Non-HDL cholesterol
lipidNon-HDL cholesterol quantifies circulating atherogenic lipoproteins driving subendothelial lipid retention and oxidative modification.
Pathway placement
Cascade stepLipid retention & oxidation
Confidencehigh
RationaleAtherogenic cholesterol; apoB-lipoprotein burden marker.
Druggability
Not assessed (no mapped human gene target).
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I40
C — confounder / Type-II43
A — assay feasibility40
E — evidence strength20
T1DI (composite)4
Specificity differential (R−C)-2.5
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(5)
- Fenofibrate plus statin and ASCVD risk by triglyceride-rich lipoprotein cholesterol in 70,000 patients.Journal of lipid research · 2026 · PMID 41881263 · doi
- Quantifying Triglyceride-Rich Lipoprotein Atherogenicity, Associations With Inflammation, and Implications for Risk Assessment Using Non-HDL Cholesterol.Journal of the American College of Cardiology · 2024 · PMID 39322327 · doi
- Which one of LDL-C /HDL-C ratio and non-HDL-C can better predict the severity of coronary artery disease in STEMI patients.BMC cardiovascular disorders · 2022 · PMID 35843962 · doi
- Lowering Targeted Atherogenic Lipoprotein Cholesterol Goals for Patients at "Extreme" ASCVD Risk.Current diabetes reports · 2019 · PMID 31754844 · doi
- Association between lipid profiles and presence of carotid plaque.Scientific reports · 2019 · PMID 31784590 · doi