Fibrinogen Beta Chain
FGBproteinFibrinogen polymerizes into fibrin scaffolding the occlusive coronary thrombus and amplifies platelet aggregation.
Pathway placement
Cascade stepCoagulation & thrombus formation
Confidencehigh
RationaleFibrinogen anchor; structural component of fibrin clot; platelet aggregation ligand; thrombus formation.
Also acts inPlatelet activation
Druggability
DruggableYes
Known drugs / candidates5
Small-molecule tractableYes
Antibody tractableYes
EnsemblENSG00000171564
Type I vs Type II discrimination
ScoresType-II-associated
R — rupture / Type-I—
C — confounder / Type-II67
A — assay feasibility96
E — evidence strength60
T1DI (composite)14
Specificity differential (R−C)-51.7
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationn/a
2anemia / acute blood lossn/a
3hypovolemia / dehydrationn/a
4tachyarrhythmian/a
5hypoxemia / respiratory failuren/a
6hypertensive emergencyn/a
7high-demand / peri-operative stressmag 2
Coverage: 1/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 20 supporting references. See the discrimination table for all markers.
Assay & specimen
Validated clinical assay
Specimen
Platelet-poor plasma
Collection tube
Sodium citrate 3.2% (light blue-top)
Method / principle
Clauss clotting-time assay
Reagent / substrate
Excess thrombin reagent; clot-time inversely proportional to fibrinogen
Platform
Coagulation analyzer
Turnaround · availability
STAT · Universal
Literature evidence(25)
- Fibrin Monomer in Thrombosis and Haemostasis: A Clinical Biomarker and Beyond.International journal of molecular sciences · 2025 · PMID 41465254 · doi
- Targeted Blood Plasma Proteomics and Hemostasis Assessment of Post COVID-19 Patients with Acute Myocardial Infarction.International journal of molecular sciences · 2023 · PMID 37047497 · doi
- Serum proteomic analysis reveals the cardioprotective effects of Shexiang Baoxin Pill and Suxiao Jiuxin Pill in a rat model of acute myocardial infarction.Journal of ethnopharmacology · 2022 · PMID 35405256 · doi
- Variations in Blood Platelet Proteome and Transcriptome Revealed Altered Expression of Transgelin-2 in Acute Coronary Syndrome Patients.International journal of molecular sciences · 2022 · PMID 35683019 · doi
- Proteomics and bioinformatics analysis of cardiovascular related proteins in offspring exposed to gestational diabetes mellitus.Frontiers in cardiovascular medicine · 2022 · PMID 36277748 · doi
- Validation of an admission coagulation panel for risk stratification of COVID-19 patients.PloS one · 2021 · PMID 33740793 · doi
- The Clinical Significance of Fibrin Monomers.Thrombosis and haemostasis · 2018 · PMID 30312978 · doi
- Platelet activity and hypercoagulation in type 2 diabetes.Cardiovascular diabetology · 2018 · PMID 30388964 · doi
- An absence of platelet activation following thalidomide treatment in vitro or in vivo.Oncotarget · 2017 · PMID 28415757 · 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
- Identification of a circulating microvesicle protein network involved in ST-elevation myocardial infarction.Thrombosis and haemostasis · 2014 · PMID 25007837 · doi
- Activated coagulation during open and endovascular abdominal aortic aneurysm repair.Journal of vascular surgery · 2006 · PMID 16765226 · doi
- Epistatic and pleiotropic effects of polymorphisms in the fibrinogen and coagulation factor XIII genes on plasma fibrinogen concentration, fibrin gel structure and risk of myocardial infarction.Thrombosis and haemostasis · 2006 · PMID 16525568 · doi
- Coagulation gene polymorphisms as risk factors for myocardial infarction in young Indian Asians.Cardiovascular journal of South Africa : official journal for Southern Africa Cardiac Society [and] South African Society of Cardiac Practitioners · 2005 · PMID 16049588
- Association between early postoperative coagulation activation and peri-operative myocardial ischaemia in patients undergoing vascular surgery.Anaesthesia · 2005 · PMID 16288612 · doi
- Activated factor 12 (FXIIa) predicts recurrent coronary events after an acute myocardial infarction.American heart journal · 2004 · PMID 14760323 · doi
- Soluble fibrin, C-reactive protein, fibrinogen, factor VII, antithrombin, proteins C and S, tissue factor, D-dimer, and prothrombin fragment 1 + 2 in men with acute myocardial infarction </=45 years of age.The American journal of cardiology · 2004 · PMID 15566913 · doi
- Proteomic analysis of plasma from patients during an acute coronary syndrome.Journal of the American College of Cardiology · 2004 · PMID 15489088 · doi
- Evaluation of coagulation markers for early diagnosis of acute coronary syndromes in the emergency room.Clinical chemistry · 2002 · PMID 12406977
- Prognostic role of hemostatic markers in acute coronary syndromes patients.Clinica chimica acta; international journal of clinical chemistry · 2001 · PMID 11557250 · doi
- Early risk stratification of unstable angina/non-Q myocardial infarction: biochemical markers of coronary thrombosis.International journal of cardiology · 1999 · PMID 10328612 · doi
- The relationship of soluble fibrin and cross-linked fibrin degradation products to the clinical course of myocardial infarction.Arteriosclerosis, thrombosis, and vascular biology · 1997 · PMID 9108774 · doi
- Increased plasma concentration of fibrin monomer in acute myocardial infarction with early reperfusion.Coronary artery disease · 1996 · PMID 8813448 · doi
- Hemostatic abnormalities in acute myocardial infarction as detected by specific blood markers.Thrombosis research · 1994 · PMID 7863479 · doi
- Indices of hypercoagulation in cancer as compared with those in acute inflammation and acute infarction.Haemostasis · 1990 · PMID 2289706 · doi