Haptoglobin
HPproteinHaptoglobin is an acute-phase diagnostic biomarker for myocardial infarction, responding to hemolysis and vascular inflammation in atherothrombotic events.
Pathway placement
Cascade stepPlaque inflammation
Confidencehigh
RationaleHaptoglobin is an acute-phase marker and core MI gene; binds hemoglobin in oxidative stress.
Also acts inSystemic / off-pathway, Myocardial injury
Druggability
DruggableYes
Known drugs / candidates0
Small-molecule tractableYes
Antibody tractableYes
EnsemblENSG00000257017
Type I vs Type II discrimination
ScoresType-II-associated
R — rupture / Type-I—
C — confounder / Type-II67
A — assay feasibility84
E — evidence strength33
T1DI (composite)7
Specificity differential (R−C)-52
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationmag 3
2anemia / acute blood lossmag 2
3hypovolemia / dehydrationn/a
4tachyarrhythmiamag 2
5hypoxemia / respiratory failuren/a
6hypertensive emergencymag 1
7high-demand / peri-operative stressmag 2
Coverage: 5/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 8 supporting references. See the discrimination table for all markers.
Assay & specimen
Validated clinical assay
Specimen
Serum or plasma
Collection tube
Serum separator (gold/red-top, SST)
Method / principle
Immunoturbidimetric/nephelometric
Reagent / substrate
Anti-haptoglobin antibody-latex
Platform
Automated analyzer
Turnaround · availability
Routine · Universal
Literature evidence(7)
- Upregulated haptoglobin in classical monocytes serves as a diagnostic and immunological biomarker in myocardial infarction: a cross-sectional multi-omics study.Frontiers in immunology · 2025 · PMID 41229424 · doi
- Novel Protein-Based Biomarkers of Out-of-hospital Sudden Cardiac Death After Myocardial Infarction.Circulation. Arrhythmia and electrophysiology · 2025 · PMID 40143805 · doi
- Identification of core genes shared by ischemic stroke and myocardial infarction using an integrated approach.Medicine · 2024 · PMID 38968466 · doi
- Erythrocyte-heme proteins and STEMI: implications in prognosis.Thrombosis and haemostasis · 2017 · PMID 28837209 · doi
- Hp: an inflammatory indicator in cardiovascular disease.Future cardiology · 2016 · PMID 27203711 · doi
- Proteomic analysis of plasma samples from patients with acute myocardial infarction identifies haptoglobin as a potential prognostic biomarker.Journal of proteomics · 2011 · PMID 21767674 · doi
- Predicting left ventricular remodeling after a first myocardial infarction by plasma proteome analysis.Proteomics · 2008 · PMID 18384103 · doi