Lipoprotein-associated Phospholipase A2
PLA2G7proteinLp-PLA2 generates inflammatory mediators from oxidized lipids within atherosclerotic plaques, promoting destabilization and rupture.
Pathway placement
Cascade stepPlaque inflammation
Confidencehigh
RationaleLp-PLA2 hydrolyzes oxidized phospholipids in oxLDL; drives plaque inflammation and rupture risk.
Also acts inLipid entry/oxidation, Platelet activation
Druggability
DruggableYes
Known drugs / candidates2
Small-molecule tractableYes
Antibody tractableYes
EnsemblENSG00000146070
Type I vs Type II discrimination
ScoresIndeterminate
R — rupture / Type-I—
C — confounder / Type-II33
A — assay feasibility72
E — evidence strength48
T1DI (composite)14
Specificity differential (R−C)-18.3
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationn/a
2anemia / acute blood lossn/a
3hypovolemia / dehydrationn/a
4tachyarrhythmiamag 1
5hypoxemia / respiratory failuren/a
6hypertensive emergencyn/a
7high-demand / peri-operative stressn/a
Coverage: 1/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 2 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)
Human genetic evidence
0.001
Open Targets association (NSTEMI)
Literature evidence(24)
- Exploring the pathways linking fasting insulin to coronary artery disease: a proteome-wide Mendelian randomization study.BMC medicine · 2025 · PMID 40442727 · doi
- Comprehensive Quality Analysis of Conventional and Novel Biomarkers in Diagnosing and Predicting Prognosis of Coronary Artery Disease, Acute Coronary Syndrome, and Heart Failure, a Comprehensive Literature Review.Journal of cardiovascular translational research · 2024 · PMID 38995611 · doi
- Lipoprotein associated- phospholipase A2 in STEMI vs. NSTE-ACS patients: a marker of cardiovascular atherosclerotic risk rather than thrombosis.Journal of thrombosis and thrombolysis · 2023 · PMID 37022507 · doi
- Lysophosphatidylcholine: Potential Target for the Treatment of Chronic Pain.International journal of molecular sciences · 2022 · PMID 35955410 · doi
- A Review of Novel Cardiac Biomarkers in Acute or Chronic Cardiovascular Diseases: The Role of Soluble ST2 (sST2), Lipoprotein-Associated Phospholipase A2 (Lp-PLA2), Myeloperoxidase (MPO), and Procalcitonin (PCT).Disease markers · 2021 · PMID 34422136 · doi
- Phospholipase A2 is an Inflammatory Predictor in Cardiovascular Diseases: Is there any Spacious Room to Prove the Causation?Current cardiology reviews · 2020 · PMID 31146670 · doi
- Association between serum lipoprotein-associated phospholipase A2, ischemic modified albumin and acute coronary syndrome: a cross-sectional study.Heart and vessels · 2019 · PMID 30963302 · doi
- Novel biomarkers of cardiovascular disease: Applications in clinical practice.Critical reviews in clinical laboratory sciences · 2018 · PMID 30457415 · doi
- Endothelial function after ST-elevation myocardial infarction in patients with high levels of high-sensitivity CRP and Lp-PLA: A substudy of the RESPONSE randomized trial.Cardiovascular revascularization medicine : including molecular interventions · 2017 · PMID 28110894 · doi
- Interleukin-6 and the Risk of Adverse Outcomes in Patients After an Acute Coronary Syndrome: Observations From the SOLID-TIMI 52 (Stabilization of Plaque Using Darapladib-Thrombolysis in Myocardial Infarction 52) Trial.Journal of the American Heart Association · 2017 · PMID 29066436 · doi
- Platelet-Specific p38α Deficiency Improved Cardiac Function After Myocardial Infarction in Mice.Arteriosclerosis, thrombosis, and vascular biology · 2017 · PMID 28982666 · doi
- Plasma Lipoprotein-Associated Phospholipase A2 Level Is an Independent Predictor of High Thrombus Burden in Patients With Acute ST-segment Elevation Myocardial Infarction.International heart journal · 2016 · PMID 27818473 · doi
- Biomarkers in stable coronary heart disease, their modulation and cardiovascular risk: The LIPID biomarker study.International journal of cardiology · 2015 · PMID 26318511 · doi
- [Role of secreted and lipoprotein-associated phospholipase A2 in cardiovascular risk].Giornale italiano di cardiologia (2006) · 2014 · PMID 25533115 · doi
- [Clinical role of lipoprotein-associated phospholipase A2].Kardiologiia · 2013 · PMID 23548429
- Increased lysophosphatidic acid levels in culprit coronary arteries of patients with acute coronary syndrome.Atherosclerosis · 2013 · PMID 23664202 · doi
- Thrombosis and acute coronary syndrome.Thrombosis research · 2012 · PMID 22281070 · doi
- The role of lipoprotein-associated phospholipase a₂ as a marker and potential therapeutic target in atherosclerosis.Current atherosclerosis reports · 2011 · PMID 21207201 · doi
- Lipoprotein-associated phospholipase A2: role in atherosclerosis and utility as a cardiovascular biomarker.Expert review of cardiovascular therapy · 2010 · PMID 20222820 · doi
- Editorial: why inhibition of lipoprotein-associated phospholipase A2 has the potential to improve patient outcomes.Current opinion in cardiology · 2010 · PMID 20485161 · doi
- Lipoprotein-associated phospholipase A(2) and atherosclerosis.Current opinion in lipidology · 2009 · PMID 19667981 · doi
- Role of lipoprotein-associated phospholipase A2 in atherosclerosis.Current atherosclerosis reports · 2008 · PMID 18489851 · doi
- [Inflammation, atherosclerosis and cardiovascular disease risk: PAPP-A, Lp-PLA2 and cystatin C. New insights or redundant information?].Revista espanola de cardiologia · 2006 · PMID 16712749
- Lp-PLA2: a new kid on the block.Clinical chemistry · 2006 · PMID 16873290 · doi
Clinical trials(4)
- An International, Multicenter, Randomized, Placebo-controlled, Parallel-group, 1 Year Treatment, Integrated Biomarkers and Imaging Study in Subjects With Angiographically Documented Coronary Heart Disease (CHD) to Examine the Effects of the Novel Lipoprotein-associated Phospholipase A2 (Lp-PLA2) Inhibitor SB-480848 on Intermediate Cardiovascular Endpoints, Patient Safety and TolerabilityNCT00268996 · PHASE2 · COMPLETED · SB-480848, SB-480848 matching placebo
- A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group, Dose-ranging Study of SB-480848, an Oral Lipoprotein-associated Phospholipase A2 (Lp-PLA2) Inhibitor, in Subjects With Stable Coronary Heart Disease (CHD) or CHD-risk Equivalent to Examine Chronic Inhibition of Lp-PLA2 Effects on Circulating Biomarkers Associated With Cardiovascular Risk, Safety and Tolerability Over 12 WeeksNCT00269048 · PHASE2 · COMPLETED · SB-480848, placebo
- Assessment of Coronary Plaque Composition Using Near Infrared Spectroscopy During Inhibition of Lipoprotein-associated Phospholipase A2 (Lp-PLA2) ActivityNCT01581632 · PHASE1 · COMPLETED · LipiScan/LipiScan IVUS
- Assessment of Coronary Plaque Composition Using Optical Coherence Tomography During Chronic Inhibition of Lipoprotein-associated Phospholipase A2 (Lp-PLA2) ActivityNCT01642173 · PHASE1 · COMPLETED · Optical Coherence Tomography (C7 XR Dragonfly )