NLRP3 inflammasome
NLRP3proteinNLRP3 inflammasome activation in atherosclerotic plaques and post-MI inflammation generates IL-1β and IL-18, amplifying plaque destabilization and injury response.
Pathway placement
Cascade stepPlaque inflammation
Confidencemedium
RationaleInflammasome activation drives atherosclerotic inflammation and atheroinflammatory cytokine release.
Druggability
DruggableNo
Known drugs / candidates0
Small-molecule tractableNo
Antibody tractableNo
EnsemblENSG00000162711
Type I vs Type II discrimination
ScoresType-II-associated
R — rupture / Type-I—
C — confounder / Type-II67
A — assay feasibility68
E — evidence strength86
T1DI (composite)14
Specificity differential (R−C)-51.7
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationmag 2
2anemia / acute blood lossn/a
3hypovolemia / dehydrationmag 2
4tachyarrhythmiamag 2
5hypoxemia / respiratory failuremag 2
6hypertensive emergencymag 1
7high-demand / peri-operative stressmag 3
Coverage: 6/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 16 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(15)
- Double-stranded DNA enhances platelet activation, thrombosis, and myocardial injury via cyclic GMP-AMP synthase.Cardiovascular research · 2025 · PMID 39302147 · doi
- Exposure to polyethylene terephthalate micro(nano)plastics exacerbates inflammation and fibrosis after myocardial infarction by reprogramming the gut and lung microbiota and metabolome.Journal of hazardous materials · 2025 · PMID 39919626 · doi
- Metagenomic Sequencing Combined with Metabolomics to Explore Gut Microbiota and Metabolic Changes in Mice with Acute Myocardial Infarction and the Potential Mechanism of Allicin.Drug design, development and therapy · 2025 · PMID 39925879 · doi
- BCAA exaggerated acute and chronic ischemic heart disease through promotion of NLRP3 via Sirt1.Biochemical pharmacology · 2025 · PMID 40659126 · doi
- Pathogenic pathways and therapeutic targets of inflammation in heart diseases: A focus on Interleukin-1.European journal of clinical investigation · 2023 · PMID 37837616 · doi
- Interleukin-1β suppression dampens inflammatory leucocyte production and uptake in atherosclerosis.Cardiovascular research · 2022 · PMID 34718444 · doi
- Mitochondrial DAMPs and altered mitochondrial dynamics in OxLDL burden in atherosclerosis.Molecular and cellular biochemistry · 2021 · PMID 33492610 · doi
- The Inflammasome Signaling Pathway Is Actively Regulated and Related to Myocardial Damage in Coronary Thrombi from Patients with STEMI.Mediators of inflammation · 2021 · PMID 34135690 · doi
- Identifying the cardioprotective mechanism of Danyu Tongmai Granules against myocardial infarction by targeted metabolomics combined with network pharmacology.Phytomedicine : international journal of phytotherapy and phytopharmacology · 2021 · PMID 35104768 · doi
- NLRP3 Inflammasome Biomarker-Could Be the New Tool for Improved Cardiometabolic Syndrome Outcome.Metabolites · 2020 · PMID 33172097 · doi
- Cholesterol Efflux Pathways Suppress Inflammasome Activation, NETosis, and Atherogenesis.Circulation · 2018 · PMID 29588315 · doi
- NLRP3 regulates platelet integrin αIIbβ3 outside-in signaling, hemostasis and arterial thrombosis.Haematologica · 2018 · PMID 29794149 · doi
- The Role of Colchicine in Acute Coronary Syndromes.Clinical therapeutics · 2018 · PMID 30185392 · doi
- The NLRP3 inflammasome and the emerging role of colchicine to inhibit atherosclerosis-associated inflammation.Atherosclerosis · 2017 · PMID 29352570 · doi
- From C-Reactive Protein to Interleukin-6 to Interleukin-1: Moving Upstream To Identify Novel Targets for Atheroprotection.Circulation research · 2016 · PMID 26837745 · doi
Clinical trials(1)
- The Role of Colchicine in Reducing The Rate of Myocardial Reperfusion Injury in Patients With ST-Elevation Myocardial Infarction After Primary Percutaneous Coronary Intervention: Study on NLRP3, ASC, Caspase, and TroponinNCT05734612 · PHASE3 · UNKNOWN · Colchicine, Placebo (lactose)