Epidermal Growth Factor
EGFproteinEGF acts as a marker of endothelial erosion and tissue injury in acute coronary syndromes, correlating with ischemic time and extent of myocardial damage.
Pathway placement
Cascade stepEndothelial activation & erosion
Confidencemedium
RationaleGrowth factor associated with endothelial erosion and acute coronary events.
Also acts inCap degradation / rupture
Druggability
DruggableYes
Known drugs / candidates0
Small-molecule tractableNo
Antibody tractableYes
EnsemblENSG00000138798
Type I vs Type II discrimination
ScoresIndeterminate
R — rupture / Type-I—
C — confounder / Type-II42
A — assay feasibility68
E — evidence strength31
T1DI (composite)8
Specificity differential (R−C)-27
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationmag 2
2anemia / acute blood lossn/a
3hypovolemia / dehydrationmag 1
4tachyarrhythmiamag 1
5hypoxemia / respiratory failuren/a
6hypertensive emergencymag 1
7high-demand / peri-operative stressn/a
Coverage: 4/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 8 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)
- Inflammatory patterns in Takotsubo cardiomyopathy and acute coronary syndrome: A propensity score matched analysis.Atherosclerosis · 2018 · PMID 29783063 · doi
- Inflammatory Differences in Plaque Erosion and Rupture in Patients With ST-Segment Elevation Myocardial Infarction.Journal of the American Heart Association · 2017 · PMID 28468787 · doi
- Associations between circulating proteins and corresponding genes expressed in coronary thrombi in patients with acute myocardial infarction.Thrombosis research · 2015 · PMID 26475405 · doi