Angiopoietin-like 4
ANGPTL4proteinANGPTL4 inhibits lipoprotein lipase, impairing ApoB-lipoprotein clearance and promoting atherogenic dyslipidemia and lipid retention in Type 1 MI.
Pathway placement
Cascade stepLipid retention & oxidation
Confidencehigh
RationaleLipoprotein lipase inhibitor; impairs triglyceride-rich lipoprotein clearance; causal dyslipidemia driver.
Also acts inEndothelial activation/erosion
Druggability
DruggableYes
Known drugs / candidates0
Small-molecule tractableYes
Antibody tractableYes
EnsemblENSG00000167772
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I30
C — confounder / Type-II79
A — assay feasibility68
E — evidence strength29
T1DI (composite)5
Specificity differential (R−C)-48.4
Confounder panel (Type-II drivers)
No confounder evidence retrieved.
Tier: light (literature co-occurrence proxy — lower confidence). See the discrimination table for all markers.
Assay & specimen
Class-level default (no specific cleared assay)— generic method inferred from analyte class; confirm against a specific product insert before use.
Specimen
Serum or plasma
Collection tube
Serum separator (gold/red-top, SST) · K2/K3-EDTA (lavender-top)
Method / principle
Sandwich immunoassay (ELISA) — research-grade unless a cleared assay exists
Reagent / substrate
Matched anti-target antibody pair (capture + labeled detection)
Platform
ELISA microplate or multiplex (Luminex/MSD)
Turnaround · availability
Send-out / research · Research-grade (no universal clinical assay)
Literature evidence(5)
- Exploring Potential Drug Targets in Multiple Cardiovascular Diseases: A Study Based on Proteome-Wide Mendelian Randomization and Colocalization Analysis.Cardiovascular therapeutics · 2025 · PMID 40026415 · doi
- Plasma proteins and onset of atherosclerosis: integrating human plasma proteogenomics, transcriptomics and in vivo evidence.Journal of translational medicine · 2025 · PMID 41254737 · doi
- The Effect of Protease-Activated Receptor-1 (PAR-1) Inhibition on Endothelial-Related Biomarkers in Patients with Coronary Artery Disease.Thrombosis and haemostasis · 2022 · PMID 36588289 · doi
- Angiopoietin-like proteins in atherosclerosis.Clinica chimica acta; international journal of clinical chemistry · 2021 · PMID 34153276 · doi
- Angiopoietin-like 3 in lipoprotein metabolism.Nature reviews. Endocrinology · 2017 · PMID 28984319 · doi