Evidence mounts for a role of the kidney in lipoprotein(a) catabolism.

Albers, J J; Koschinsky, M L; Marcovina, S M · Kidney Int · 2007

editorial · Level V

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Abstract

Numerous studies have suggested a role of the kidney in lipoprotein(a) (Lp(a)) catabolism, but direct evidence is still lacking. Frischmann et al. demonstrate that the marked elevation of Lp(a) observed in hemodialysis patients results from a decrease in Lp(a) clearance rather than an increase in Lp(a) production, consistent with the notion that the kidney degrades Lp(a). More studies are needed to prove the biological relevance.

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