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Updated: Oct 14, 2025

Isolation and Analysis of Plasma Lipoproteins by Ultracentrifugation
Published on: January 28, 2021
Proteomic studies on apoB-containing lipoprotein in cardiovascular research: A comprehensive review
Erica Gianazza1, Beatrice Zoanni1, Alice Mallia1
1Centro Cardiologico Monzino, IRCCS, Milano, Italy.
Insights
Cardiovascular disease (CVD) risk assessment needs improvement due to unexplained residual risk. Proteomics, analyzing plasma proteins like those on lipoproteins, offers a promising new approach for more accurate CVD risk prediction.
Area of Science:
- Proteomics and Cardiovascular Disease Research
- Biomarker Discovery for Atherosclerosis
Background:
- Cardiovascular diseases (CVDs) are the leading global cause of death.
- Current CVD risk assessment methods leave a significant unexplained residual risk.
- Plasma protein analysis, particularly lipoprotein-associated proteins, shows promise for improved risk stratification.
Purpose of the Study:
- To review the pathophysiological roles of atherogenic apoB-containing lipoproteins.
- To discuss advances in mass spectrometry-based proteomics for characterizing these lipoproteins.
- To highlight the potential of proteomics in refining cardiovascular risk assessment.
Main Methods:
- Narrative review of existing literature.
- Focus on mass spectrometry-based proteomic techniques.
- Characterization and quantitation of lipoprotein-associated proteins.
Main Results:
- High-throughput proteomic analysis is now feasible, reproducible, and cost-effective.
- Proteomics enables the identification and quantification of numerous candidate marker proteins.
- This approach allows for a multiplexed proteomic fingerprint from whole plasma.
Conclusions:
- Proteomics offers a powerful tool to address the limitations of current CVD risk assessment.
- Detailed characterization of lipoprotein proteins can significantly refine individual risk prediction.
- Further research into proteomic biomarkers is warranted for enhanced CVD management.
Abstract:
The complexity of cardiovascular diseases (CVDs), which remains the leading cause of death worldwide, makes the current clinical pathway for cardiovascular risk assessment unsatisfactory, as there remains a substantial unexplained residual risk. Simultaneous assessment of a large number of plasma proteins may be a promising tool to further refine risk assessment, and lipoprotein-associated proteins have the potential to fill this gap. Technical advances now allow for high-throughput proteomic analysis in a reproducible and cost-effective manner. Proteomics has great potential to identify and quantify hundreds of candidate marker proteins in a sample and allows the translation from isolated lipoproteins to whole plasma, thus providing an individual multiplexed proteomic fingerprint. This narrative review describes the pathophysiological roles of atherogenic apoB-containing lipoproteins and the recent advances in their mass spectrometry-based proteomic characterization and quantitation for better refinement of CVD risk assessment.
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