Apolipoprotein A1, Serum

Apolipoprotein A1, Serum

Alternate Test Name

Alternate Name

Epic Mnemonic
Sunquest Mnemonic

LAB3363
ALIPA1

Category

Sendouts

Methodology

Automated Turbidimetric Immunoassay

Test Performance Schedule

Sunday - Saturday

Result Availability

2 – 3 days

Container

Gold to (SST) tube
Red top (serum) tube also acceptable

Volume

Pref. Vol.: 1.0 mL
Min. Vol.: 0.5 mL

Collection Instructions

• Routine venipuncture
• Immediately after collection, gently invert tube 5-10 times
• Clot 30 minutes
• Centrifuge within 2 hours of collection
• Refrigerate

Transportation Instructions

Refrigerated

Stability

• Room Temperature: :24 hours
• Refrigerated: 8 days
• Frozen: 6o days

Causes for Rejection

Gross hemolysis, gross icterus

CPT Codes

82172

Effective/Revised

12/14/2022

Apolipoprotein A1 (ApoA1) is the primary protein associated with high-density lipoprotein (HDL) particles, and plays a central role in reverse cholesterol transport.(1) HDL cholesterol (HDL-C) and ApoA1 concentrations are inversely related to the risk for coronary artery disease (CAD).(2) There are a variable number of ApoA1 proteins per HDL particle. Therefore, ApoA1 is not a 1:1 surrogate marker for HDL particles. Similarly, the number of ApoA1 proteins and the amount of cholesterol contained in HDL particles is highly variable. This heterogeneity has led to unique clinical findings related to ApoA1 compared with HDL-C.

Increased ApoA1 concentrations are more strongly associated with a reduction in risk of a first myocardial infarction than HDL-C concentrations.(3) Low concentrations of ApoA1, but not HDL-C, are predictive of preclinical atherosclerosis as assed by computed tomography estimated coronary artery calcium (CAC) scoring.(4) Increased ApoA1, but not HDL-C concentrations, are associated with reduced cardiovascular events among statin-treated patients, even when LDL-C <50 mg/dL.(5) In statin-treated patients, patients whose ApoA1 increased while on treatment were at lower risk than those whose ApoA1 did not increase.