HIF1A
HIF1AgeneHIF1A-driven endothelial-mesenchymal transition, mitochondrial dysfunction and reduced cardioprotective secretome promote endothelial erosion and myocardial injury.
Pathway placement
Cascade stepEndothelial activation & erosion
Confidencehigh
RationaleHypoxia-response transcription factor mediating endothelial dysfunction, erosion, and cardiomyocyte ischemic injury in MI.
Also acts inMyocardial injury, Cap degradation / rupture, Vascular inflammation
Druggability
DruggableYes
Known drugs / candidates0
Small-molecule tractableYes
Antibody tractableNo
EnsemblENSG00000100644
Type I vs Type II discrimination
ScoresType-II-associated
R — rupture / Type-I—
C — confounder / Type-II78
A — assay feasibility52
E — evidence strength54
T1DI (composite)5
Specificity differential (R−C)-63
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationmag 3
2anemia / acute blood lossmag 3
3hypovolemia / dehydrationmag 2
4tachyarrhythmiamag 2
5hypoxemia / respiratory failuremag 2
6hypertensive emergencyn/a
7high-demand / peri-operative stressmag 2
Coverage: 6/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 18 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
Whole blood — gene is not a circulating analyte; measure protein product or genotype
Collection tube
K2-EDTA whole blood (lavender-top)
Method / principle
SNP genotyping / sequencing; or immunoassay of encoded protein
Reagent / substrate
Allele-specific primers/probes (TaqMan) or NGS panel; or antibody for protein
Platform
qPCR / NGS / array
Turnaround · availability
Send-out · Genotyping widely available; protein assay variable
Literature evidence(5)
- A circular network of adenosine-mediated mitochondrial dysfunction as coregulators of acute myocardial infarction.International journal of medical sciences · 2024 · PMID 38818463 · doi
- Hypoxia-inducible factor 1-alpha enhances the secretome to rejuvenate adult cardiosphere-derived cells.The Journal of thoracic and cardiovascular surgery · 2021 · PMID 34465468 · doi
- Tongxinluo Attenuates Myocardiac Fibrosis after Acute Myocardial Infarction in Rats via Inhibition of Endothelial-to-Mesenchymal Transition.BioMed research international · 2019 · PMID 31317035 · doi
- Association of N-methyladenine DNA with plaque progression in atherosclerosis via myocardial infarction-associated transcripts.Cell death & disease · 2019 · PMID 31797919 · doi
- CD163+ macrophages promote angiogenesis and vascular permeability accompanied by inflammation in atherosclerosis.The Journal of clinical investigation · 2018 · PMID 29457790 · doi