Plasminogen
PLGproteinPlasminogen activation to plasmin drives fibrin degradation and thrombus resolution in coronary occlusion.
Pathway placement
Cascade stepCoagulation & thrombus formation
Confidencehigh
RationaleFibrinolytic pathway activation; thrombus lysis marker.
Also acts inThromboxane / COX-1, Myocardial injury, Platelet activation
Druggability
DruggableYes
Known drugs / candidates9
Small-molecule tractableYes
Antibody tractableYes
EnsemblENSG00000122194
Type I vs non-Type I discrimination
ScoresNon-Type-I-associated
R — rupture / Type-I—
C — non-Type-I50
A — assay feasibility84
E — evidence strength35
T1DI (composite)10
Specificity differential (R−C)-35
Non-Type-I axis panel
Does this marker also move in each non-Type-I setting? mag 0–3; higher means less Type-I-specific. n/a = no evidence retrieved, which is not the same as no change.
2sepsis / systemic inflammationn/a
2anemia / acute blood lossn/a
2hypovolemia / dehydrationn/a
2tachyarrhythmian/a
2hypoxemia / respiratory failuren/a
2hypertensive emergencyn/a
2high-demand / peri-operative stressn/a
3sudden cardiac deathmag 1
4aPCI-related periproceduraln/a
4bstent thrombosisn/a
4cin-stent restenosisn/a
5CABG-relatedmag 2
Coverage: 2/12 axes with evidence
Tier: deep-scored (abstract-extracted) · 15 supporting references. See the discrimination table for all markers.
Assay & specimen
Validated clinical assay
Specimen
Platelet-poor plasma
Collection tube
Sodium citrate 3.2% (light blue-top)
Method / principle
Chromogenic activity assay
Reagent / substrate
Streptokinase activation + chromogenic plasmin substrate (e.g. S-2251), read 405 nm
Platform
Coagulation analyzer
Turnaround · availability
Send-out · Specialized lab
Human genetic evidence
0.561
Open Targets association (myocardial_infarction)
4
GWAS associations
Traits: myocardial infarction
Literature evidence(16)
- Oxidized phospholipids on plasminogen are associated with reduced platelet surface marker expression and intrinsic reactivity.Journal of thrombosis and thrombolysis · 2026 · PMID 41525016 · doi
- Exploring Potential Drug Targets in Multiple Cardiovascular Diseases: A Study Based on Proteome-Wide Mendelian Randomization and Colocalization Analysis.Cardiovascular therapeutics · 2025 · PMID 40026415 · doi
- Lipoprotein (a) in the context of atherosclerosis: pathological implications and therapeutic perspectives in myocardial infarction. A narrative review.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie · 2024 · PMID 39957022 · doi
- Differential effects of physiological agonists on the proteome of platelet-derived extracellular vesicles.Proteomics · 2024 · PMID 38556629 · doi
- Quantitative proteomics reveal three potential biomarkers for risk assessment of acute myocardial infarction.Bioengineered · 2022 · PMID 35156527 · doi
- Altered fibrin clot properties and fibrinolysis in patients with atrial fibrillation: practical implications.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2020 · PMID 31625555 · doi
- Increased von Willebrand factor, P-selectin and fibrin content in occlusive thrombus resistant to lytic therapy.Thrombosis and haemostasis · 2016 · PMID 26962963 · doi
- Altered plasma fibrin clot properties in essential thrombocythemia.Platelets · 2015 · PMID 25989112 · doi
- Characterization of the pro-thrombotic state in CAPD patients.Renal failure · 2008 · PMID 18661409 · doi
- Streptokinase-induced activation of the kallikrein-kinin system and of the contact phase in patients with acute myocardial infarction.Journal of cardiovascular pharmacology · 1998 · PMID 9593077 · doi
- Plasmin-mediated activation of contact system in response to pharmacological thrombolysis.Circulation · 1995 · PMID 7805216 · doi
- New recombinant glycosylated prourokinase for treatment of patients with acute myocardial infarction. Prourokinase Study Group.Journal of the American College of Cardiology · 1994 · PMID 7930246 · doi
- [Tissue-type plasminogen activator (t-PA) and plasminogen activator inhibitor (PAI)].Rinsho byori. The Japanese journal of clinical pathology · 1994 · PMID 8176842
- Fibrinolysis in patients with acute ischaemic heart disease. With particular reference to systemic effects of tissue-type plasminogen activator treatment on fibrinolysis, coagulation and complement pathways.Danish medical bulletin · 1993 · PMID 8222763
- [Biological manifestations of a prethrombotic state in developmental Crohn's disease].Gastroenterologie clinique et biologique · 1990 · PMID 2188861
- Fibrinolysis and plasminogen concentration in aortic intima in relation to death following myocardial infarction.Atherosclerosis · 1985 · PMID 4004989 · doi
Clinical trials(1)
- The Intracoronary Tissue-type Plasminogen Activator (t-PA) Release Predicts Major Adverse Cardiac Events in Patients With Non-critical Coronary Artery DiseaseNCT00868855 · PHASE1 · TERMINATED · Bradykinin