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Blutwerte · Marker

Apolipoprotein A1

ApoA1 · Apo A-I

Lipide & Herz-Kreislauf
Einheit:
g/L
Abbreviation
ApoA1

Apolipoprotein A1 quantifies the primary protein component of HDL involved in cholesterol transport.

Reference Ranges

Reference
1.04–2.14g/L
1.04
1.2
2
2.14
LowNormalHigh
Reference
Optimal
Unit · g/L

Ranges may vary slightly by laboratory; typically higher in females.

Overview

Übersicht

Apolipoprotein A1 (ApoA1) is the primary protein component of high-density lipoprotein (HDL) in plasma. It plays a crucial role in lipid metabolism by facilitating the efflux of cholesterol from tissues to the liver for excretion, a process known as reverse cholesterol transport. Researchers have found that ApoA1 is integral to HDL's structure and function, contributing to its anti-atherogenic properties. Clinically, ApoA1 levels are used as a biomarker for cardiovascular health, with higher levels generally indicating a lower risk of coronary artery disease. It is also involved in the acute phase response and immune modulation. In the context of athletic performance and biohacking, ApoA1 is of interest due to its role in lipid metabolism and potential impact on cardiovascular efficiency and longevity. Some researchers suggest that optimizing ApoA1 levels could support improved cardiovascular health and endurance. However, factors such as genetic predisposition, lifestyle, and dietary habits can influence ApoA1 levels. Testing for ApoA1 does not typically require fasting, but levels can be affected by acute illness, inflammation, and certain medications, which should be considered when interpreting results.

Klinische Bedeutung

Elevated ApoA1 levels are generally associated with a reduced risk of cardiovascular disease, while low levels may indicate increased risk. It reflects the efficiency of reverse cholesterol transport and overall lipid metabolism health.

Dynamics

Trend Interpretation

Rising Values

Progressively rising ApoA1 levels suggest improved cardiovascular health and lipid metabolism. Re-test annually to monitor trends.

Falling Values

Progressively falling ApoA1 levels may indicate worsening cardiovascular risk or metabolic health.

Re-test Interval

4 weeks if outside optimal range

Etiology

Causes — High & Low

Cause

Elevated Levels

  • Regular physical activity
  • Estrogen therapy
  • Moderate alcohol consumption
  • Genetic factors
  • High HDL cholesterol levels
Cause

Low Levels

  • Smoking
  • Obesity
  • Sedentary lifestyle
  • Metabolic syndrome
  • Chronic inflammation
Protocol

How to Optimize

Lever

Lifestyle

  • Increase physical activity
  • Quit smoking
  • Maintain a healthy weight
Lever

Nutrition

  • Consume omega-3 fatty acids
  • Include nuts and seeds
  • Eat a diet rich in fruits and vegetables
Lever

Supplementation

  • Niacin
  • Omega-3 fish oil

Note:

Consult a healthcare provider before starting any new supplement regimen.

Testing Guidelines

✓Fasting Not Required
✓Not Time-Sensitive

Testing Frequency

Annually for those at risk of cardiovascular disease

Interfering Factors

  • Acute illness
  • Inflammation
  • Certain medications

Related Peptides & Hormones

Hdl Cholesterol

Correlated with

hormone or peptide

Open Research Questions

Current research suggests that reference ranges and optimal targets for Apolipoprotein A1 in various diseases, including heart failure and COVID-19, remain poorly defined. Researchers have not yet established the specific confounders that may affect Apo A1 levels, such as inflammation or co-existing conditions. Additionally, clinical questions remain unanswered regarding the precise role of Apo A1 in disease progression and its potential as a therapeutic target in different patient populations.

60 Research Publications

1,254

Total Citations

42

Human/RCT

5.0

Avg. Influence

2025

Latest

Sort
Filter
#01

Fasting is not routinely required for determination of a lipid profile: clinical and laboratory implications including flagging at desirable concentration cut-points-a joint consensus statement from the European Atherosclerosis Society and European Federation of Clinical Chemistry and Laboratory Medicine.

ReviewInfluence32.0
824
This consensus statement evaluated the necessity of fasting for lipid profile determination, concluding that fasting does not significantly affect Apolipoprotein A1 levels. Researchers recommend using non-fasting samples for routine lipid assessments to improve patient compliance.
View on PubMed
#02

Blood-based biomarkers for Parkinson's disease.

ReviewInfluence1.0
141
Researchers discussed the potential of Apolipoprotein A1 (APOA1) as a blood-based biomarker for Parkinson's disease, among other candidates. They highlighted the challenges and advancements in identifying effective biomarkers from blood samples.
View on PubMed
#03

Apolipoprotein A1 and B.

ReviewInfluence1.0
49
This review article highlighted that apolipoprotein A1 and B are superior to traditional cholesterol measures for assessing vascular disease risk and the effectiveness of LDL-lowering therapies. Researchers emphasized their importance in laboratory practice.
View on PubMed
#04

Serum apolipoprotein A-I depletion is causative to silica nanoparticles-induced cardiovascular damage.

Animal
48
Researchers found that silica nanoparticles can deplete Apolipoprotein A1 (ApoA1) from the bloodstream, leading to cardiovascular damage. The study suggests that maintaining ApoA1 levels may be important for mitigating the toxic effects of nanoparticle exposure.
View on PubMed
#05

Apolipoproteins as Differentiating and Predictive Markers for Assessing Clinical Outcomes in Patients with Small Cell Lung Cancer.

HumanInfluence1.0
25
This study assessed the expression of Apolipoprotein A1 (ApoA1) in small cell lung cancer (SCLC) patients, finding significant differences compared to other lung cancer types. Researchers suggest ApoA1 may serve as a predictive marker for SCLC outcomes.
View on PubMed
#06

HDLs and the pathogenesis of atherosclerosis.

Schwertani Adel, et al. · Current opinion in cardiology · 2018

Review
18
This review explored the role of HDL and apolipoprotein A1 in atherosclerosis. Researchers found that HDL's protective functions can be compromised in disease states, suggesting that changes in Apo A-I may contribute to the progression of cardiovascular diseases.

Key findings

  1. 01Researchers observed that HDL cholesterol levels are not effective therapeutic targets for preventing heart disease.
  2. 02They found that HDL performs various protective functions against atherosclerosis that are independent of cholesterol levels.
  3. 03The study identified a protein, desmocollin 1, that may hinder HDL's beneficial roles in heart health.
View on PubMed
#07

HDL Structure.

Human
16
Researchers examined the structure of high-density lipoprotein (HDL) and its components, highlighting the role of Apolipoprotein A1 (Apo A-I) in HDL function and its involvement in various physiological processes. They found that HDL's composition, including proteins and lipids, significantly influences its biological activities and potential roles in health and disease.
View on PubMed
#08

HDL-cholesterol confers sensitivity of immunotherapy in nasopharyngeal carcinoma via remodeling tumor-associated macrophages towards the M1 phenotype.

Human
16
Researchers found that higher levels of Apolipoprotein A1 (ApoA1) and HDL cholesterol before and after immunotherapy were associated with better survival outcomes in nasopharyngeal carcinoma patients. This suggests a potential role for ApoA1 in enhancing immunotherapy responses.
View on PubMed
#09

A study of apolipoprotein A1(ApoA1) and interleukin-10(IL-10) in diabetes with foot ulcers.

HumanInfluence2.0
15
Researchers investigated the association between Apolipoprotein A1 (ApoA1) and diabetic foot ulcers, finding lower levels of ApoA1 in patients with ulcers compared to those without. The study suggests ApoA1 could serve as an early biomarker for assessing ulcer severity.
View on PubMed
#10

Potential biomarkers in the sera of breast cancer patients from bahawalpur, pakistan.

HumanInfluence1.0
14
This study examined serum proteome expression in breast cancer patients and benign breast disease patients to identify potential biomarkers for diagnosis and prognosis. Researchers found that certain proteins were differentially expressed in breast cancer cases compared to benign conditions, suggesting their potential as diagnostic biomarkers.
View on PubMed

Clinical Trials (2)

2

Total Trials

2,050

Total Enrolled

Effects of 10 Weeks of Lifestyle Coaching on Cardiometabolic Risk Factors, Workability and Subjective Wellbeing

Sponsor

Aava Medical

Enrollment

2,000

Started

2020

Primary outcome

ApoB/ApoA1

Work Related StressMetabolic SyndromeLipid Metabolism DisordersLifestyle Risk ReductionBurnout

Resveratrol and Serum Apo A-I

NCT01364961COMPLETED
Sponsor

Maastricht University Medical Center

Enrollment

50

Started

2011

Primary outcome

ApoA-I level

Dyslipidemia

Publication Trend

Research publications about Apolipoprotein A1 over time

10total
1
'06
1
'11
1
'12
7
'26

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