Serum concentrations of ¦Â2-GPI-Lp(a) complexes and oxidized Lp(a) [ox-Lp(a)] were measured by ¡°Sandwich¡± ELISAs in 80 NS children and 82 age/sex-matched healthy controls. The levels of serum lipids and kidney parameters were also determined. Multivariate logistic regression analysis was performed to identify correlate of ¦Â2-GPI-Lp(a) and NS.
The serum concentrations of ¦Â2-GPI-Lp(a) complexes in children with NS were significantly higher than those in controls (median 0.95 U/ml vs 0.28 U/ml, P < 0.0001). Ox-Lp(a) levels were also markedly elevated (median 14.55 mg/l vs 2.60 mg/l, P < 0.0001] in NS children. The concentrations of ¦Â2-GPI-Lp(a) were positively correlated with ox-Lp(a) (r = 0.246, P = 0.028), but not with Lp(a) level, and the concentrations of ox-Lp(a) were positively related with Lp(a) (r = 0.301, P = 0.007) in NS children. Multivariate logistic regression analysis identified a positive association between NS and ¦Â2-GPI-Lp(a) (OR = 13.694, 95 % CI 6.400-29.299, P < 0.0001), after adjusting for kidney function parameters, serum lipids and ox-Lp(a).
Elevated ¦Â2-GPI-Lp(a) level was an independent and significant risk factor for pediatric NS and, enhanced Lp(a) oxidation partly contributes to the formation of ¦Â2-GPI-Lp(a) complexes.