PECAM-1
PECAM1proteinPECAM-1 mediates endothelial cell–cell and endothelial–platelet adhesion; dysfunction reflects endothelial activation and increased thrombotic risk.
Pathway placement
Cascade stepEndothelial activation & erosion
Confidencemedium
RationaleEndothelial and platelet adhesion molecule; marker of endothelial dysfunction and negative regulator of platelet activation.
Also acts inPlatelet activation, Vascular inflammation
Druggability
DruggableYes
Known drugs / candidates0
Small-molecule tractableNo
Antibody tractableYes
EnsemblENSG00000261371
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I69
C — confounder / Type-II73
A — assay feasibility68
E — evidence strength30
T1DI (composite)10
Specificity differential (R−C)-4.1
Confounder panel (Type-II drivers)
No confounder evidence retrieved.
Tier: light (literature co-occurrence proxy — lower confidence). 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
2
GWAS associations
Traits: myocardial infarction
Literature evidence(14)
- Relieving platelet inhibition using a novel bispecific antibody: a novel approach for circumventing the platelet storage lesion.Journal of thrombosis and haemostasis : JTH · 2025 · PMID 40912375 · doi
- Plasma Protein Profile Associated With a Family History of Early-Onset Coronary Heart Disease.Circulation. Genomic and precision medicine · 2025 · PMID 41200820 · doi
- Mice Lacking PECAM-1 and Ceacam1 Have Enhanced Platelet Secretion and Thrombus Growth: Novel Link with PAR4.Thrombosis and haemostasis · 2021 · PMID 34619794 · doi
- New approaches for the assessment of platelet activation status in thrombus under flow condition using confocal microscopy.Naunyn-Schmiedeberg's archives of pharmacology · 2019 · PMID 31834466 · doi
- PECAM/eGFP transgenic mice for monitoring of angiogenesis in health and disease.Scientific reports · 2018 · PMID 30514882 · doi
- Fifteen new risk loci for coronary artery disease highlight arterial-wall-specific mechanisms.Nature genetics · 2017 · PMID 28530674 · doi
- [Influence of Endothelial Dysfunction on Prognosis of Patients With Non ST-Segment Elevation Acute Coronary Syndrome].Kardiologiia · 2015 · PMID 26502497
- Oligonucleotide microarray and QRT-PCR study of adhesion protein gene expression in acute coronary syndrome patients.Inflammation · 2010 · PMID 20306290 · doi
- Human umbilical cord-derived endothelial progenitor cells promote growth cytokines-mediated neorevascularization in rat myocardial infarction.Chinese medical journal · 2009 · PMID 19323906
- Evaluation of markers of endothelial damage in cases of young myocardial infarction.Atherosclerosis · 2005 · PMID 15910865 · doi
- Relationship between release of platelet/endothelial biomarkers and plasma levels of sertraline and N-desmethylsertraline in acute coronary syndrome patients receiving SSRI treatment for depression.The American journal of psychiatry · 2005 · PMID 15932816 · doi
- PECAM-1 negatively regulates GPIb/V/IX signaling in murine platelets.Blood · 2003 · PMID 12893757 · doi
- Increased soluble platelet/endothelial cell adhesion molecule-1 in the early stages of acute coronary syndromes.International journal of cardiology · 2003 · PMID 12957760 · doi
- Enhanced platelet/endothelial activation in depressed patients with acute coronary syndromes: evidence from recent clinical trials.Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis · 2003 · PMID 12960610 · doi