Glutathione peroxidase 4
GPX4proteinGPX4 suppresses ferroptotic cell death and lipid peroxidation in atherosclerotic lesions and post-ischemic myocardium.
Pathway placement
Cascade stepPlaque inflammation
Confidencemedium
RationaleFerroptosis suppression; lipid peroxide detoxification; atherosclerosis protection.
Also acts inLipid entry/oxidation
Druggability
DruggableYes
Known drugs / candidates0
Small-molecule tractableYes
Antibody tractableNo
EnsemblENSG00000167468
Type I vs Type II discrimination
ScoresShared / rises in both
R — rupture / Type-I67
C — confounder / Type-II57
A — assay feasibility68
E — evidence strength60
T1DI (composite)22
Specificity differential (R−C)+10
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationmag 2
2anemia / acute blood lossmag 2
3hypovolemia / dehydrationmag 1
4tachyarrhythmiamag 2
5hypoxemia / respiratory failuremag 2
6hypertensive emergencymag 1
7high-demand / peri-operative stressmag 2
Coverage: 7/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 20 supporting references. 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)
- Peroxidized cholesterol in low density lipoprotein: Negative effects on human endothelial cells and atherogenic implications.Archives of biochemistry and biophysics · 2026 · PMID 42270057 · doi
- Xanthosine alleviates myocardial ischemia-reperfusion injury through attenuation of cardiomyocyte ferroptosis.Cellular & molecular biology letters · 2025 · PMID 40722060 · doi
- Comprehensive metagenomic and lipidomic analysis showed that baicalin could improve depressive behaviour in atherosclerotic mice by inhibiting nerve cell ferroptosis.Frontiers in immunology · 2025 · PMID 40977701 · doi
- Integrating metagenomics, lipidomics and proteomics to explore the effect and mechanism of ginsenoside Rb1 on atherosclerosis co-depression disease.Phytomedicine : international journal of phytotherapy and phytopharmacology · 2025 · PMID 41014671 · doi