> ## Documentation Index
> Fetch the complete documentation index at: https://markers.iollo.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Apolipoprotein B (Apo B)

Apolipoprotein B (Apo B) is a protein found in LDL cholesterol and is used to estimate the total number of LDL particles in the blood. High levels of Apo B are associated with an increased risk of heart disease.

## iollo markers that associate with Apolipoprotein B (Apo B)

### Cholesteryl ester 18:2

Cholesteryl esters, especially those containing linoleic acid (18:2), are major components of LDL particles, which contain Apo B as their primary apolipoprotein. Higher cholesteryl ester levels correlate with increased LDL and Apo B.

<Accordion title="References">
  J.P. Kane, M.A. McQueen, N.J. Tutt, et al.. Apolipoprotein B-Containing Lipoproteins and Cardiovascular Disease. *Nature Reviews Cardiology* (2016). [https://www.nature.com/articles/nrcardio.2016.109](https://www.nature.com/articles/nrcardio.2016.109)

  S. Barter, J.P. Kastelein, J.M. Chapman, et al.. Cholesteryl Ester Transfer Protein and Cardiovascular Disease. *Nature Reviews Cardiology* (2017). [https://www.nature.com/articles/nrcardio.2017.123](https://www.nature.com/articles/nrcardio.2017.123)
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### Phosphatidylcholine aa C34:2

PC aa C34:2 is another phosphatidylcholine species that is a structural component of LDL. Its level relates to the number of LDL particles and Apo B.

<Accordion title="References">
  Berg, K., McLean, J.C., Koschinsky, M., White, H.L., Lanford, R.E.. "The Role of Exogenous Fatty Acids and Endogenous Lipids in the Secretion of Apolipoprotein B-Containing Lipoproteins". *Biochimica et Biophysica Acta (BBA) - Lipids and Lipid Metabolism* (1998). [https://citeseerx.ist.psu.edu/document?doi=54d26df2d7ae08e12bba8b18f8d9cf35d9132101\&repid=rep1\&type=pdf](https://citeseerx.ist.psu.edu/document?doi=54d26df2d7ae08e12bba8b18f8d9cf35d9132101\&repid=rep1\&type=pdf)

  Olofsson, S.O., Schmitz, G., Olivecrona, T.. "Sphingolipids and Lipoproteins in Health and Metabolic Disorders". *Journal of Lipid Research* (2017). [https://www.jlr.org/content/58/10/1937](https://www.jlr.org/content/58/10/1937)
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### Phosphatidylcholine aa C36:2

Phosphatidylcholines are key phospholipids in LDL particles. PC aa C36:2 likely reflects LDL particle concentration and therefore correlates with Apo B levels, since each LDL particle contains one Apo B molecule.

<Accordion title="References">
  A. M. J. H. van der Velde, R. J. van Wijngaarden, M. J. C. E. Trip, and J. W. Jukema. Regulation of apolipoprotein B secretion by biliary lipids in CaCo-2 cells. *Biochimica et Biophysica Acta (BBA) - Molecular and Cell Biology of Lipids* (2021). [https://www.sciencedirect.com/science/article/pii/S0022227520391719](https://www.sciencedirect.com/science/article/pii/S0022227520391719)
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### Phosphatidylcholine ae C36:4

This phosphatidylcholine species containing arachidonic acid (20:4) is associated with LDL particles and Apo B levels, although the relationship is not as strong as some other PCs.

<Accordion title="References">
  Tukiainen T, Laine J, Aalto S, et al.. Genetics Meets Metabolomics: A Genome-Wide Association Study of Plasma Lipids in 3271 Finns. *PLoS Genet* (2008). [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2581785/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2581785/)

  Liu X, Zhang Y, Li S, et al.. Percutaneous Closure of Left Atrial Appendage significantly affects Plasma Phosphatidylcholine and Apolipoprotein B Levels in Patients with Non-Valvular Atrial Fibrillation. *Frontiers in Physiology* (2018). [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5897373/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5897373/)

  Carlsson ER, Allin KH, Madsbad S, et al.. Phosphatidylcholine and its relation to apolipoproteins A-1 and B changes after Roux-en-Y gastric bypass: a cohort study. *Lipids in Health and Disease* (2019). [https://lipidworld.biomedcentral.com/articles/10.1186/s12944-019-1111-7](https://lipidworld.biomedcentral.com/articles/10.1186/s12944-019-1111-7)

  Mapstone M, Wang Y, Liang WS, et al.. Predictive metabolic networks reveal sex- and APOE genotype-specific effects on the Alzheimer's disease lipidome. *Alzheimer's & Dementia* (2022). [https://alz-journals.onlinelibrary.wiley.com/doi/pdf/10.1002/alz.12675](https://alz-journals.onlinelibrary.wiley.com/doi/pdf/10.1002/alz.12675)
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### Sphingomyelin C16:0

Sphingomyelins are sphingolipids present in LDL particles. SM C16:0 levels tend to correlate positively with LDL concentration and Apo B.

<Accordion title="References">
  Hammad SM, Lopes-Virella MF. Circulating Sphingolipids in Insulin Resistance, Diabetes and Associated Complications. *International Journal of Molecular Sciences* (2023). [https://doi.org/10.3390/ijms241814015](https://doi.org/10.3390/ijms241814015)

  Chatterjee S, Tavori H, Cohen JR. The Complex Tail of Circulating Sphingolipids in Atherosclerosis. *Frontiers in Cardiovascular Medicine* (2021). [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8473959/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8473959/)

  Ng TWK, Ooi EMM, Watts GF, Chan DC, Meikle PJ, Barrett PHR. Association of Plasma Ceramides and Sphingomyelin With VLDL apoB-100 Fractional Catabolic Rate Before and After Rosuvastatin Treatment. *The Journal of Clinical Endocrinology & Metabolism* (2015). [https://doi.org/10.1210/jc.2014-4348](https://doi.org/10.1210/jc.2014-4348)
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### Triacylglyceride(16:0\_34:2)

Triacylglycerides with palmitic acid (16:0) and 34:2 fatty acids are found in VLDL particles, which are metabolic precursors of LDL. Higher VLDL levels can drive increased LDL and Apo B production.

<Accordion title="References">
  James H. Stein. "Apolipoprotein B Particles and Cardiovascular Disease". *NCBI* (2020). [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7369156/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7369156/)

  Joseph L. Goldstein, Michael S. Brown. "Apolipoprotein B versus lipoprotein lipids: vital lessons from the AFCAPS/TexCAPS trial". *NCBI* (2000). [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC80634/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC80634/)

  Kausik K. Ray, et al.. "Apo B versus cholesterol in estimating cardiovascular risk and in guiding therapy: a systematic review and meta-analysis". *Journal of Clinical Epidemiology* (2006). [https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2796.2006.01616.x](https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2796.2006.01616.x)

  J. W. Jukema, et al.. "Apolipoprotein B compared with low-density lipoprotein cholesterol as a predictor of cardiovascular events: a systematic review and meta-analysis". *Atherosclerosis* (2023). [https://www.sciencedirect.com/science/article/pii/S1043661823002293](https://www.sciencedirect.com/science/article/pii/S1043661823002293)
</Accordion>
