Lipoprotein(a) [Lp(a)] biogenesis was examined in primary cultures of
hepatocytes isolated from mice transgenic for both human apolipoprotei
n(a) [apo(a)] and human apoB. Steady-state and pulse-chase labeling ex
periments demonstrated that newly synthesized human apo(a) had a prolo
nged residence time (similar to 60 min) in the endoplasmic reticulum (
ER) before maturation and secretion. Apo(a) was inefficiently secreted
by the hepatocytes and a large portion of the protein was retained an
d degraded intracellularly. Apo(a) exhibited a prolonged and complex f
olding pathway in the ER, which included incorporation of apo(a) into
high molecular weight, disulfide-linked aggregates. These folding char
acteristics could account for long ER residence time and inefficient s
ecretion of apo(a). Mature apo(a) bound via its kringle domains to the
hepatocyte cell surface before appearing in the culture medium. Apo(a
) could be released from the cell surface by apoB-containing lipoprote
ins. These studies are consistent with a model in which the efficiency
of post-translational processing of apo(a) strongly influences human
plasma Lp(a) levels, and suggest that cell surface assembly may be one
pathway of human Lp(a) production in vivo. Transgenic mouse hepatocyt
es thus provide a valuable model system with which to study factors re
gulating human Lp(a) biogenesis.