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The aim of this study was to investigate the relationship between lipoprotein(a) [Lp(a)] and albumin concentrations in the serum of patients with acute phase response (APR). We have compared the Lp(a) concentrations and apolipoprotein [apo(a)] phenotypes of 40 controls with those of 40 APR patients with normoalbuminaemia and 40 APR patients with hypoalbuminaemia. We have also compared concentrations of haptoglobin (Hp) and α1-antitrypsin (AAT) containing a high sialic acid content, similar to Lp(a).    The mean serum Lp(a) concentration (SD) of the 40 controls was 0·190 (0·142) g/L. The mean serum Lp(a) concentration was 0·358 (0·257) g/L ( P &lt; 0·001) in 80 APR patients. However, there was no difference in serum Lp(a) concentrations between the APR patients with hypoalbuminaemia [0·353 (0·268) g/L] and the APR patients with normoalbuminaemia [0·362 (0·249) g/L]. No significant difference was found in the distributions of apo(a) phenotypes between the controls, the APR patients with hypoalbuminaemia, and the APR patients with normoalbuminaemia ( P = 0·183). In the APR patients, the serum concentrations of AAT and Hp were respectively 2·709 (0·822) g/L and 2·631 (1·340) g/L, whereas those of normal controls were respectively 1·422 (0·219) g/L ( P &lt; 0·001) and 0·956 (0·442) g/L ( P &lt; 0·001).    In conclusion, the Lp(a) is one of the acute phase reactants whose synthesis concurrently increases with other APRs, especially those with a high sialic acid content. The increase of the serum Lp(a) concentrations in the APR patients is not related to serum albumin concentration.

No Relationship between Serum Lipoprotein(A) and Albumin Concentrations in Patients with Acute Phase Response