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lipoprotein (a): a bad actor

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  A recent Mendelian randomization trial found a profound atherogenic effect for lipoprotein(a), significantly more so than LDL (see  lipids Lp(a) more atherogen than LDL JACC2024  in dropbox or  doi.org/10.1016/j.jacc.2023.10.039)   Details : -- these researchers used 2 genomic databases to assess the role of lipoprotein(a), referred to as Lp(a), versus LDL in terms of atherogenicity,  on a per-particle basis. They were able to assess the individual particles in both of these lipid moieties by measuring the apolipoproteinB (apoB) concentrations (each one of these lipid moieties has a single apoB on its membrane)     -- they accessed the UK Biobank population of 502,413 UK residents of mainly European ancestry and 54% female     -- as a replication cohort, they accessed the CARDIoGRAMplusC4D data sets (Coronary ARtery DIsease Genome-wide Replication and Meta-analysis, plus The Coronary Artery Disease Genetics), with 98 of the Lp(a) cluster SNPs (single nucleotide polymorphisms) and 130