Inducible Nitric Oxide Synthase
NOS2geneiNOS-driven nitric oxide production in macrophages sustains plaque inflammation and impairs endothelial function.
Pathway placement
Cascade stepPlaque inflammation
Confidencemedium
RationaleM1 macrophage marker in atherosclerotic inflammation; endothelial dysfunction in MI.
Also acts inEndothelial activation/erosion
Druggability
DruggableYes
Known drugs / candidates4
Small-molecule tractableYes
Antibody tractableYes
EnsemblENSG00000007171
Type I vs Type II discrimination
ScoresType-II-associated
R — rupture / Type-I—
C — confounder / Type-II67
A — assay feasibility52
E — evidence strength35
T1DI (composite)4
Specificity differential (R−C)-52
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationn/a
2anemia / acute blood lossn/a
3hypovolemia / dehydrationn/a
4tachyarrhythmian/a
5hypoxemia / respiratory failuren/a
6hypertensive emergencymag 2
7high-demand / peri-operative stressn/a
Coverage: 1/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 1 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
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
Human genetic evidence
0.264
Open Targets association (acute_MI)
Literature evidence(4)
- Key immune-related hub genes BTK, ITGAL and PTX3 mediate macrophage phenotypic shift and foam cell formation in the periodontitis-atherosclerosis axis.Molecular biology reports · 2025 · PMID 41231296 · doi
- β-Caryophyllene inhibits Fas- receptor and caspase-mediated apoptosis signaling pathway and endothelial dysfunction in experimental myocardial infarction.Journal of biochemical and molecular toxicology · 2021 · PMID 34816538 · doi
- Immune system-mediated atherosclerosis caused by deficiency of long non-coding RNA MALAT1 in ApoE-/-mice.Cardiovascular research · 2019 · PMID 30101304 · doi
- Endothelial progenitor cells bind and inhibit platelet function and thrombus formation.Circulation · 2009 · PMID 19917882 · doi