L-selectin
SELLproteinL-selectin on monocytes and neutrophils binds endothelial ligands, mediating leukocyte rolling, tethering and recruitment into inflamed atherosclerotic plaques.
Pathway placement
Cascade stepPlaque inflammation
Confidencehigh
RationaleL-selectin mediates monocyte and neutrophil rolling and adhesion.
Also acts inPlatelet activation, Endothelial activation/erosion
Druggability
DruggableYes
Known drugs / candidates2
Small-molecule tractableYes
Antibody tractableYes
EnsemblENSG00000188404
Type I vs non-Type I discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I67
C — non-Type-I76
A — assay feasibility72
E — evidence strength34
T1DI (composite)11
Specificity differential (R−C)-8.7
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.
No non-Type-I axis 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)
Literature evidence(3)
- Multiomics Analysis Identifies Candidate Molecular, Microbiota, and Metabolite Features Associated with Acute Myocardial Infarction Combined with Chronic Renal Failure.Omics : a journal of integrative biology · 2026 · PMID 42267897 · doi
- On-chip phenotypic analysis of inflammatory monocytes in atherogenesis and myocardial infarction.Proceedings of the National Academy of Sciences of the United States of America · 2013 · PMID 23918401 · doi
- Treatment of acute myocardial infarction with streptokinase does not appear to modulate circulating neutrophil function.Clinical cardiology · 1995 · PMID 7586764 · doi