Coronary disease & ACS

LIPA , a risk locus for coronary artery disease: decoding the variant-to-function relationship

Eur Heart JPublished Mechanistic study

Authors' conclusion

The work establishes a direct causal link between LIPA-risk alleles and increased monocyte/macrophage LIPA that exacerbates atherosclerosis, bridging human functional genomic evidence to the mechanistic understanding of coronary artery disease.

Study context

Population
LIPA CAD risk locus; human monocytes/macrophages and myeloid-specific Lipa overexpression Ldlr-/- mice

Main finding

As reported in the abstract

  • CAD-risk alleles in the LIPA locus increase LIPA expression and enzyme activity specifically in monocytes/macrophages by enhancing PU.1 binding to an intronic enhancer that interacts with the LIPA promoter
  • Myeloid-specific Lipa overexpression in Ldlr-/- mice on western diet: larger atherosclerotic lesions
  • Altered macrophage function: increased lesional macrophages derived from circulating monocytes, reduced neutral lipid content, up-regulation of integrin and extracellular matrix pathway genes

Original publication

LIPA , a risk locus for coronary artery disease: decoding the variant-to-function relationship. Eur Heart J. Published 19 August 2025. doi:10.1093/eurheartj/ehaf581

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