Fibronectin
FN1proteinFibronectin mediates platelet adhesion to exposed matrix and fibroblast paracrine signaling; dysregulation marks plaque instability and thrombotic coronary events.
Pathway placement
Cascade stepPlatelet adhesion & activation
Confidencehigh
RationalePlatelet adhesion substrate; reduced in STEMI platelet releasate; cell adhesion hub in plaque instability.
Also acts inCap degradation / rupture, Endothelial activation/erosion
Druggability
DruggableYes
Known drugs / candidates5
Small-molecule tractableYes
Antibody tractableYes
EnsemblENSG00000115414
Type I vs Type II discrimination
ScoresShared / rises in both
R — rupture / Type-I67
C — confounder / Type-II67
A — assay feasibility72
E — evidence strength75
T1DI (composite)27
Specificity differential (R−C)0
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationn/a
2anemia / acute blood lossmag 2
3hypovolemia / dehydrationn/a
4tachyarrhythmiamag 2
5hypoxemia / respiratory failuremag 2
6hypertensive emergencyn/a
7high-demand / peri-operative stressn/a
Coverage: 3/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 19 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)
Human genetic evidence
0.468
Open Targets association (myocardial_infarction)
Literature evidence(12)
- DSCAML1+ extracellular vesicles revealed by single-vesicle proteomics as a novel biomarker and therapeutic target in myocardial infarction.Journal of nanobiotechnology · 2026 · PMID 41872860 · doi
- A secretome atlas of cardiac fibroblasts from healthy and infarcted mouse hearts.Communications biology · 2025 · PMID 40301568 · doi
- A Mass Spectrometry-Based Proteome Study of Twin Pairs Discordant for Incident Acute Myocardial Infarction within Three Years after Blood Sampling Suggests Novel Biomarkers.International journal of molecular sciences · 2024 · PMID 38473885 · 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
- Biomarker Discovery of Acute Coronary Syndrome Using Proteomic Approach.Molecules (Basel, Switzerland) · 2021 · PMID 33672727 · doi
- Comparative Platelet Releasate Proteomic Profiling of Acute Coronary Syndrome versus Stable Coronary Artery Disease.Frontiers in cardiovascular medicine · 2020 · PMID 32671099 · doi
- Neutrophil proteome shifts over the myocardial infarction time continuum.Basic research in cardiology · 2019 · PMID 31418072 · doi
- Heart Failure Stimulates Tumor Growth by Circulating Factors.Circulation · 2018 · PMID 29459363 · doi
- Multiplex quantitative imaging of human myocardial infarction by mass spectrometry-immunohistochemistry.International journal of legal medicine · 2018 · PMID 29556718 · doi
- Extracellular matrix proteomics identifies molecular signature of symptomatic carotid plaques.The Journal of clinical investigation · 2017 · PMID 28319050 · doi
- Plasma fractionation enriches post-myocardial infarction samples prior to proteomics analysis.International journal of proteomics · 2012 · PMID 22778955 · doi
- Desquamation of human coronary artery endothelium by human mast cell proteases: implications for plaque erosion.Coronary artery disease · 2006 · PMID 17047445 · doi