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Innsbruck,. Austria. 1046-6673/0601-O1. 10503.00/0. Journal of the. American ... American society of Nephrology treated by HD (P
Mulficenfer Study of Lipoprotein(a) and Apolipoprotein(a) Phenotypes in Patients With End-Stage Renal Disease Treated by Hemodialysis or Continuous Ambulatory Peritoneal Dialysis1 Florian

Kronenberg,2

JUrgen

Reitinger,

Paul Georg

K#{244}nig,Ulrich Pinter,

Gerd

Neyer,

Martin

Utermann,

and

Auinger, Hans

F. Kronenberg. G. Utermann. Medical Biology and Human lnnsbruck.

lnnsbruck,

P. Konig. Clinical

Innsbruck Nephrology.

U. Neyer.

Feldkirch

M. Auinger. A.

U. Lang.

of of

Hospital. Austria Feldkirch.

Hospital

Hospital.

Department

Vienna.

Vienna.

Vienna.

Karlsruhe,

Germany

Klagenfurt Soc.

(J. Am.

Hospital.

Nephrol.

1995;

Klagenfurt.

Austria

6:110-120)

ABSTRACT Numerous

have investigated Iipoprotein(a) concentrations in patients with ESRD,

studies

(Lp(a))

plasma

a patient

group

with an enormous

The reported

rosis.

differences

risk for atheroscle-

in Lp(a)

patients vary from a decrease of more than 1,000%. However, consistent, mostly because of problems analysis, and only limited data are

trols

and

increase

patients

treated

dialysis

(CAPD).

between

con-

of 49% to an data are not with statistical available for

by continuous ambulatory peritoneal To estimate the significance of Lp(a) in ESRD and to demonstrate the statistical piffalls concerning Lp(a) in case-control studies, a large multicenter study including 702 patients treated by either hemodialysis (HD) (N = 534) or CAPD (N = 168)

was

conducted,

and results were compared with healthy controls. Both patient groups showed significantly elevated Lp(a) levels in comparison with controls: 23.4 ± 25.0 mg/dL (P < 0.005; HD) and 34.6 ± 38.4 mg/dL (P< 0.0001; CAPD) versus 18.4 results

from

22.8

±

(controls).

higher

1

Received

2

Correspondence

Genetics,

256

mg/dL

nificantly

CAPD

Lp(a)

September

13,

1994.

Accepted

to Dr. F. Kronenberg.

Sch#{244}pfstr.41

.

A-6020

values

Innsbruck,

January

Institute

patients than

Austria.

1046-6673/0601-O1 10503.00/0 Journal of the American 5ociety of Nephrology Copyright © 1995 by the American society of Nephrology

110

showed sigdid patients

3. 1995.

of Medical

Biology

and

Ursula

Lang,

The difference

Both

treatment

between

for protein groups

losses in CAPD

included

significantly

values greater of the control

than the 75th group (33.9

41 .7% for HD and CAPD, respectively; higher Lp(a) values in patients

by differences

the

reflects an overproduc-

in isoform

P were

frequencies