I don't think I would bother with anything above 2x. I really don't think it's worth the performance drop and can't even tell any big difference (though it would depend on the game). I also don't think you can use MSAA with MLAA in GTA4.
Personally, I skip any additional AA where I use MLAA. I use my card in a HTPC with a 1080p TV and, given the choice, I generally prefer to game with SSAA at 720p than MLAA at 1080p.
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