Fatty acids
lipidFatty acid composition and metabolism influence lipoprotein atherogenicity and vascular endothelial function in atherothrombotic disease.
Pathway placement
Cascade stepLipid retention & oxidation
Confidencemedium
RationaleLipid remodeling and vascular dysfunction; component of atherogenic lipidome.
Druggability
Not assessed (no mapped human gene target).
Type I vs Type II discrimination
ScoresType-II-associated
R — rupture / Type-I—
C — confounder / Type-II50
A — assay feasibility40
E — evidence strength57
T1DI (composite)7
Specificity differential (R−C)-35
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationmag 2
2anemia / acute blood lossn/a
3hypovolemia / dehydrationn/a
4tachyarrhythmiamag 1
5hypoxemia / respiratory failuremag 2
6hypertensive emergencymag 1
7high-demand / peri-operative stressn/a
Coverage: 4/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 12 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 (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(4)
- Lipidomics reveals AMI-induced brown adipose tissue lipid remodeling linked to serum lipid changes in mice.Analytical biochemistry · 2026 · PMID 42264425 · doi
- Lipidomic insights on abdominal aortic aneurysm and peripheral arterial disease.Journal of molecular medicine (Berlin, Germany) · 2025 · PMID 40011252 · doi
- Human serum lipidomics analysis revealed glyphosate may lead to lipid metabolism disorders and health risks.Environment international · 2022 · PMID 36495677 · doi
- Multi-omics study reveals that statin therapy is associated with restoration of gut microbiota homeostasis and improvement in outcomes in patients with acute coronary syndrome.Theranostics · 2021 · PMID 33897881 · doi
Clinical trials(6)
- Prognostic, Anti-arrhythmic, and Ventricular Remodeling Effects of High Dose Fish Oil in Patients With a Recent Myocardial InfarctionNCT00729430 · PHASE3 · COMPLETED · Omega-3 Fatty Acids (Fish Oil Supplements), Placebo
- Latinos Using Cardio Health Actions to Reduce Risk (LUCHAR): Effect of Omega-3 Fatty Acids on Vascular Function and InflammationNCT00935766 · PHASE3 · TERMINATED · Omega-3, Placebo
- The Effects of Omega-3 Fatty Acids Supplementation on Endothelial Function and InflammationNCT01310270 · NA · COMPLETED · Pro-Omega, Omega 3 Fatty Acid
- Effects of a High-dose Concentrate of n-3 Fatty Acids or Corn Oil Introduced Early After an Acute Myocardial Infarction on Serum Triacylglycerol and High-density Lipoprotein (HDL)- CholesterolNCT01422317 · PHASE3 · COMPLETED · EPA / DHA / Alpha-Tocopherol, Corn Oil / Alpha-Tocopherol (4 mg)
- Phase 3 Study of Poly Unsaturated Fatty Acids of Omega 3 as an Anti Platelet Agent on Biomarkers of Cardiac Necrosis Including CKMB and Troponin I and Inflammation Marker CRPNCT01521845 · PHASE3 · COMPLETED · omega 3
- The Effects of Omega-3 Fatty Acids Supplementation on Endothelial Function and Inflammation IINCT01979874 · PHASE2 · COMPLETED · Pro-Omega, ProOmega Placebo