Plasmalogens
lipidPlasmalogens are atheroprotective alkenylphospholipids whose depletion associates with atherosclerotic plaque instability and acute coronary syndrome.
Pathway placement
Cascade stepLipid retention & oxidation
Confidencemedium
RationaleAtheroprotective lipids; reduced in proatherogenic lipidome; ACS biomarker and plaque vulnerability predictor.
Also acts inVascular inflammation
Druggability
Not assessed (no mapped human gene target).
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I30
C — confounder / Type-II53
A — assay feasibility40
E — evidence strength20
T1DI (composite)3
Specificity differential (R−C)-22.9
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)
- Bioactive lipids in plasma and atherogenic apoB-containing lipoproteins: Effects of statins and PCSK9 inhibitors and relevance to residual cardiovascular risk.Pharmacology & therapeutics · 2026 · PMID 42162924 · doi
- Plasma lipidome differences in patients with and without significant carotid plaque.Vascular pharmacology · 2024 · PMID 38705432 · doi
- Sex differences in lipidomic and bile acid plasma profiles in patients with and without coronary artery disease.Lipids in health and disease · 2024 · PMID 38926753 · doi
- Early life infection and proinflammatory, atherogenic metabolomic and lipidomic profiles in infancy: a population-based cohort study.eLife · 2022 · PMID 35535496 · doi
- HDL Phospholipids, but Not Cholesterol Distinguish Acute Coronary Syndrome From Stable Coronary Artery Disease.Journal of the American Heart Association · 2019 · PMID 31131674 · doi