Soluble CD40 ligand
CD40LGproteinsCD40L released from activated platelets amplifies endothelial dysfunction and platelet–leukocyte thrombotic crosstalk.
Pathway placement
Cascade stepPlatelet adhesion & activation
Confidencehigh
RationalePlatelet α-granule release marker; endothelial activation and thrombosis mediator.
Also acts inEndothelial activation/erosion, Vascular inflammation
Druggability
DruggableYes
Known drugs / candidates6
Small-molecule tractableYes
Antibody tractableYes
EnsemblENSG00000102245
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I69
C — confounder / Type-II62
A — assay feasibility72
E — evidence strength27
T1DI (composite)11
Specificity differential (R−C)+7.1
Confounder panel (Type-II drivers)
No confounder evidence retrieved.
Tier: light (literature co-occurrence proxy — lower confidence). See the discrimination table for all markers.
Assay & specimen
Validated clinical assay
Specimen
Serum or plasma
Collection tube
Sodium citrate 3.2% (light blue-top) · Serum separator (gold/red-top, SST)
Method / principle
Sandwich ELISA
Reagent / substrate
Anti-CD40L antibody pair
Platform
ELISA plate
Turnaround · availability
Research · Research
Human genetic evidence
0.023
Open Targets association (STEMI)
Literature evidence(59)
- Biomarkers of Thrombosis in ST-Segment Elevation Myocardial Infarction: A Substudy of the ATOLL Trial Comparing Enoxaparin Versus Unfractionated Heparin.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2018 · PMID 30144017 · doi
- Novel biomarkers of cardiovascular disease: Applications in clinical practice.Critical reviews in clinical laboratory sciences · 2018 · PMID 30457415 · doi
- Biomarkers of endothelial activation and thrombosis in tunnel construction workers exposed to airborne contaminants.International archives of occupational and environmental health · 2017 · PMID 28124139 · doi
- Comparison of diverse platelet activation markers as indicators for left atrial thrombus in atrial fibrillation.Platelets · 2017 · PMID 28287031 · doi
- Plant-based Food Cyanidin-3-Glucoside Modulates Human Platelet Glycoprotein VI Signaling and Inhibits Platelet Activation and Thrombus Formation.The Journal of nutrition · 2017 · PMID 28855423 · doi
- Platelet activation at the onset of human endotoxemia is undetectable in vivo.Platelets · 2016 · PMID 26764560 · doi
- Integrity(®) bare-metal coronary stent-induced platelet and endothelial cell activation results in a higher risk of restenosis compared to Xience(®) everolimus-eluting stents in stable angina patients.Platelets · 2016 · PMID 26765134 · doi
- Comparison of the influence of ticagrelor and clopidogrel on inflammatory biomarkers and vascular endothelial function for patients with ST-segment elevation myocardial infarction receiving emergency percutaneous coronary intervention: study protocol for a randomized controlled trial.Trials · 2016 · PMID 26865043 · doi
- Thrombus Aspirated from Patients with ST-Elevation Myocardial Infarction: Association between 3-Nitrotyrosine and Inflammatory Markers - Insights from ARTERIA Study.International journal of medical sciences · 2016 · PMID 27429583 · doi
- Platelet CD40L Modulates Thrombus Growth Via Phosphatidylinositol 3-Kinase β, and Not Via CD40 and IκB Kinase α.Arteriosclerosis, thrombosis, and vascular biology · 2015 · PMID 25908768 · doi
- Platelet-specific markers are associated with monocyte-platelet aggregate formation and thrombin generation potential in advanced atherosclerosis.Thrombosis and haemostasis · 2015 · PMID 26467184 · doi
- Associations between circulating proteins and corresponding genes expressed in coronary thrombi in patients with acute myocardial infarction.Thrombosis research · 2015 · PMID 26475405 · doi
- Aspirin resistance in adult patients after Fontan surgery.International journal of cardiology · 2014 · PMID 25479533 · doi
- Increased lysophosphatidic acid levels in culprit coronary arteries of patients with acute coronary syndrome.Atherosclerosis · 2013 · PMID 23664202 · doi
- Inflammatory and thrombotic markers in patients with ST-elevation myocardial infarction treated with thrombolysis and early PCI: a NORDISTEMI substudy.Thrombosis research · 2012 · PMID 22607887 · doi
- Plant food delphinidin-3-glucoside significantly inhibits platelet activation and thrombosis: novel protective roles against cardiovascular diseases.PloS one · 2012 · PMID 22624015 · doi
- Composition of coronary thrombus in acute myocardial infarction.Journal of the American College of Cardiology · 2011 · PMID 21414532 · doi
- Platelet and monocyte activity markers and mediators of inflammation in Takotsubo cardiomyopathy.Heart and vessels · 2011 · PMID 21416113 · doi
- Day-night variations in endothelial dysfunction markers and haemostatic factors in sleep apnoea.The European respiratory journal · 2011 · PMID 21852330 · doi
- From atherosclerosis to acute coronary syndromes: the role of soluble CD40 ligand.Trends in cardiovascular medicine · 2010 · PMID 21742271 · doi
- Platelet turnover, coagulation factors, and soluble markers of platelet and endothelial activation in essential thrombocythemia: relationship with thrombosis occurrence and JAK2 V617F allele burden.American journal of hematology · 2009 · PMID 19105233 · doi
- Markers of inflammation, thrombosis and endothelial activation correlate with carotid IMT regression in stable coronary disease after atorvastatin treatment.Nutrition, metabolism, and cardiovascular diseases : NMCD · 2009 · PMID 19171469 · doi
- Bivalirudin reduces platelet and monocyte activation after elective percutaneous coronary intervention.Thrombosis and haemostasis · 2009 · PMID 19190819
- Biomarkers in cardiovascular medicine.Revista espanola de cardiologia · 2009 · PMID 19480764 · doi
- The CD40/CD40 ligand system: linking inflammation with atherothrombosis.Journal of the American College of Cardiology · 2009 · PMID 19679244 · doi
- Inflammatory systemic biomarkers in setting acute coronary syndromes--effects of the diurnal variation.Current drug targets · 2009 · PMID 19860643 · doi
- Hyperglycemia is associated with enhanced thrombin formation, platelet activation, and fibrin clot resistance to lysis in patients with acute coronary syndrome.Diabetes care · 2008 · PMID 18487475 · doi
- Characterization of the human atheroma plaque secretome by proteomic analysis.Methods in molecular biology (Clifton, N.J.) · 2007 · PMID 17172685 · doi
- Clinical evidence for anti-inflammatory effects of antiplatelet therapy in patients with atherothrombotic disease.Vascular medicine (London, England) · 2007 · PMID 17615799 · doi
- Platelet-associated LIGHT (TNFSF14) mediates adhesion of platelets to human vascular endothelium.Thrombosis and haemostasis · 2007 · PMID 17938804
- Soluble CD40 ligand and interleukin-6 in the coronary circulation after acute myocardial infarction.International journal of cardiology · 2006 · PMID 16376442 · doi
- [Multi-biomarker approach to acute coronary syndrome].Nihon rinsho. Japanese journal of clinical medicine · 2006 · PMID 16613186
- Soluble CD40L levels are regulated by the -3459 A>G polymorphism and predict myocardial infarction and the efficacy of antithrombotic treatment in non-ST elevation acute coronary syndrome.Arteriosclerosis, thrombosis, and vascular biology · 2006 · PMID 16627810 · doi
- Serum osteoprotegerin in young survivors of myocardial infarction.Thrombosis and haemostasis · 2006 · PMID 16676081
- The potential role of antiplatelet agents in modulating inflammatory markers in atherothrombosis.Journal of thrombosis and haemostasis : JTH · 2006 · PMID 16961584 · doi
- Quest for novel cardiovascular biomarkers by proteomic analysis.Journal of proteome research · 2005 · PMID 16083268 · doi
- [Acute coronary syndrome and inflammation. Biomarkers for diagnostics and risk stratification].Herz · 2004 · PMID 15599673 · doi
- Hypercoagulability in sickle cell disease: a curious paradox.The American journal of medicine · 2003 · PMID 14693325 · doi
- Cardiopulmonary bypass induces release of soluble CD40 ligand.Circulation · 2002 · PMID 12070112 · doi
- CD40L activation in circulating platelets in patients with acute coronary syndrome.Cardiology · 1999 · PMID 10640791 · doi
Showing 40 of 59 linked references.