J Am Heart Assoc October 2022 PMID 36216435

Physiological Bases for the Superiority of Apolipoprotein B Over Low-Density Lipoprotein Cholesterol and Non-High-Density Lipoprotein Cholesterol as a Marker of Cardiovascular Risk.

Tamara Glavinovic, George Thanassoulis, Jacqueline de Graaf, Patrick Couture, Robert A Hegele, Allan D Sniderman

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Mentions

44
Peak: 9 in Aug 2023
across 4 sources since Oct 2022

Extended reach

251,272
potential audience

Total likes

1,642

Video views

71,681

Mentions per month

Oct 2022 – Aug 2025

Where it's discussed

  • X / Twitter28 posts
  • YouTube10 videos
  • News4 articles
  • Facebook2 posts

AI synopsis

What people are saying

The group demonstrates strong agreement and high interest through statements like 'ApoB is the primary causal driver of atherosclerosis' and mentions of new research, while engaging deeply by questioning relationships between measurements and discussing studies. The tone and context reflect a shared recognition of the publication's significant potential to shift cardiovascular risk assessment paradigms.

AgreementStrong agreement

Most discussions strongly support the article's premise that apoB is a superior marker for cardiovascular risk, as evidenced by phrases like 'ApoB is not a weak risk factor' and 'most evidence shows highest CVD risk with high ApoB.'

InterestHigh interest

Participants show high curiosity and engagement with the topic, referencing recent studies, debates, and asking specific questions about measurements and implications.

EngagementHigh engagement

Many posts analyze and critique the research, with some providing detailed comments, referencing other research, and debating the significance of apoB versus LDL-C, indicating deep involvement.

ImpactHigh impact

The discussions highlight that the publication could influence clinical practices and understanding, emphasizing its importance and the revolutionary potential of apoB as a marker.

Abstract in brief

  • In 2019, experts declared apolipoprotein B (apoB) a better indicator of cardiovascular risk compared to traditional markers like low-density lipoprotein cholesterol (LDL-C).
  • The review examines how apoB reflects the presence of atherogenic particles such as chylomicron remnants and various lipoproteins, emphasizing that LDL particles are crucial in determining cardiovascular risk.
  • It also explores the relationship between the number of apoB particles and cholesterol mass, explaining why measuring apoB provides more accurate risk assessment than just focusing on LDL-C or non-HDL cholesterol levels.

Top posts

Most liked on X and Bluesky
Sam Tsimikas, MD
@Lpa_Doc · X

My critique of apoB, from Alan's excellent review. There is 1 apoB/particle-in his example, 84 LDL and 9 VLDL- i.e. 90% apoB is LDL. If VLDL/Lp(a) is ⏫ then apoB/CV risk will be ⏫. If normal, you get no/minimal info for the $. Key is lipid panel+Lp(a) https://t.co/NzwYVMwF8R https://t.co/AV47vVib7y https://t.co/UGufLBmbm5

Mar 8, 2023 · 11 likes · 1 share · 14,384 followers View post →
Josh
@JoshJwageman · X

@GaneshMuthappan @ianriddockmd @Drlipid https://t.co/mzxa7l5egc.

Sep 1, 2023 · 3 likes · 330 followers View post →
Jonathan Levitt
@JWLevitt · X

Great paper on the superiority of ApoB as a cardiovascular risk marker (vs LDL cholesterol level) https://t.co/0ubSz0Bud0

Oct 13, 2022 · 2 likes · 17,547 followers View post →
Alex Leaf
@AlexJLeaf · X

@twitevit @ProfTimNoakes Actually, ApoB is not a weak risk factor. It’s the primary causal driver of atherosclerosis and predicts ASCVD risk more strongly than LDL-C or even non-HDL-C. https://t.co/Bb3yoHBDTL It is normally distributed in the population, but that’s irrelevant. What matters is that risk

Apr 20, 2025 · 2 likes · 3,933 followers View post →
Dr. Ford Brewer
@PrevMedHealth · X

Your Doctor is Wrong About Cholesterol, Apo B and Plaque https://t.co/O8WHWRYijy via @YouTube

Jul 3, 2024 · 2 likes · 1 share · 1,180 followers View post →
Boca Boca
@CommunistoObama · X

@realDaveFeldman @AdrianSotoMota @BudoffMd Did the study collect ApoB data? Also there seems to be a lot of confusion about LDL-c vs. LDL-p vs. ApoB. (FYI only.) https://t.co/mndcYxljMr

Dec 9, 2023 · 2 likes · 357 followers View post →

All mentions

Christoffer Baustad Nilsen
@ChristofferBN · X

Relevant papers: https://t.co/EHQvJo65Gf https://t.co/0pBoJ1ekh1 https://t.co/aMoHkQtYra https://t.co/uZIAJG6ZL1 https://t.co/sjGgYSZS3c

Aug 10, 2025 · 586 followers View post →
Tuty
@trmtuty · X

@ChristofferBN @Pl4ntbased Pts w/ FH have an overproduction/turnover issue (similar to LMHR). Loss of LDLr does not alone explain such extreme elevations in LDLc bcus most is cleared through nonspecific receptors when LDLr is saturated (high affinity low capacity system) https://t.co/jF0q2MZMf3

May 4, 2025 · 65 followers View post →
Celt Naturals
@Celt_Naturals · X

Interesting Study from 2022 on the benefits of testing for apob over just LDL cholesterol. https://t.co/paKZUi9q1T

Apr 22, 2025 · 313 followers View post →
Alex Leaf
@AlexJLeaf · X

@twitevit @ProfTimNoakes Actually, ApoB is not a weak risk factor. It’s the primary causal driver of atherosclerosis and predicts ASCVD risk more strongly than LDL-C or even non-HDL-C. https://t.co/Bb3yoHBDTL It is normally distributed in the population, but that’s irrelevant. What matters is that risk

Apr 20, 2025 · 2 likes · 3,933 followers View post →
Tellit Likeitis
@Tellit007 · X

@BroChillerman @DrPlantel Large amount of evidence in all lines of studies showing highest CVD risk with high ApoB over time, irrespective of particle size or "ratios". https://t.co/ehZuhD2Am1

Aug 17, 2024 · 156 followers View post →
John Pernik
@JohnPernik · X

https://t.co/Vqii3gXd6k

Jul 6, 2024 · 1 like · 369 followers View post →
Dr. Ford Brewer
@PrevMedHealth · X

Your Doctor is Wrong About Cholesterol, Apo B and Plaque https://t.co/O8WHWRYijy via @YouTube

Jul 3, 2024 · 2 likes · 1 share · 1,180 followers View post →
Josh
@JoshJwageman · X

@theproof @Drlipid "Lp(a) appears to influence ASCVD risk independent of LDL-c or total ApoB" https://t.co/mzxa7l5egc

Jul 2, 2024 · 330 followers View post →
Josh
@JoshJwageman · X

@Drlipid @johnrroberts3 @theproof "Lp(a) appears to influence ASCVD risk independent of LDL-c or total ApoB" https://t.co/mzxa7l5egc

Jun 11, 2024 · 1 like · 330 followers View post →
Tuty
@trmtuty · X

@ethanjweiss @theproof @Drlipid @Lipoprotein @realDaveFeldman LDLr mutations still need a 2nd hit (incr VLDL production w intact turnover) to have FH. Most people with LDLR mutations don’t develop FH. Sniderman et al describe how LDLr alone can’t account for the very incr LDLC in FH. LMHR are no different https://t.co/cLeRsHP1XG

Apr 28, 2024 · 65 followers View post →
Tuty
@trmtuty · X

@ethanjweiss @realDaveFeldman @And41111 @PeterFaberSP @nicknorwitz https://t.co/cLeRsHP1XG The model they propose I don’t think is new. And LMHR still very much mimics metabolically healthy FH pts with ⬆️VLDL secretion, efficient turnover, and ⬇️LDL clearance.

Mar 4, 2024 · 65 followers View post →
Meghna Saha
@MeghnaSaha20 · X

@Alicewants2know @MohammedAlo https://t.co/A48IyjeN7e

Feb 19, 2024 · 18 followers View post →
Boca Boca
@CommunistoObama · X

@realDaveFeldman @AdrianSotoMota @BudoffMd Did the study collect ApoB data? Also there seems to be a lot of confusion about LDL-c vs. LDL-p vs. ApoB. (FYI only.) https://t.co/mndcYxljMr

Dec 9, 2023 · 2 likes · 357 followers View post →
Assent Performance
@SteAssent · X

@onphel @zoeharcombe https://t.co/VFWeTdzipw Here’s the update to that same article. Anyway if you want to learn more about bookmakers particularly lipids You can start here https://t.co/QKkEnAAzTd. Or bury your head in the sand

Dec 2, 2023 · 1,674 followers View post →
Kim Heifner, FNP-C, MSCP
@kimheifnernp · X

@MasalaFry69 @DrNadolsky My point was apoB particles size better indicator of risk than ldl cholesterol. This is what I was thinking.. https://t.co/xkB5Sa9erx.

Oct 2, 2023 · 1,181 followers View post →
Josh
@JoshJwageman · X

@GaneshMuthappan @ianriddockmd @Drlipid https://t.co/mzxa7l5egc.

Sep 1, 2023 · 3 likes · 330 followers View post →
Milan Strongman
@milan_strongman · X

@soyboy86 ApoB je ključna mera za zdravstveni rizik https://t.co/pOxoRJWB5b

Aug 25, 2023 · 26,537 followers View post →
LogicalⓋegan
@logical__vegan · X

@MasalaFry69 @BoaterOwl @Aybayapp @SBakerMD https://t.co/9MbqKSkzt9

Aug 14, 2023 · 62 followers View post →
LogicalⓋegan
@logical__vegan · X

@BoaterOwl @MasalaFry69 @Aybayapp @SBakerMD https://t.co/9MbqKSkzt9

Aug 14, 2023 · 62 followers View post →
Earthling Bob
@EarthlingAus · X

@JoshuaRollins33 @daedalus0101 @podclipsapp @Drlipid @MohammedAlo @nationallipid @society_eas @TheFHFoundation @fhpatienteurope This was a good read. https://t.co/369dZ3M4nn

Jul 24, 2023 · 874 followers View post →
Dr. Shashank Joshi
@AskDrShashank · X

RT @Lpa_Doc: My critique of apoB, from Alan's excellent review. There is 1 apoB/particle-in his example, 84 LDL and 9 VLDL- i.e. 90% apoB i…

Mar 8, 2023 · 1 share · 32,532 followers View post →
Sam Tsimikas, MD
@Lpa_Doc · X

My critique of apoB, from Alan's excellent review. There is 1 apoB/particle-in his example, 84 LDL and 9 VLDL- i.e. 90% apoB is LDL. If VLDL/Lp(a) is ⏫ then apoB/CV risk will be ⏫. If normal, you get no/minimal info for the $. Key is lipid panel+Lp(a) https://t.co/NzwYVMwF8R https://t.co/AV47vVib7y https://t.co/UGufLBmbm5

Mar 8, 2023 · 11 likes · 1 share · 14,384 followers View post →
LipoFan
@lipo_fan · X

https://t.co/IxMi4OD1dx

Jan 7, 2023 · 2,986 followers View post →
REGENETARIANISM תִּקּוּן עוֹלָם
@REGENETARIANISM · X

@TyRBeal @LDLSkeptic @BenBikmanPhD @realDaveFeldman Does that apoB always correlate with high LDL-c? I did a quick Google search for an answer to my question, and this linked study suggests that it doesn't. Have you seen other research that contradicts this study? https://t.co/7NzsyEQiMW .

Nov 29, 2022 · 1 like · 41,951 followers View post →
fipco
@fipco · X

@jdmiller_ @PatrickElliott0 @NutritionMadeS3 @mak_sysepi @POhukainen @mendel_random Here’s a recent review. #apob https://t.co/0u02hdwN5w https://t.co/WND4gNJBfv

Oct 22, 2022 · 1 like · 232 followers View post →
JAHA
@JAHA_AHA · X

We provide a framework for healthcare providers to understand why apoB is a more accurate marker of CV risk than LDL-C or non-HDL-C. @tamaranephro #AHAJournals https://t.co/7z2028wOqs

Oct 17, 2022 · 1 like · 31,237 followers View post →
Jonathan Levitt
@JWLevitt · X

Great paper on the superiority of ApoB as a cardiovascular risk marker (vs LDL cholesterol level) https://t.co/0ubSz0Bud0

Oct 13, 2022 · 2 likes · 17,547 followers View post →
fipco
@fipco · X

Good review of apoB physiology by Glavinovic @ThanassoulisMD de Graaf, Couture, Hegele, & @AllanSniderman https://t.co/Ts7lohd6HG

Oct 11, 2022 · 232 followers View post →