Endocan
ESM1proteinEndocan marks endothelial activation, dysfunction and erosion that expose thrombogenic subendothelial surfaces in Type 1 MI.
Pathway placement
Cascade stepEndothelial activation & erosion
Confidencehigh
RationaleEndothelial dysfunction and activation biomarker; plaque formation and rupture indicator.
Also acts inVascular inflammation
Druggability
DruggableYes
Known drugs / candidates0
Small-molecule tractableNo
Antibody tractableYes
EnsemblENSG00000164283
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I42
C — confounder / Type-II70
A — assay feasibility68
E — evidence strength26
T1DI (composite)6
Specificity differential (R−C)-27.9
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
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(6)
- Soluble endoglin reflects endothelial dysfunction in myocardial infarction patients: a retrospective observational study.International journal of medical sciences · 2025 · PMID 40765559 · doi
- Association between coronary thrombus composition and microvascular obstruction following percutaneous coronary intervention in patients with acute myocardial infarction: A proof-of-concept study.Medicine · 2025 · PMID 40988197 · doi
- Associations between inflammatory and angiogenic proteomic biomarkers, and cardiovascular events and mortality in relation to kidney function.Clinical kidney journal · 2024 · PMID 38524235 · doi
- Synopsis of Biomarkers of Atheromatous Plaque Formation, Rupture and Thrombosis in the Diagnosis of Acute Coronary Syndromes.Current cardiology reviews · 2022 · PMID 35410616 · doi
- Endocan: a biomarker predicting successful reperfusion after coronary artery by-pass surgery of acute coronary syndrome patients.European review for medical and pharmacological sciences · 2019 · PMID 30657575 · doi
- Analysis of Serum Endothelial Cell-Specific Molecule 1 (Endocan) Level in Type 2 Diabetes Mellitus With Acute ST-Segment Elevation Myocardial Infarction and its Correlation: A Pilot Study.Angiology · 2016 · PMID 26927690 · doi