Coagulation Factor XII
F12proteinFactor XII activation in the contact system amplifies coagulation and contributes to thrombus formation and fibrinolytic-induced reactivation in MI.
Pathway placement
Cascade stepCoagulation & thrombus formation
Confidencemedium
RationaleContact phase initiator; activated by thrombolytics and plasmin during thrombolytic therapy.
Also acts inPlatelet activation
Druggability
DruggableYes
Known drugs / candidates2
Small-molecule tractableYes
Antibody tractableYes
EnsemblENSG00000131187
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I74
C — confounder / Type-II60
A — assay feasibility72
E — evidence strength29
T1DI (composite)12
Specificity differential (R−C)+14.4
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(10)
- Factor XII Activation Promotes Platelet Consumption in the Presence of Bacterial-Type Long-Chain Polyphosphate In Vitro and In Vivo.Arteriosclerosis, thrombosis, and vascular biology · 2018 · PMID 30354195 · doi
- Biological basis and pathological relevance of microvascular thrombosis.Thrombosis research · 2014 · PMID 24759139 · doi
- Genetic associations for activated partial thromboplastin time and prothrombin time, their gene expression profiles, and risk of coronary artery disease.American journal of human genetics · 2012 · PMID 22703881 · doi
- Activated factor 12 (FXIIa) predicts recurrent coronary events after an acute myocardial infarction.American heart journal · 2004 · PMID 14760323 · doi
- Interleukin-6, fibrin D-dimer, and coagulation factors VII and XIIa in prediction of coronary heart disease.Arteriosclerosis, thrombosis, and vascular biology · 2004 · PMID 15205218 · doi
- Absence of paradoxical thrombin activation by fibrin-specific thrombolytics in acute myocardial infarction: comparison of single-bolus tenecteplase and front-loaded alteplase.Thrombosis research · 2002 · PMID 12182909 · doi
- [Blood coagulation and fibrinolysis in arteriosclerosis].Zeitschrift fur Kardiologie · 1999 · PMID 10413853 · doi
- Streptokinase-induced activation of the kallikrein-kinin system and of the contact phase in patients with acute myocardial infarction.Journal of cardiovascular pharmacology · 1998 · PMID 9593077 · doi
- Plasmin-mediated activation of contact system in response to pharmacological thrombolysis.Circulation · 1995 · PMID 7805216 · doi
- Hemostatic abnormalities in acute myocardial infarction as detected by specific blood markers.Thrombosis research · 1994 · PMID 7863479 · doi