Endothelial nitric oxide synthase
NOS3proteinEndothelial NOS catalyzes NO production essential for vasodilation and platelet inhibition; dysfunction contributes to endothelial erosion and thrombosis.
Pathway placement
Cascade stepEndothelial activation & erosion
Confidencehigh
RationaleProduces NO for endothelial function and vasculoprotection; impairment indicates endothelial dysfunction.
Druggability
DruggableYes
Known drugs / candidates2
Small-molecule tractableYes
Antibody tractableYes
EnsemblENSG00000164867
Type I vs Type II discrimination
ScoresType-II-associated
R — rupture / Type-I—
C — confounder / Type-II52
A — assay feasibility72
E — evidence strength95
T1DI (composite)21
Specificity differential (R−C)-37.4
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationmag 2
2anemia / acute blood lossmag 1
3hypovolemia / dehydrationmag 1
4tachyarrhythmiamag 2
5hypoxemia / respiratory failuremag 2
6hypertensive emergencymag 2
7high-demand / peri-operative stressmag 1
Coverage: 7/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 11 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)
Human genetic evidence
0.312
Open Targets association (acute_MI)
3
GWAS associations
Traits: myocardial infarction
Literature evidence(22)
- Silymarin prevents endothelial dysfunction by upregulating Erk-5 in oxidized LDL exposed endothelial cells.Microvascular research · 2024 · PMID 38307406 · doi
- Low density lipoprotein oxidized under lysosomal conditions decreases arterial vasodilatation.Free radical research · 2024 · PMID 39268686 · doi
- Dynamic molecular signatures of acute myocardial infarction based on transcriptomics and metabolomics.Scientific reports · 2024 · PMID 38702356 · doi
- Targeted arginine metabolomics combined with metagenomics revealed the potential mechanism of Pueraria lobata extract in treating myocardial infarction.Journal of chromatography. A · 2024 · PMID 38387153 · doi
- Metabolomics of repetitive myocardial stunning in chronic multivessel coronary artery stenosis: Effect of non-selective and selective β1-receptor blockers.The Journal of physiology · 2024 · PMID 38885335 · doi
- , a coronary artery disease risk gene, mediates endothelial dysfunction.Frontiers in immunology · 2022 · PMID 36091033 · 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
- Construction of the gene expression subgroups of patients with coronary artery disease through bioinformatics approach.Mathematical biosciences and engineering : MBE · 2021 · PMID 34814316 · doi
- Time course of endothelial dysfunction and atherothrombosis markers in patients with acute myocardial infarction with st segment elevation and type 2 diabetes mellitus depending on reperfusion therapy approach.Wiadomosci lekarskie (Warsaw, Poland : 1960) · 2020 · PMID 32124821
- Glucagon-like peptide-1 receptor signalling reduces microvascular thrombosis, nitro-oxidative stress and platelet activation in endotoxaemic mice.British journal of pharmacology · 2016 · PMID 27435156 · doi
- Antiinflammatory effects of aspirin in ACS: relevant to its cardiocoronary actions?Thrombosis and haemostasis · 2015 · PMID 26085050 · doi
- Effects of Acute and Antecedent Hypoglycemia on Endothelial Function and Markers of Atherothrombotic Balance in Healthy Humans.Diabetes · 2015 · PMID 25695946 · doi
- Possible mechanisms of C-reactive protein mediated acute myocardial infarction.European journal of pharmacology · 2015 · PMID 25895642 · doi
- Retinol-binding protein 4 levels and susceptibility to ischaemic events in men.European journal of clinical investigation · 2014 · PMID 24720534 · doi
- Role of interferon alpha in endothelial dysfunction: insights into endothelial nitric oxide synthase-related mechanisms.The American journal of the medical sciences · 2014 · PMID 24796291 · doi
- The role of endoglin in atherosclerosis.Atherosclerosis · 2012 · PMID 22460049 · doi
- Insight into the mode of action of ACE inhibition in coronary artery disease: the ultimate 'EUROPA' story.Drugs · 2009 · PMID 19275271 · doi
- Expressions of eNOS3 and Ve-cadherin in microvascular endothelium at 7-day of reperfused acute myocardial infarction.Cardiovascular & hematological disorders drug targets · 2009 · PMID 19519369 · doi
- Pharmacological approaches to improve endothelial repair mechanisms.Expert review of cardiovascular therapy · 2008 · PMID 18793110 · doi
- Impact of oxidized low density lipoprotein on vascular cells.Atherosclerosis · 2005 · PMID 16288760 · doi
- Endothelial progenitor cells: characterization, pathophysiology, and possible clinical relevance.Journal of cellular and molecular medicine · 2004 · PMID 15601578 · doi
- Nitric oxide system in needle-induced transmyocardial revascularization.The Annals of thoracic surgery · 2001 · PMID 11465166 · doi