EXTRACORPOREAL IMMUNOADSORPTION FOR THE SPECIFIC REMOVAL OF LIPOPROTEIN (A) (LP(A) APHERESIS) - PRELIMINARY CLINICAL-DATA

被引:36
作者
POKROVSKY, SN [1 ]
SUSSEKOV, AV [1 ]
AFANASIEVA, OI [1 ]
ADAMOVA, IY [1 ]
LYAKISHEV, AA [1 ]
KUKHARCHUK, VV [1 ]
机构
[1] CARDIOL RES CTR,INST CLIN CARDIOL,MOSCOW 121552,RUSSIA
关键词
LIPOPROTEIN (A); APOLIPOPROTEIN (A); ATHEROSCLEROSIS; APHERESIS; IMMUNOSORBENT;
D O I
10.1016/0009-3084(94)90153-8
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
The extracorporeal procedure for the specific removal of lipoprotein (a) (Lp(a)) from human plasma - Lp(a) apheresis - was applied to the treatment of three patients with coronary artery disease documented by angiography. Their initial lipid levels were as follows: total cholesterol, 210-230 mg/dl; low-density lipoprotein (LDL) cholesterol, 140-160 mg/dl; Lp(a), 90-120 mg/dl. The patients underwent a total of 168 procedures without significant side effects. Lp(a) apheresis reduced the Lp(a)level by removing up to 88% of Lp(a). Other plasma compounds, including LDL and plasminogen, remained practically unchanged. Lp(a) apheresis appears to be a unique, effective and specific method for lowering the Lp(a) level. Additional trials are needed to evaluate the clinical effect of this treatment.
引用
收藏
页码:323 / 330
页数:8
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