Remnant Cholesterol
lipidRemnant lipoproteins accumulate in the arterial intima and undergo oxidative modification, initiating atherosclerotic plaque formation.
Pathway placement
Cascade stepLipid retention & oxidation
Confidencehigh
RationaleAtherogenic lipoprotein particle cargo; retained in subendothelium; oxidation substrate.
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 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)
- Remnant cholesterol - The transition from biomarker to risk factor.Atherosclerosis · 2026 · PMID 42178199 · doi
- Remnant cholesterol reduction for atherosclerotic cardiovascular disease prevention: modelling in the Copenhagen General Population Study.European journal of preventive cardiology · 2025 · PMID 40196895 · doi
- Association of low-grade inflammation and elevated remnant cholesterol with risk of ASCVD and mortality in impaired renal function.Atherosclerosis · 2025 · PMID 40435574 · doi
- Triglyceride-Rich Lipoproteins and Atherosclerotic Cardiovascular Disease: New Insights From Epidemiology, Genetics, and Biology.Circulation research · 2016 · PMID 26892957 · doi