Plasma kallikrein
KLKB1proteinKallikrein activation in the contact phase amplifies coagulation and contributes to MI risk, particularly during thrombolytic therapy-induced reactivation.
Pathway placement
Cascade stepCoagulation & thrombus formation
Confidencemedium
RationaleContact system serine protease; activated during thrombolysis and coagulation.
Druggability
DruggableYes
Known drugs / candidates7
Small-molecule tractableYes
Antibody tractableYes
EnsemblENSG00000164344
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I74
C — confounder / Type-II63
A — assay feasibility72
E — evidence strength29
T1DI (composite)12
Specificity differential (R−C)+11.6
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)
- Clinically significant novel biomarkers for prediction of first ever myocardial infarction: the Tromsø Study.Circulation. Cardiovascular genetics · 2015 · PMID 25613532 · doi
- Fibrin specificity and procoagulant effect related to the kallikrein-contact phase system and to plasmin generation with double-bolus reteplase and front-loaded alteplase thrombolysis in acute myocardial infarction.The American journal of cardiology · 2000 · PMID 10922430 · doi
- Streptokinase-induced activation of the kallikrein-kinin system and of the contact phase in patients with acute myocardial infarction.Journal of cardiovascular pharmacology · 1998 · PMID 9593077 · doi
- Plasmin-mediated activation of contact system in response to pharmacological thrombolysis.Circulation · 1995 · PMID 7805216 · doi