Myoglobin
MBproteinMyoglobin released from ischemic cardiomyocytes serves as an early biomarker of myocardial infarction and necrotic injury.
Pathway placement
Cascade stepMyocardial injury (shared endpoint)
Confidencehigh
RationaleEarly marker of myocardial necrosis and ischemic injury; cardiomyocyte damage product.
Druggability
DruggableYes
Known drugs / candidates0
Small-molecule tractableYes
Antibody tractableNo
EnsemblENSG00000198125
Type I vs Type II discrimination
ScoresType-II-associated
R — rupture / Type-I—
C — confounder / Type-II50
A — assay feasibility96
E — evidence strength31
T1DI (composite)10
Specificity differential (R−C)-35
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationn/a
2anemia / acute blood lossmag 0
3hypovolemia / dehydrationmag 2
4tachyarrhythmian/a
5hypoxemia / respiratory failuremag 2
6hypertensive emergencyn/a
7high-demand / peri-operative stressmag 2
Coverage: 4/7 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) · Lithium heparin (green-top)
Method / principle
Immunoturbidimetric or immunoassay
Reagent / substrate
Anti-myoglobin antibody-coated latex particles
Platform
Automated analyzer
Turnaround · availability
STAT–routine · FDA-cleared
Human genetic evidence
0.003
Open Targets association (NSTEMI)
Literature evidence(14)
- Data-Independent Acquisition Proteomics Identifies Plasma Prostaglandin-H2 D-Isomerase as an Early Diagnostic Biomarker for STEMI and NSTEMI.Molecular & cellular proteomics : MCP · 2025 · PMID 40414290 · doi
- Synthesis of carbon nanotubes-chitosan nanocomposite and immunosensor fabrication for myoglobin detection: An acute myocardial infarction biomarker.International journal of biological macromolecules · 2024 · PMID 38447842 · doi
- Plasma proteomics implicate glutamic oxaloacetic transaminases as potential markers for acute myocardial infarction.Journal of proteomics · 2024 · PMID 39173902 · doi
- A plasma proteomic approach in patients with heart failure after acute myocardial infarction: insights into the pathogenesis and progression of the disease.Frontiers in cardiovascular medicine · 2023 · PMID 37265567 · doi
- Hydrogel Encapsulated Core-Shell Photonic Barcodes for Multiplex Biomarker Quantification.Analytical chemistry · 2023 · PMID 36757061 · doi
- Gender-Specific Predictive Markers of Poor Prognosis for Patients with Acute Myocardial Infarction During a 6-Month Follow-up.Journal of cardiovascular translational research · 2020 · PMID 31907785 · doi
- Using proximity extension proteomics assay to identify biomarkers associated with infarct size and ejection fraction after ST-elevation myocardial infarction.Scientific reports · 2020 · PMID 33122738 · doi
- Multiplex quantitative imaging of human myocardial infarction by mass spectrometry-immunohistochemistry.International journal of legal medicine · 2018 · PMID 29556718 · doi
- A timely diagnosis of myocardial infarction.Biomarkers in medicine · 2010 · PMID 20550472 · doi
- The value of procalcitonin, a novel inflammatory marker, in the diagnosis of myocardial infarction and evaluation of acute coronary syndrome patients.The Journal of emergency medicine · 2010 · PMID 20813483 · doi
- Evaluation and management of the acutely dyspneic patient: the role of biomarkers.The American journal of emergency medicine · 2005 · PMID 15915417 · doi
- Diagnosis of acute coronary syndrome.American family physician · 2005 · PMID 16035692
- Cardiac markers: present and future.International journal of clinical & laboratory research · 1999 · PMID 10436262 · doi
- Markers of activated coagulation for early diagnosis of acute myocardial infarction.Clinica chimica acta; international journal of clinical chemistry · 1997 · PMID 9469256 · doi