Small dense LDL
lipoproteinSmall dense LDL particles are highly atherogenic, readily retained in the arterial intima, and oxidized to promote atherosclerotic plaque initiation.
Pathway placement
Cascade stepLipid retention & oxidation
Confidencehigh
RationaleAtherogenic LDL subclass; retained in intima; potent substrate for oxidation and plaque formation.
Druggability
Not assessed (no mapped human gene target).
Assay & specimen
Specialized reference method
Specimen
Serum or plasma (EDTA)
Collection tube
K2/K3-EDTA (lavender-top) · Serum separator (gold/red-top, SST)
Method / principle
NMR lipoprotein particle analysis or density-gradient ultracentrifugation
Reagent / substrate
No chemical reagent — NMR spectral deconvolution of lipid methyl signals (or ultracentrifugal separation by density)
Platform
NMR (LabCorp NMR LipoProfile) / analytical ultracentrifuge
Turnaround · availability
Send-out · Specialized reference lab
Literature evidence(5)
- The Role of Lipids in Atherosclerosis: Focus on Molecular Biology Mechanisms and Therapeutic Approaches.Current medicinal chemistry · 2025 · PMID 39773041 · doi
- Atherogenic Lipoproteins for the Statin Residual Cardiovascular Disease Risk.International journal of molecular sciences · 2022 · PMID 36362288 · doi
- Hepatic Lipase: a Comprehensive View of its Role on Plasma Lipid and Lipoprotein Metabolism.Journal of atherosclerosis and thrombosis · 2015 · PMID 26194979 · doi
- [Dyslipidemia and atherosclerosis].Nihon rinsho. Japanese journal of clinical medicine · 2011 · PMID 21226274
- Prevention of a first myocardial infarction.Journal of clinical pharmacology · 2001 · PMID 11304891 · doi