Ceramides
lipidCeramide elevation is a biomarker of atherosclerotic disease progression and cardiometabolic lipid stress in acute MI.
Pathway placement
Cascade stepLipid retention & oxidation
Confidencehigh
RationaleCVD/MI risk marker; lipid stressor; oxidative stress; plaque accumulation.
Also acts inVascular inflammation
Druggability
Not assessed (no mapped human gene target).
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I49
C — confounder / Type-II80
A — assay feasibility40
E — evidence strength30
T1DI (composite)4
Specificity differential (R−C)-30.8
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 (EDTA to limit oxidation)
Collection tube
K2/K3-EDTA (lavender-top) · Serum separator (gold/red-top, SST)
Method / principle
LC-MS/MS lipidomics (targeted or shotgun)
Reagent / substrate
Deuterated lipid-class internal standards; MS/MS transitions
Platform
LC-MS/MS
Turnaround · availability
Research · Research-only
Literature evidence(10)
- Silent Myocardial Infarction Revisited: Immuno-metabolic Mechanisms, Multimodal Biomarkers, and Translational Diagnostics.Journal of cardiovascular translational research · 2026 · PMID 41784746 · doi
- Lipidomic Expression Analysis in Carotid Atherosclerotic Disease: A Systematic Review.Annals of vascular surgery · 2025 · PMID 39855383 · doi
- Lipidomics and cardiovascular disease.Biochimica et biophysica acta. Molecular basis of disease · 2025 · PMID 40122185 · doi
- Elucidating stroke etiology through lipidomics of thrombi and plasma in acute ischemic stroke patients undergoing endovascular thrombectomy.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2025 · PMID 40322967 · doi
- Metabolomics and lipidomics combined with serum pharmacochemistry uncover the potential mechanism of Huang-Lian-Jie-Du decoction alleviates atherosclerosis in ApoEmice.Journal of ethnopharmacology · 2024 · PMID 38216103 · doi
- Lipidomic Analysis to Assess the Correlation between Ceramides, Stress Hyperglycemia, and HbA1c in Acute Myocardial Infarction.Molecules (Basel, Switzerland) · 2023 · PMID 36677773 · doi
- Human serum lipidomics analysis revealed glyphosate may lead to lipid metabolism disorders and health risks.Environment international · 2022 · PMID 36495677 · doi
- Variability of the Plasma Lipidome and Subclinical Coronary Atherosclerosis.Arteriosclerosis, thrombosis, and vascular biology · 2021 · PMID 34809445 · doi
- Plasma sphingolipids and risk of cardiovascular diseases: a large-scale lipidomic analysis.Metabolomics : Official journal of the Metabolomic Society · 2020 · PMID 32816082 · doi
- Cholesterol Acceptors Regulate the Lipidome of Macrophage Foam Cells.International journal of molecular sciences · 2019 · PMID 31382484 · doi