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© 1995 Oxford University Press

RESEARCH-ARTICLE

Sequence microheterogeneity in apolipoprotein(a) gene repeats and the relationship to plasma Lp(a) levels

Francesco P. Mancini, Vincent Mooser, Rudy Guerra1 and Helen H. Hobbs*

Departments of Molecular Genetics and Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75235 1Department of Statistical Science, Southern Methodist University, Dallas, TX 75275, USA

*To whom correspondence should be addressed

Received May 5, 1995; Accepted June 23, 1995

Lipoprotein(a) [Lp(a)] is a cholesterol ester-rich atherogenic lipoprotein that is composed of a particle of low density lipoprotein and a large glycoprotein, apolipoprotein(a) [apo(a)]. Apolipoprotein(a) varies in size over a {small tilde}500 kDa range due to inter-allelic differences in the number of tandemly repeated kringle 4 (K4)-encoding 5. 5 kb sequences in the apo(a) gene. Only one of the 10 different types of K4 repeats in the apo(a) gene, the so-called type 2 K4 repeats, vary in number between apo(a) alleles. In this paper, we show that there is microheterogeneity within the sequence of the type 2 K4 repeat. Dralll restriction digestion and genomic blotting revealed that a subset of the type 2 K4-encoding sequences contained a Dralll site (K4-D). The proportion of apo(a) alleles that had at least one K4-D repeat ranged from 25% in Caucasians to 50% in the Chinese. K4-D repeats were clustered at the end(s) of the type 2 K4 tandem array and the number and patterns of the K4-D repeats were in linkage disequilibrium with flanking sequence polymorphisms; these features are remarkably similar to the minisatellite variant repeats (MVRs) found in variable number of tandem repeat sequences (VNTRs). In addition, a Dralll pattern that comprised 9% of the sample was invariably associated with low plasma levels of Lp(a) in Caucasians.


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