Caspase-3
CASP3proteinCaspase-3 activation drives cardiomyocyte apoptosis during myocardial ischemia and marks programmed cell death in infarction.
Pathway placement
Cascade stepMyocardial injury (shared endpoint)
Confidencemedium
RationaleApoptosis effector in cardiomyocyte injury; thrombus instability marker in activated platelets.
Druggability
DruggableYes
Known drugs / candidates1
Small-molecule tractableYes
Antibody tractableNo
EnsemblENSG00000164305
Type I vs Type II discrimination
ScoresType-II-associated
R — rupture / Type-I—
C — confounder / Type-II62
A — assay feasibility72
E — evidence strength86
T1DI (composite)16
Specificity differential (R−C)-46.9
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationmag 2
2anemia / acute blood lossmag 2
3hypovolemia / dehydrationmag 1
4tachyarrhythmiamag 2
5hypoxemia / respiratory failuremag 2
6hypertensive emergencymag 2
7high-demand / peri-operative stressmag 2
Coverage: 7/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 21 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(4)
- Xin-shu-bao tablets ameliorates ventricular remodeling against HFrEF via PPARγ/MFGE8 pathway based on MALDI-MSI and lipidomics.Journal of ethnopharmacology · 2025 · PMID 40216048 · doi
- β-Caryophyllene inhibits Fas- receptor and caspase-mediated apoptosis signaling pathway and endothelial dysfunction in experimental myocardial infarction.Journal of biochemical and molecular toxicology · 2021 · PMID 34816538 · doi
- Time dependent apoptotic rates in the evolving coronary thrombus mass of myocardial infarction patients.Thrombosis research · 2016 · PMID 27423322 · doi
- The protective effect of peony extract on acute myocardial infarction in rats.Phytomedicine : international journal of phytotherapy and phytopharmacology · 2010 · PMID 21112198 · doi