Apolipoprotein A-IV
APOA4proteinApolipoprotein involved in lipid metabolism and stress-response pathways affecting coronary risk.
Pathway placement
Cascade stepLipid retention & oxidation
Confidencemedium
RationaleLipoprotein component; lipid metabolism modulation post-MI and stress-related risk.
Also acts inSystemic / off-pathway
Druggability
DruggableYes
Known drugs / candidates0
Small-molecule tractableNo
Antibody tractableYes
EnsemblENSG00000110244
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I38
C — confounder / Type-II35
A — assay feasibility68
E — evidence strength17
T1DI (composite)6
Specificity differential (R−C)+3.5
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(4)
- Comparative Analysis of Plasma Protein Dynamics in Women with ST-Elevation Myocardial Infarction and Takotsubo Syndrome.Cells · 2024 · PMID 39513871 · doi
- Quality Assurance for Multiplex Quantitative Clinical Chemistry Proteomics in Large Clinical Trials.The journal of applied laboratory medicine · 2024 · PMID 39239905 · doi
- Plasma Proteomics in Healthy Subjects with Differences in Tissue Glucocorticoid Sensitivity Identifies A Novel Proteomic Signature.Biomedicines · 2022 · PMID 35052863 · doi
- Screening and Identification of Pregnancy Zone Protein and Leucine-Rich Alpha-2-Glycoprotein as Potential Serum Biomarkers for Early-Onset Myocardial Infarction using Protein Profile Analysis.Proteomics. Clinical applications · 2018 · PMID 30411527 · doi