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Angiotensin-Converting Enzyme 2
Pathway / Endothelial activation & erosion

Angiotensin-Converting Enzyme 2

ACE2protein

ACE2 elevation in acute MI reflects endothelial activation and dysfunction; modulates angiotensin signaling and inflammatory responses in the coronary vasculature.

Pathway placement
Cascade stepEndothelial activation & erosion
Confidencemedium
RationaleEndothelial target molecule; elevation reflects endothelial dysfunction in acute MI.
Also acts inVascular inflammation
Druggability
DruggableYes
Known drugs / candidates0
Small-molecule tractableYes
Antibody tractableYes
EnsemblENSG00000130234

Type I vs Type II discrimination

ScoresIndeterminate
R — rupture / Type-I
67
C — confounder / Type-II
44
A — assay feasibility
68
E — evidence strength
52
T1DI (composite)
22
Specificity differential (R−C)+22.2
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationmag 2
2anemia / acute blood lossn/a
3hypovolemia / dehydrationn/a
4tachyarrhythmiamag 1
5hypoxemia / respiratory failuren/a
6hypertensive emergencymag 1
7high-demand / peri-operative stressn/a
Coverage: 3/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 20 supporting references. See the discrimination table for all markers.

Assay & specimen

Class-level default (no specific cleared assay)— generic method inferred from analyte class; confirm against a specific product insert before use.
Specimen
Serum or plasma
Collection tube
Serum separator (gold/red-top, SST) · K2/K3-EDTA (lavender-top)
Method / principle
Sandwich immunoassay (ELISA) — research-grade unless a cleared assay exists
Reagent / substrate
Matched anti-target antibody pair (capture + labeled detection)
Platform
ELISA microplate or multiplex (Luminex/MSD)
Turnaround · availability
Send-out / research · Research-grade (no universal clinical assay)

Literature evidence(3)