Heat-shock protein 70
HSPA1AproteinHSP70 elevation indicates cellular stress response to myocardial ischemia and endothelial dysfunction in acute MI.
Pathway placement
Cascade stepOff-pathway / systemic markers
Confidencemedium
RationaleCell stress and proteostasis marker; reflects cardiomyocyte ischemic injury and endothelial stress.
Also acts inEndothelial activation/erosion, Lipid entry/oxidation, Vascular inflammation
Druggability
DruggableYes
Known drugs / candidates1
Small-molecule tractableYes
Antibody tractableYes
EnsemblENSG00000204389
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I43
C — confounder / Type-II89
A — assay feasibility72
E — evidence strength33
T1DI (composite)6
Specificity differential (R−C)-45.8
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(4)
- A Nrf2-OSGIN1&2-HSP70 axis mediates cigarette smoke-induced endothelial detachment: implications for plaque erosion.Cardiovascular research · 2023 · PMID 36804807 · doi
- Pathway-Specific Aggregate Biomarker Risk Score Is Associated With Burden of Coronary Artery Disease and Predicts Near-Term Risk of Myocardial Infarction and Death.Circulation. Cardiovascular quality and outcomes · 2017 · PMID 28280039 · doi
- An Aggregate Biomarker Risk Score Predicts High Risk of Near-Term Myocardial Infarction and Death: Findings From BARI 2D (Bypass Angioplasty Revascularization Investigation 2 Diabetes).Journal of the American Heart Association · 2017 · PMID 28673897 · doi
- Atorvastatin modifies the protein profile of circulating human monocytes after an acute coronary syndrome.Proteomics · 2009 · PMID 19294693 · doi