D/L-2-Hydroxyglutarate

metabolite

D/L-2-hydroxyglutarate is linked to mortality risk after acute coronary syndrome, indicating systemic metabolic dysregulation.

Pathway placement

Cascade stepOff-pathway / systemic markers

Confidencemedium

RationaleTCA cycle-derived metabolite associated with post-ACS mortality; systemic metabolic perturbation marker.

Also acts inMyocardial injury

Druggability

Not assessed (no mapped human gene target).

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