Lipoprotein
Lipoprotein has been studied in 22 papers since 2019: 19 observational studies in people, 3 reviews; 10 in the past year. The newest paper, Sep 17, 2026: “Lipoprotein(a) and Prostate Cancer: A Systematic Review of Observational, Genetic and Mendelian Randomization Evidence”.
Research on it is growing 19% faster than aging research as a whole: 83 papers in the latest year counted
See all 22 papers on lipoprotein
At a glance
Independent labs found the same change in people. 8 independent labs in 7 countries.
“independent of low-density lipoprotein cholesterol, on coronary artery disease (OR: 1.36; 95% CI: 1.21-1.54)”
1 of its findings points the other way.
- 8 independent labs in 7 countries
- 1 finding against
- Funders: National Institute for Health Research and others
- 19 of 21 findings with company ties
- Humans19
What did studies of lipoprotein find?
8Studies of lipoprotein measured 8 outcomes; the most studied are frontotemporal dementia (1 study), vascular dementia (1) and Alzheimer's disease (1).
Frontotemporal dementia
no changein humans1HR 0.94
1 study
Frontotemporal dementia
no changein humans1HR 0.94
Lipoprotein was not clearly linked with frontotemporal dementia in humans (elevated vs normal Lp(a), propensity score-matched cohort) (HR 0.94, 95% CI 0.48-1.83).
“Alzheimer's disease (HR 1.04, 95% CI 0.85-1.27), vascular dementia (HR 1.05, 95% CI 0.86-1.27), or frontotemporal dementia (HR 0.94, 95% CI 0.48-1.83)”
Humanselevated vs normal Lp(a), propensity score-matched cohort≥50 mg/dLup to 10 yearsn = 54,841
European journal of internal medicine
Vascular dementia
no changein humans1HR 1.05
1 study
Vascular dementia
no changein humans1HR 1.05
Lipoprotein was not clearly linked with vascular dementia in humans (elevated vs normal Lp(a), propensity score-matched cohort) (HR 1.05, 95% CI 0.86-1.27).
“Alzheimer's disease (HR 1.04, 95% CI 0.85-1.27), vascular dementia (HR 1.05, 95% CI 0.86-1.27), or frontotemporal dementia (HR 0.94, 95% CI 0.48-1.83)”
Humanselevated vs normal Lp(a), propensity score-matched cohort≥50 mg/dLup to 10 yearsn = 54,841
European journal of internal medicine
Alzheimer's disease
no changein humans1HR 1.04
1 study
Alzheimer's disease
no changein humans1HR 1.04
Lipoprotein was not clearly linked with Alzheimer's disease in humans (elevated vs normal Lp(a), propensity score-matched cohort) (HR 1.04, 95% CI 0.85-1.27).
“elevated Lp(a) was not associated with an increased risk of all-cause dementia (HR 0.99, 95% CI 0.88-1.10), Alzheimer's disease (HR 1.04, 95% CI 0.85-1.27)”
Humanselevated vs normal Lp(a), propensity score-matched cohort≥50 mg/dLup to 10 yearsn = 54,841
European journal of internal medicine
Dementia
no changein humans1HR 0.99
1 study
Dementia
no changein humans1HR 0.99
Lipoprotein was not clearly linked with dementia in humans (elevated vs normal Lp(a), propensity score-matched cohort) (HR 0.99, 95% CI 0.88-1.10).
“elevated Lp(a) was not associated with an increased risk of all-cause dementia (HR 0.99, 95% CI 0.88-1.10)”
Humanselevated vs normal Lp(a), propensity score-matched cohort≥50 mg/dLup to 10 yearsn = 54,841
European journal of internal medicine
Type 2 diabetes
no changein humans1OR 0.92
1 study
Type 2 diabetes
no changein humans1OR 0.92
Lipoprotein was not clearly linked with type 2 diabetes in humans (very low Lp(a) exposure) (OR 0.92 (95% CI 0.64-1.31)).
“Very low Lp(a) exposure was not associated with type 2 diabetes (OR: 0.92; 95% CI: 0.64-1.31)”
Humansvery low Lp(a) exposuren = 425,677
JACC. Advances
HbA1c
upin humans1
1 study
HbA1c
upin humans1
Lipoprotein is linked with higher HbA1c in humans (direct causal effect independent of LDL-C, network deconvolution Mendelian randomization) (β 0.099 (95% CI 0.051-0.15)).
“independent of low-density lipoprotein cholesterol, on coronary artery disease (OR: 1.36; 95% CI: 1.21-1.54) and glycated hemoglobin (HbA1c; β = 0.099; 95% CI: 0.051-0.15)”
Humansdirect causal effect independent of LDL-C, network deconvolution Mendelian randomizationn = 425,677
JACC. Advances
Coronary artery disease
upin humans1OR 1.36
1 study
Coronary artery disease
upin humans1OR 1.36
Lipoprotein is linked with higher coronary artery disease in humans (direct causal effect independent of LDL-C, network deconvolution Mendelian randomization) (OR 1.36 (95% CI 1.21-1.54)).
“independent of low-density lipoprotein cholesterol, on coronary artery disease (OR: 1.36; 95% CI: 1.21-1.54)”
Humansdirect causal effect independent of LDL-C, network deconvolution Mendelian randomizationn = 425,677
JACC. Advances
Parental life span
downin humans1OR 0.92
1 study
Parental life span
downin humans1OR 0.92
Lipoprotein is linked with lower parental life span in humans (genetic risk score weighted for a 50-mg/dL increase in Lp(a) levels) (OR 0.92, 95% CI 0.89-0.94).
“were inversely associated with a high parental life span (odds ratio, 0.92; 95% CI, 0.89-0.94; P = 2.7 × 10-8)”
Humansgenetic risk score weighted for a 50-mg/dL increase in Lp(a) levelsn = 139,362
JAMA network open
What is lipoprotein linked with?
13Studies link lipoprotein with 13 measures, most often myocardial infarction (1 study), atherosclerotic cardiovascular disease (1) and composite cardiovascular outcome (all-cause death, CVD death, myocardial infarction, or stroke) (1).
Myocardial infarction
upin humans1
1 study
Myocardial infarction
upin humans1
Lipoprotein predicts myocardial infarction in humans (ancestry-specific optimal thresholds) (86 nmol/L (European); 93 nmol/L (African) optimal thresholds).
“Among European and African ancestries, 86 (77th percentile) and 93 (59th percentile) nmol/L optimally discriminated myocardial infarction risk, respectively.”
Humansancestry-specific optimal thresholdsn = 425,677
JACC. Advances
Atherosclerotic cardiovascular disease
upin humans1HR 1.32
1 study
Atherosclerotic cardiovascular disease
upin humans1HR 1.32
Lipoprotein is linked with a higher risk of atherosclerotic cardiovascular disease in humans (highest vs lowest quintile; higher in men than in women) (adjusted HR 1.32 in men vs 1.13 in women).
“In the highest quintile of baseline Lp(a) (130 vs 5.2 nmol/L), the risk of ASCVD events was higher in men than in women (adjusted HR: 1.32 vs 1.13, respectively).”
Humanshighest vs lowest quintile; higher in men than in womenhighest quintile (130 vs 5.2 nmol/L)mens
AHA Scientific Sessions 2025 abstract
Composite cardiovascular outcome (all-cause death, CVD death, myocardial infarction, or stroke)
upin humans1
1 study
Composite cardiovascular outcome (all-cause death, CVD death, myocardial infarction, or stroke)
upin humans1
Lipoprotein is linked with a higher risk of composite cardiovascular outcome (all-cause death, CVD death, myocardial infarction, or stroke) in humans (fully adjusted Cox models; mutually adjusted for suPAR) (aHR 1.50 (95% CI 1.06–2.13)).
“High Lp(a) (>70 mg/dL) was also associated with increased risk, though of lower magnitude compared to suPAR (aHR 1.50; 95% CI 1.06–2.13).”
Humansfully adjusted Cox models; mutually adjusted for suPAR>70 mg/dLn = 4,357
AHA Scientific Sessions 2025 abstract
Lipoprotein(a) concentration in first-degree relatives
upin humans1
1 study
Lipoprotein(a) concentration in first-degree relatives
upin humans1
Lipoprotein is associated with lipoprotein(a) concentration in first-degree relatives in humans (pairs of first-degree relatives) (Spearman ρ = 0.45).
“Levels of Lp(a) were correlated among pairs of first-degree (Spearman ρ = 0.45; P < .001)”
Humanspairs of first-degree relatives
Concordance of a High Lipoprotein(a) Concentration Among Relatives
JAMA cardiology
More on Lipoprotein(a) concentration in first-degree relatives
High lipoprotein(a) in second-degree relatives
upin humans1OR 3
1 study
High lipoprotein(a) in second-degree relatives
upin humans1OR 3
Lipoprotein is associated with high lipoprotein(a) in second-degree relatives in humans (index relative with high Lp(a) (at least 125 nmol/L) versus index relative without) (OR 3.0 (95% CI 2.7-3.4)).
“3.0 (95% CI, 2.7-3.4) for second-degree relatives”
Humansindex relative with high Lp(a) (at least 125 nmol/L) versus index relative without
Concordance of a High Lipoprotein(a) Concentration Among Relatives
JAMA cardiology
High lipoprotein(a) in first-degree relatives
upin humans1OR 7.4
1 study
High lipoprotein(a) in first-degree relatives
upin humans1OR 7.4
Lipoprotein is associated with high lipoprotein(a) in first-degree relatives in humans (index relative with high Lp(a) (at least 125 nmol/L) versus index relative without) (OR 7.4 (95% CI 6.8-8.1)).
“were 7.4 (95% CI, 6.8-8.1) for first-degree relatives”
Humansindex relative with high Lp(a) (at least 125 nmol/L) versus index relative without
Concordance of a High Lipoprotein(a) Concentration Among Relatives
JAMA cardiology
Executive functions and processing speed
upin humans1
1 study
Executive functions and processing speed
upin humans1
Lipoprotein is associated with executive functions and processing speed in humans (lowest Lp(a) quintile versus higher quintiles, men only) (p = 0.027).
“Men within the lowest Lp(a)-quintile showed better cognitive performance in the cognitive domain executive functions and processing speed (p = 0.027).”
Humanslowest Lp(a) quintile versus higher quintiles, men onlymales
Relationship between Lipoprotein (a) and cognitive function - Results from the Berlin Aging Study II
Scientific reports
Mortality
upin humans1
1 study
Mortality
upin humans1
Lipoprotein is linked with a higher risk of mortality in humans (Lp(a) levels equal to or above the 95th percentile, EPIC-Norfolk) (β 0.194 (SE 0.064), equivalent to 1.5 years older chronologic age).
“the mortality risk for those with Lp(a) levels equal to or above the 95th percentile was equivalent to being 1.5 years older in chronologic age (β coefficient [SE], 0.194 [0.064])”
HumansLp(a) levels equal to or above the 95th percentile, EPIC-Norfolkn = 18,720
JAMA network open
Type 2 diabetes
upin humans1
1 study
Type 2 diabetes
upin humans1
Lipoprotein is linked with a higher risk of type 2 diabetes in humans (low concentration (bottom 10%)).
“Low Lp(a) concentration (bottom 10%) increases T2D risk.”
Humanslow concentration (bottom 10%)
Lipoprotein(a) Concentration and Risks of Cardiovascular Disease and Diabetes
Journal of the American College of Cardiology
Heart failure
upin humans1
1 study
Heart failure
upin humans1
Lipoprotein is linked with a higher risk of heart failure in humans (dose-dependent association with molar concentration).
“Lp(a) molar concentration was associated dose-dependently with CAD risk, peripheral artery disease, aortic valve stenosis, heart failure, and lifespan.”
Humansdose-dependent association with molar concentration
Lipoprotein(a) Concentration and Risks of Cardiovascular Disease and Diabetes
Journal of the American College of Cardiology
All 13Fewer
Funding
24 grants since 2016National Heart, Lung, and Blood Institute$5.1MNational Institute on Aging$2.5MNational Eye Institute$1.7M
American Heart AssociationJohns Hopkins University$9.9K2026–2027
Japan Society for the Promotion of ScienceFukuoka University¥18.5M2024–2029
Norges Forskningsråd2024–2027
Understanding The Metabolic Pathways of Lipoprotein(a) Through Genetic Recall
American Heart Association2023–2025
Swiss National Science Foundation2023–2025
Complement factor H modulates lipoprotein clearance in AMD
National Eye InstituteDuke University$558K2020–2025
Investigation of the Molecular Mechanisms of Lipoprotein Lipase Inhibitors
National Heart, Lung, and Blood InstituteUniv of North Carolina Chapel Hill$382K2015–2025
National Heart, Lung, and Blood InstituteUniversity of California, San Diego$178K2020–2025
National Institute on AgingIcahn School of Medicine at Mount Sinai$541K2019–2024
Health and Medical Research FundChinese University of Hong KongHK$1.5M2022