Inter-alpha-trypsin inhibitor heavy chain 4
ITIH4geneSerine-protease inhibitor produced in atherosclerotic plaques and released in exosomes, predicting coronary thrombosis and acute MI.
Pathway placement
Cascade stepCoagulation & thrombus formation
Confidencehigh
RationaleProtease inhibitor expressed in plaque SMC; acute-MI exosomal marker and thrombus predictor.
Also acts inVascular inflammation
Druggability
DruggableYes
Known drugs / candidates0
Small-molecule tractableNo
Antibody tractableYes
EnsemblENSG00000055955
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(3)
- Proteomics-based biomarkers of plasma exosomes from patients with acute myocardial infarction.PloS one · 2026 · PMID 41805967 · doi
- Translatome profiling reveals Itih4 as a novel smooth muscle cell-specific gene in atherosclerosis.Cardiovascular research · 2024 · PMID 38289873 · doi
- ITIH4 is a predictor for coronary thrombus in coronary arteriography patients.Future cardiology · 2024 · PMID 39041488 · doi