas A. Stepien E. Tracz W. Szczeklik A. Lipoprotein(a) as a modifier of fibrin clot permeability and susceptibility to lysis. J. Thromb. Haemost. 2006; 4: 973-975 Crossref PubMed Scopus (55) Google Scholar ]. The cause of this apparent discrepancy is unknown. It is striking that the latter studies all utilized a plasma clot lysis assay with an exceptionally high exogenous tissue-type plasminogen activator (tPA) concentration (500 ng/mL) to induce clot lysis. The goal of the present study was to re-examine the association of Lp(a) concentration and global fibrinolytic activity in plasma and blood from individuals with low to high concentrations of Lp(a) by using different clot lysis assays, including assays with high tPA concentrations." @default.
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- W3113714094 date "2021-02-01" @default.
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- W3113714094 title "How significant is the antifibrinolytic effect of lipoprotein(a) for blood clot lysis?" @default.
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- W3113714094 doi "https://doi.org/10.1016/j.thromres.2020.12.014" @default.
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