H-FABP
FABP3proteinH-FABP is released early from myocardial ischemia and necrosis, serving as an early biomarker of cardiomyocyte injury in acute MI.
Pathway placement
Cascade stepMyocardial injury (shared endpoint)
Confidencehigh
RationaleHeart-type fatty acid binding protein; early myocardial necrosis marker.
Druggability
DruggableYes
Known drugs / candidates0
Small-molecule tractableYes
Antibody tractableNo
EnsemblENSG00000121769
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I32
C — confounder / Type-II68
A — assay feasibility68
E — evidence strength25
T1DI (composite)5
Specificity differential (R−C)-36.2
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(18)
- miR-1307-5p mediates endothelial dysfunction and inflammation induced by acute coronary syndrome by targeting PIM3.Journal of cardiothoracic surgery · 2026 · PMID 42106777 · doi
- Comprehensive Quality Analysis of Conventional and Novel Biomarkers in Diagnosing and Predicting Prognosis of Coronary Artery Disease, Acute Coronary Syndrome, and Heart Failure, a Comprehensive Literature Review.Journal of cardiovascular translational research · 2024 · PMID 38995611 · doi
- Newly Initiated Statin Treatment Is Associated with Decreased Plasma Coenzyme Q10 Level After Acute ST-Elevation Myocardial Infarction.International journal of molecular sciences · 2024 · PMID 39795963 · doi
- A multiplexed immunochemical microarray for the determination of cardiovascular disease biomarkers.Mikrochimica acta · 2023 · PMID 38151630 · doi
- Serum miR-377 Can Be Used as a Diagnostic Marker for Acute Coronary Syndrome and Can Regulate Proinflammatory Factors and Endothelial Injury Markers.Acta medica Okayama · 2022 · PMID 36549775 · doi
- MicroRNA-145 is involved in endothelial cell dysfunction and acts as a promising biomarker of acute coronary syndrome.European journal of medical research · 2020 · PMID 32178736 · doi
- Heart-type fatty acid-binding protein: an overlooked cardiac biomarker.Annals of medicine · 2020 · PMID 32697102 · doi
- Discovery of potential plasma protein biomarkers for acute myocardial infarction via proteomics.Journal of thoracic disease · 2019 · PMID 31656670 · doi
- Point-of-care testing in primary care patients with acute cardiopulmonary symptoms: a systematic review.Family practice · 2018 · PMID 28985344 · doi
- Diagnostic and prognostic value of H-FABP in acute coronary syndrome: Still evidence to bring.Clinical biochemistry · 2018 · PMID 29698621 · doi
- Abnormal expression of miR‑133a in patients with acute myocardial infarction following radical surgery for gastric cancer and the underlying mechanism.Molecular medicine reports · 2018 · PMID 30320356 · doi
- Novel biomarkers of cardiovascular disease: Applications in clinical practice.Critical reviews in clinical laboratory sciences · 2018 · PMID 30457415 · doi
- Beyond the Limits: Clinical Utility of Novel Cardiac Biomarkers.BioMed research international · 2015 · PMID 26504786 · doi
- Potential clinical application of novel cardiac biomarkers for acute myocardial infarction.Acta medica Indonesiana · 2013 · PMID 24045397
- Novel biomarkers in diagnosing cardiac ischemia in the emergency department: a systematic review.Resuscitation · 2011 · PMID 22200578 · doi
- Biomarkers in acute myocardial infarction.BMC medicine · 2010 · PMID 20529285 · doi
- A timely diagnosis of myocardial infarction.Biomarkers in medicine · 2010 · PMID 20550472 · doi
- [Multi-biomarker approach to acute coronary syndrome].Nihon rinsho. Japanese journal of clinical medicine · 2006 · PMID 16613186
Clinical trials(1)
- Correlations Between Oxidative Stress Biomarkers, h-FABP and Left Ventricular Dysfunction in Patients With Acute Myocardial Infarction Undergoing Primary PCINCT04034940 · NA · UNKNOWN · Dosing Oxidative stress biomarkers & hFABP in STEMI pPCI patients