ApoB/ApoA1 Ratio: Explanation and Clinical Context The ApoB/ApoA1 ratio is a validated biomarker reflecting the balance between atherogenic and anti-atherogenic lipoproteins.
ApoB represents the total number of atherogenic particles (including LDL, VLDL), while ApoA1 is the main protein in HDL, which is protective.
A higher ApoB/ApoA1 ratio indicates a predominance of atherogenic lipoproteins and a higher risk for cardiovascular events, whereas a lower ratio suggests a favorable lipid profile.
Risk stratification using the ApoB/ApoA1 ratio provides additional predictive value beyond traditional cholesterol measurements.
Reference:
Walldius G, Jungner I. The apoB/apoA-I ratio: a strong, new risk factor for cardiovascular disease and a target for lipid-lowering therapy—a review of the evidence. J Intern Med. 2006;259(5):493-519. doi:10.1111/j.1365-2796.2006.01650.x