Apolipoprotein A1

Lipid PanelHeart & VesselsBlood

Apolipoprotein A-I (ApoA1) is the primary structural protein of HDL particles. It activates the enzyme LCAT, which is essential for reverse cholesterol transport — the process of removing cholesterol from arterial walls back to the liver. ApoA1 also has direct anti-inflammatory and antioxidant effects on blood vessels.

Why it matters: Low ApoA1 indicates reduced HDL particle count and impaired reverse cholesterol transport. The ApoB/ApoA1 ratio is one of the strongest predictors of cardiovascular risk — a high ratio means more atherogenic particles relative to protective ones. ApoA1 reflects HDL particle number more accurately than HDL-C reflects HDL function.

Reference Range
104.0 – 202.0mg/dL
104
202LowNormalHigh
Symptoms of Low Apolipoprotein A1
Typically without noticeable symptoms
Symptoms of High Apolipoprotein A1
Typically without noticeable symptoms
What Moves It

May increase with:

Aerobic exercise
Moderate alcohol consumption
Weight loss
Omega-3 fatty acids
Smoking cessation
Niacin

May decrease with:

Smoking
Sedentary lifestyle
Obesity
Anabolic steroids
Very low-fat diets
Uncontrolled diabetes
Associated Conditions
Cardiovascular diseaseMetabolic syndromeTangier diseaseFamilial HDL deficiency
Related Markers
HDL CholesterolApolipoprotein BApoB/ApoA1 Ratio
Common questions

What is Apolipoprotein A1?

Apolipoprotein A-I (ApoA1) is the primary structural protein of HDL particles. It activates the enzyme LCAT, which is essential for reverse cholesterol transport — the process of removing cholesterol from arterial walls back to the liver. ApoA1 also has direct anti-inflammatory and antioxidant effects on blood vessels.

What might a high or low Apolipoprotein A1 mean?

Low ApoA1 indicates reduced HDL particle count and impaired reverse cholesterol transport. The ApoB/ApoA1 ratio is one of the strongest predictors of cardiovascular risk — a high ratio means more atherogenic particles relative to protective ones. ApoA1 reflects HDL particle number more accurately than HDL-C reflects HDL function.

What is the typical reference range for Apolipoprotein A1?

The general-population reference range shown here is 104 – 202 mg/dL. Reference ranges describe the general population and are not a personal target — discuss your results with your physician.

What can affect Apolipoprotein A1?

It may be higher with: Aerobic exercise, Moderate alcohol consumption, Weight loss, Omega-3 fatty acids, Smoking cessation, Niacin. It may be lower with: Smoking, Sedentary lifestyle, Obesity, Anabolic steroids, Very low-fat diets, Uncontrolled diabetes.

More in Lipid Panel
ApoB/ApoA1 RatioApolipoprotein BHDL CholesterolLDL CholesterolLipoprotein(a)Non-HDL CholesterolRemnant CholesterolTotal CholesterolTriglyceridesVLDL Cholesterol

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