Apolipoprotein(a), (apo(a)), is the distinguishing protein portion of
the lipoprotein(a) particle, elevated plasma levels of which are a maj
or risk factor for cardiovascular disease. A search for enhancer eleme
nts that control the transcription of the apo(a) gene led to the ident
ification of an upstream element that contains target binding sites fo
r members of the Ets and Sp1 nuclear protein families. The enhancer el
ement functions in either orientation to confer a greater than 10-fold
increase in the activity of the apo(a) minimal promoter in cultured h
epatocyte cells. Unexpectedly, the enhancer element is located within
a LINE retrotransposon element, suggesting that LINE elements may func
tion as mobile regulatory elements to control the expression of nearby
genes.