The distribution of plasma lipoprotein[a] (Lp[a])concentrations, a risk factor for cardiovascular disease, varies greatly among racial groups, with African Americans having values that are shifted toward higher levels than those of whites. The underlying cause of this heterogeneity is unknown, but a role for " trans -acting" factors has been hypothesized. This study used genetic linkage analysis to localize genetic factors influencing Lp[a] levels in African Americans that were absent in other populations; linkage results were analyzed separately in non-Hispanic whites, Hispanic whites, and African Americans. As expected, all three samples showed highly significant linkage at the approximate location of the lysophosphatidic acid locus. The distribution of Lp[a] levels has been found to vary greatly among populations (7-11). In general, the distributions in non-Hispanic white populations have been found to be shifted toward low Lp[a] levels, whereas the distributions in African American populations have been found to be more bell shaped and shifted toward higher and greater risk-associated levels, (7,8,11). The underlying cause of these differences is unknown. Recent studies have demonstrated that the inverse relationship between apo[a] size and the level of Lp[a] in plasma is maintained in the African American population; however, the relationship is more sigmoid in shape, rather than having a clear linear relationship (12). Others have hypothesized that " trans -acting" factor(s) must exist that either increase the rate of secretion of apo [a] or decrease Lp[a]'s catabolism in African Americans relative to non-Hispanic whites (13). This study used genetic linkage analysis to test the hypothesis that there is a gene influencing plasma Lp[a] levels in African Americans that is not acting in whites. This other gene would be segregating among family members in the admixed African American population and thus would be detectable by genetic linkage analysis.