Lipase A, lysosomal acid type
LIPAproteinLIPA expressed in monocytes and macrophages catalyzes cholesterol-ester hydrolysis in the atherosclerotic lesion, exacerbating lipid retention and inflammation.
Pathway placement
Cascade stepLipid retention & oxidation
Confidencehigh
RationaleMonocyte/macrophage lysosomal lipase; drives intimal lipid accumulation and atherosclerosis progression.
Also acts inVascular inflammation
Druggability
DruggableYes
Known drugs / candidates0
Small-molecule tractableYes
Antibody tractableYes
EnsemblENSG00000107798
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I36
C — confounder / Type-II56
A — assay feasibility68
E — evidence strength22
T1DI (composite)6
Specificity differential (R−C)-20.3
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)
Human genetic evidence
0.534
Open Targets association (myocardial_infarction)
10
GWAS associations
Traits: myocardial infarction
Literature evidence(6)
- Single-cell transcriptome-wide Mendelian randomization and colocalization analyses uncover cell-specific mechanisms in atherosclerotic cardiovascular disease.American journal of human genetics · 2025 · PMID 40555237 · doi
- LIPA, a risk locus for coronary artery disease: decoding the variant-to-function relationship.European heart journal · 2025 · PMID 40827730 · doi
- Transcriptome-wide Mendelian randomization during CD4T cell activation reveals immune-related drug targets for cardiometabolic diseases.Nature communications · 2024 · PMID 39468075 · doi
- Interpreting coronary artery disease GWAS results: A functional genomics approach assessing biological significance.PloS one · 2022 · PMID 35192625 · doi
- Integrative analysis of liver-specific non-coding regulatory SNPs associated with the risk of coronary artery disease.American journal of human genetics · 2021 · PMID 33626337 · doi
- A genome-wide association study identifies LIPA as a susceptibility gene for coronary artery disease.Circulation. Cardiovascular genetics · 2011 · PMID 21606135 · doi