lipoxygenase
proteinLipoxygenase catalyzes arachidonic acid oxidation to pro-inflammatory and pro-thrombotic lipid mediators in plaque inflammation.
Pathway placement
Cascade stepPlaque inflammation
Confidencehigh
RationaleArachidonic acid enzyme generating pro-inflammatory and pro-thrombotic lipid mediators.
Also acts inThromboxane / COX-1
Druggability
Not assessed (no mapped human gene target).
Type I vs non-Type I discrimination
ScoresShared / rises in both
R — rupture / Type-I67
C — non-Type-I59
A — assay feasibility68
E — evidence strength42
T1DI (composite)15
Specificity differential (R−C)+7.4
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.
2sepsis / systemic inflammationmag 2
2anemia / acute blood lossmag 2
2hypovolemia / dehydrationn/a
2tachyarrhythmiamag 1
2hypoxemia / respiratory failuremag 2
2hypertensive emergencymag 2
2high-demand / peri-operative stressmag 1
3sudden cardiac deathn/a
4aPCI-related periproceduralmag 2
4bstent thrombosisn/a
4cin-stent restenosismag 2
5CABG-relatedmag 2
Coverage: 9/12 axes with evidence
Tier: deep-scored (abstract-extracted) · 19 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)
Literature evidence(2)
- Restoring perturbed oxylipins with Danqi Tongmai Tablet attenuates acute myocardial infarction.Phytomedicine : international journal of phytotherapy and phytopharmacology · 2021 · PMID 34252738 · doi
- Pharmacogenomics: a tool to prevent and cure coronary heart disease.Current pharmaceutical design · 2007 · PMID 18220812 · doi
Clinical trials(2)
- Role of the Arachidonate 5-Lipoxygenase Pathway in Coronary Heart DiseaseNCT00379808 · NA · COMPLETED · montelukast, Placebo
- A Phase 2 Randomized, Double-Blind, Placebo-Controlled Study of the Effect of VIA-2291, a 5-Lipoxygenase Inhibitor, on Vascular Inflammation in Patients After an Acute Coronary Syndrome EventNCT00552188 · PHASE2 · COMPLETED · VIA-2291, Placebo