Evidence map›Paper›PMID 7819721›Full record

ArticleThe Clinical investigator1994

Apolipoprotein E phenotype and lipoprotein(a) in familial hypercholesterolaemia: implication for lipoprotein(a) metabolism.

G Lindahl, F Mailly, S Humphries, M Seed

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in The Clinical investigator, 1994. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

G LindahlUniversity College and Middlesex School of Medicine, Department of Medicine, Rayne Institute, London, UK.
F Mailly
S Humphries
M Seed

Funding

GENETIC EPIDEMIOLOGY OF CORONARY HEART DISEASER01HL039107 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SING, CHARLES F · 1987 to 2005
$5.8M
NHLBI NIH HHS 5 R01 HL 39107-03
6 · The paper itself

Abstract

The mechanisms regulating plasma levels of lipoprotein(a) [Lp(a)] are largely unknown. A two- to three-fold increase in Lp(a) levels in patients with familial hypercholesterolaemia (FH) has implied that LDL receptor activity may be an important factor in determining plasma Lp(a) levels, as it is in determining low-density lipoprotein (LDL) cholesterol concentration. Common apolipoprotein E (apoE) variants also affect plasma LDL cholesterol levels. We therefore examined the effect of the common apoE variants on plasma Lp(a) levels in 149 patients with heterozygous FH. Patients with the apoE2 allele (n = 11) had significantly higher plasma levels of LDL cholesterol compared to those with a apoE3E3 phenotype, while patients with the apoE4 isoform had similar levels. However, there was a significant effect of the apoE2 allele in lowering Lp(a) levels, compared to the apoE3E3 group. The median Lp(a) concentration in patients possessing an apoE2 isoform was 13.1 mg/dl below the median, while in those with an apoE4 allele the median Lp(a) levels were 4.13 mg/dl higher. There was a marked inverse correlation between plasma Lp(a) and LDL cholesterol concentration in the FH patients carrying the apoE2 allele. Our data imply that difference in Lp(a) levels observed between FH patients with different apoE isoforms does not result from altered clearance of Lp(a) via the LDL receptor pathway, and suggest that apoE mediated hepatic up-take, or conversion, of remnant particles may be determining Lp(a) production rate.

Indexed as

AdultAllelesApolipoproteins ECholesterol, LDLCoronary DiseaseGene FrequencyGenotypeHumansHyperlipoproteinemia Type IILipoprotein(a)Middle AgedReceptors, LDLRisk FactorsTriglyceridesApolipoproteins ECholesterol, LDLLipoprotein(a)Receptors, LDLTriglycerides

Identifiers

PMID7819721

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.