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Total cholesterol

Molecular classification
Other
01

Overview

Total cholesterol refers to the combined concentration of cholesterol present within all classes of circulating lipoproteins in plasma, primarily low-density lipoprotein (LDL), high-density lipoprotein (HDL), and very low-density lipoprotein (VLDL). It is used clinically as a biomarker to assess cardiovascular risk, as elevated total cholesterol is associated with a greater risk of atherosclerosis, myocardial infarction, and stroke[7][8][9]. However, "total cholesterol" is not a single molecular target, nor is it a receptor, enzyme, or transporter—it is an aggregate laboratory measurement. Lipid-lowering drugs (such as statins, ezetimibe, fibrates, or PCSK9 inhibitors) work by altering cholesterol synthesis, absorption, or lipoprotein metabolism, rather than acting on "total cholesterol" itself[8][9]. Total cholesterol's clinical utility is primarily as a prognostic biomarker rather than a therapeutic target.

Other names
serum cholesterolblood cholesterolplasma total cholesterolTC
02

Biological functions

Other (total cholesterol reflects cholesterol metabolism, transport, and storage in the body but has no direct molecular function itself)
03

Disease associations

Cardiovascular diseaseAtherosclerosisMetabolic syndromeOther (as an indicator or risk factor, not as a causative agent)
04

Safety considerations

Overinterpretation may lead to overtreatment or undertreatment; changes may reflect non-cardiac causes (e.g., dietary extremes, liver disease)
05

Biomarkers

Total cholesterol (itself)LDL cholesterolHDL cholesterolnon-HDL cholesteroltriglycerides (often measured together for risk assessment)

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