Nuclear factor erythroid 2-related factor 2
NFE2L2proteinNrf2 activates endothelial protective antioxidant responses and suppresses dysfunction-driven cap erosion.
Pathway placement
Cascade stepEndothelial activation & erosion
Confidencemedium
RationaleActivates antioxidant pathways protecting endothelial integrity; mediates endothelial detachment resistance.
Also acts inLipid entry/oxidation, Vascular inflammation, Myocardial injury
Druggability
DruggableYes
Known drugs / candidates2
Small-molecule tractableYes
Antibody tractableYes
EnsemblENSG00000116044
Type I vs Type II discrimination
ScoresType-II-associated
R — rupture / Type-I—
C — confounder / Type-II67
A — assay feasibility72
E — evidence strength46
T1DI (composite)8
Specificity differential (R−C)-52
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationmag 3
2anemia / acute blood lossmag 2
3hypovolemia / dehydrationmag 2
4tachyarrhythmiamag 2
5hypoxemia / respiratory failuremag 2
6hypertensive emergencyn/a
7high-demand / peri-operative stressmag 1
Coverage: 6/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 18 supporting references. 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
- BRD2 protects the rat H9C2 cardiomyocytes from hypoxia‑reoxygenation injury by targeting Nrf2/HO‑1 signaling pathway.Experimental and therapeutic medicine · 2023 · PMID 37869639 · doi
- Gut microbiome mediates the protective effects of exercise after myocardial infarction.Microbiome · 2022 · PMID 35637497 · doi
- Oxidative Stress Biomarkers, Nut-Related Antioxidants, and Cardiovascular Disease.Nutrients · 2020 · PMID 32138220 · doi