Adiponectin
ADIPOQproteinAdiponectin suppresses plaque inflammation and endothelial dysfunction, exerting cardioprotection against atherothrombotic injury.
Pathway placement
Cascade stepPlaque inflammation
Confidencehigh
RationaleAnti-inflammatory, antiatherogenic, cardioprotective; reduces oxidative stress and vascular inflammation.
Also acts inEndothelial activation/erosion, Systemic / off-pathway
Druggability
DruggableYes
Known drugs / candidates0
Small-molecule tractableNo
Antibody tractableYes
EnsemblENSG00000181092
Type I vs Type II discrimination
ScoresIndeterminate
R — rupture / Type-I—
C — confounder / Type-II33
A — assay feasibility68
E — evidence strength25
T1DI (composite)7
Specificity differential (R−C)-18.3
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationn/a
2anemia / acute blood lossn/a
3hypovolemia / dehydrationn/a
4tachyarrhythmiamag 1
5hypoxemia / respiratory failuremag 1
6hypertensive emergencymag 1
7high-demand / peri-operative stressmag 1
Coverage: 4/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 7 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(18)
- Large-Scale Proteomic Profiling of Incident Heart Failure and Its Subtypes in Older Adults.Circulation. Genomic and precision medicine · 2026 · PMID 41636061 · doi
- Omentin associates with serum metabolite profiles indicating lower diabetes risk: KORA F4 Study.BMJ open diabetes research & care · 2024 · PMID 38442989 · doi
- Comparative Analysis of Plasma Protein Dynamics in Women with ST-Elevation Myocardial Infarction and Takotsubo Syndrome.Cells · 2024 · PMID 39513871 · doi
- Proteomic Correlates of the Urinary Protein/Creatinine Ratio in Heart Failure With Preserved Ejection Fraction.The American journal of cardiology · 2023 · PMID 37734292 · doi
- Derivation and External Validation of a High-Sensitivity Cardiac Troponin-Based Proteomic Model to Predict the Presence of Obstructive Coronary Artery Disease.Journal of the American Heart Association · 2020 · PMID 32757795 · doi
- Discovery of potential plasma protein biomarkers for acute myocardial infarction via proteomics.Journal of thoracic disease · 2019 · PMID 31656670 · doi
- Comparison of Ticagrelor Versus Prasugrel for Inflammation, Vascular Function, and Circulating Endothelial Progenitor Cells in Diabetic Patients With Non-ST-Segment Elevation Acute Coronary Syndrome Requiring Coronary Stenting: A Prospective, Randomized, Crossover Trial.JACC. Cardiovascular interventions · 2017 · PMID 28838475 · doi
- Beyond Cholesterol - New Cardiovascular Biomarkers.Nestle Nutrition Institute workshop series · 2016 · PMID 26764476 · doi
- Novel biomarkers predicting cardiac function after acute myocardial infarction.British medical bulletin · 2016 · PMID 27418651 · doi
- Adipokines and endothelial dysfunction in acute myocardial infarction and the risk of recurrent cardiovascular events.Journal of cardiovascular medicine (Hagerstown, Md.) · 2015 · PMID 24933198 · doi
- Relation of baseline plasma MMP-1 levels to long-term all-cause mortality in patients with known or suspected coronary artery disease referred for coronary angiography.Atherosclerosis · 2015 · PMID 25635325 · doi
- Adiponectin as a potential biomarker of vascular disease.Vascular health and risk management · 2015 · PMID 25653535 · doi
- Analysis of biomarkers for risk of acute kidney injury after primary angioplasty for acute ST-segment elevation myocardial infarction: results of the HORIZONS-AMI trial.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2014 · PMID 25130788 · doi
- Chemerin is a novel biomarker of acute coronary syndrome but not of stable angina pectoris.Cardiovascular diabetology · 2014 · PMID 25367628 · doi
- Unrecognized diabetes and myocardial necrosis: predictors of hyperglycemia in myocardial infarction.Arquivos brasileiros de cardiologia · 2013 · PMID 23598457
- Serum adiponectin and cardiometabolic risk in patients with acute coronary syndromes.Arquivos brasileiros de cardiologia · 2013 · PMID 24029961 · doi
- Impact of plasma oxidized low-density lipoprotein removal on atherosclerosis.Circulation · 2008 · PMID 18559699 · doi
- Adiponectin and some inflammatory and endothelial markers in type-2 diabetes with and without cardiovascular disease.The Egyptian journal of immunology · 2005 · PMID 16734148