Coenzyme Q10
metaboliteCoQ10 depletion after STEMI impairs myocardial mitochondrial ATP production and antioxidant defense, worsening ischemic injury.
Pathway placement
Cascade stepOff-pathway / systemic markers
Confidencemedium
RationaleMitochondrial redox cofactor; depletion reflects statin toxicity and energy stress post-STEMI.
Also acts inMyocardial injury
Druggability
Not assessed (no mapped human gene target).
Type I vs non-Type I discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I45
C — non-Type-I69
A — assay feasibility42
E — evidence strength29
T1DI (composite)5
Specificity differential (R−C)-23.8
Non-Type-I axis panel
Does this marker also move in each non-Type-I setting? mag 0–3; higher means less Type-I-specific. n/a = no evidence retrieved, which is not the same as no change.
No non-Type-I axis 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, plasma or urine
Collection tube
Serum separator (gold/red-top, SST) · Lithium heparin (green-top) · Sterile urine container
Method / principle
LC-MS/MS (targeted metabolomics) or enzymatic colorimetric where available
Reagent / substrate
Stable-isotope-labeled internal standard (MS); or enzyme-coupled Trinder reagent
Platform
LC-MS/MS; some automated chemistry
Turnaround · availability
Send-out / research · Specialized / research
Literature evidence(1)
- Newly Initiated Statin Treatment Is Associated with Decreased Plasma Coenzyme Q10 Level After Acute ST-Elevation Myocardial Infarction.International journal of molecular sciences · 2024 · PMID 39795963 · doi
Clinical trials(2)
- Assessing the Effect of the Dietary Supplement Coenzyme Q10 on Biomarkers of Oxidative Stress, Systemic Inflammation, and Endothelial Function in Hemodialysis PatientsNCT01408680 · NA · COMPLETED · Coenzyme Q10, Coenzyme Q10, Placebo
- Coenzyme Q10 in Relation to the Antioxidative Vitamins, Oxidative Stress and Inflammation in Coronary Artery Disease Patients During Statin TherapyNCT01424761 · PHASE2,PHASE3 · COMPLETED · Coenzyme Q10, Placebo