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(Circulation. 2000;102:1639.)
© 2000 American Heart Association, Inc.

Clinical Investigation and Reports

Development of Antibody Against Epitope of Lipoprotein(a) Modified by Oxidation

Evaluation of New Enzyme-Linked Immunosorbent Assay for Oxidized Lipoprotein(a)

Shingo Yamada; Ryuichi Morishita, MD; Shigefumi Nakamura, MD; Toshio Ogihara, MD; Yoshiaki Kusumi, MD; Isamu Sakurai, MD; Nobuhiko Kubo, MD; Ikunosuke Sakurabayashi, MD

From the Central Institute (S.Y.), Shino-Test Corporation, Sagamihara, Japan; Department of Geriatric Medicine (R.M., S.N., T.O.), Osaka University Medical School, Osaka, Japan; Department of Pathology (Y.K., I. Sakurai), Nihon University School of Medicine, Tokyo, Japan; and Department of Clinical Laboratories (N.K.), Ohmiya Medical Center, Jichi Medical School, Ohmiya-shi, Japan.

Correspondence to Shingo Yamada, Shino-Test Corporation, 2-29-14 Oonodai, Sagamihara-shi, 229-0011, Japan. E-mail RD{at}shino-test.co.jp

Background—Recently, the biological effects of oxidized lipoprotein(a) [Lp(a)] have been reported to be more potent than Lp(a), the arteriosclerosis-relevant lipoprotein. Thus, investigations with oxidized Lp(a) are expected to provide viewpoints different from the conventional ones based on Lp(a).

Methods and Results—An anti-Lp(a) monoclonal antibody (161E2) was produced against synthetic peptide antigen (Arg-Asn-Pro-Asp-Val-Ala-Pro). This epitope was characterized as having various properties because its external exposure was induced as a result of oxidative modification. Using 161E2 antibody, we developed a new enzyme-linked immunosorbent assay to measure Lp(a) modified by oxidative stress. The present data demonstrated that oxidized Lp(a) that contains the epitope of 161E2 antibody was present in the serum of humans. Therefore, we used this new enzyme-linked immunosorbent assay to evaluate the role of oxidized Lp(a) in patients with hypertension, which induces oxidative stress . Interestingly, hypertensive patients with complications showed a significantly higher level of oxidized Lp(a) in serum than did normotensive subjects (P<0.01), whereas there was no significant difference in native Lp(a) between normotensive and hypertensive subjects. Importantly, positive immunostaining with 161E2 monoclonal antibody was found in the human arteriosclerotic tissue.

Conclusions—We developed a new antibody against an epitope in Lp(a) as a result of oxidation treatment but not in native Lp(a). The present data demonstrated in vivo the presence of oxidized Lp(a) in the atherosclerotic tissue and its elevation in hypertensive patients. The presence of oxidized Lp(a) may be important in understanding the role of Lp(a) in cardiovascular disease.

Key Words: lipoprotein(a) • immunoassay • monoclonal antibody • atherosclerosis • hypertension

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