P-selectin
SELPproteinP-selectin mediates platelet activation and adhesion to endothelium, driving thrombotic cascade in MI.
Pathway placement
Cascade stepPlatelet adhesion & activation
Confidencehigh
RationaleAnchor molecule; platelet α-granule release and adhesion marker.
Also acts inVascular inflammation
Druggability
DruggableYes
Known drugs / candidates5
Small-molecule tractableYes
Antibody tractableYes
EnsemblENSG00000174175
Type I vs Type II discrimination
ScoresShared / rises in both
R — rupture / Type-I67
C — confounder / Type-II67
A — assay feasibility72
E — evidence strength75
T1DI (composite)27
Specificity differential (R−C)0
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationmag 2
2anemia / acute blood lossn/a
3hypovolemia / dehydrationn/a
4tachyarrhythmiamag 2
5hypoxemia / respiratory failuremag 2
6hypertensive emergencymag 2
7high-demand / peri-operative stressmag 2
Coverage: 5/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 21 supporting references. See the discrimination table for all markers.
Assay & specimen
Validated clinical assay
Specimen
Serum or plasma
Collection tube
Sodium citrate 3.2% (light blue-top) · K2/K3-EDTA (lavender-top)
Method / principle
Sandwich ELISA
Reagent / substrate
Anti-CD62P antibody pair
Platform
ELISA plate
Turnaround · availability
Research/send-out · Research
Human genetic evidence
0.074
Open Targets association (NSTEMI)
Literature evidence(60)
- Left atrial endocardial dysfunction and platelet activation in patients with atrial fibrillation and mitral stenosis.The Journal of thoracic and cardiovascular surgery · 2014 · PMID 24412254 · doi
- Collagen can selectively trigger a platelet secretory phenotype via glycoprotein VI.PloS one · 2014 · PMID 25116206 · doi
- Circulating markers of endothelial dysfunction and platelet activation in patients with severe symptomatic cerebral small vessel disease.Cerebrovascular diseases (Basel, Switzerland) · 2013 · PMID 24029712 · doi
- The association of ventricular tachycardia and endothelial dysfunction in the setting of acute myocardial infarction with ST elevation.Medical science monitor : international medical journal of experimental and clinical research · 2013 · PMID 24253420 · doi
- Plant food delphinidin-3-glucoside significantly inhibits platelet activation and thrombosis: novel protective roles against cardiovascular diseases.PloS one · 2012 · PMID 22624015 · doi
- Evidence of platelet activation at medically used hypothermia and mechanistic data indicating ADP as a key mediator and therapeutic target.Arteriosclerosis, thrombosis, and vascular biology · 2011 · PMID 21512161 · doi
- Epoprostenol inhibits human platelet-leukocyte mixed conjugate and platelet microparticle formation in whole blood.Thrombosis research · 2011 · PMID 21624644 · doi
- Platelet activation, coagulation activation and C-reactive protein in simultaneous samples from the vascular access and peripheral veins of haemodialysis patients.International journal of laboratory hematology · 2011 · PMID 21722325 · doi
- Soluble, platelet-bound, and total P-selectin as indices of platelet activation in congestive heart failure.Annals of medicine · 2009 · PMID 18618353 · doi
- Platelet turnover, coagulation factors, and soluble markers of platelet and endothelial activation in essential thrombocythemia: relationship with thrombosis occurrence and JAK2 V617F allele burden.American journal of hematology · 2009 · PMID 19105233 · doi
- Thrombin formation and platelet activation at the site of vascular injury in patients with coronary artery disease treated with clopidogrel combined with aspirin.Kardiologia polska · 2009 · PMID 19618315
- Platelet dense-granule secretion plays a critical role in thrombosis and subsequent vascular remodeling in atherosclerotic mice.Circulation · 2009 · PMID 19687360 · doi
- [P-selectin and its role in some diseases].Postepy higieny i medycyny doswiadczalnej (Online) · 2009 · PMID 19850970
- Platelet activation in patients with psoriasis: increased plasma levels of platelet-derived microparticles and soluble P-selectin.Journal of the American Academy of Dermatology · 2009 · PMID 19962788 · doi
- Human solCD39 inhibits injury-induced development of neointimal hyperplasia.Thrombosis and haemostasis · 2009 · PMID 20024507 · doi
- The attenuation of platelet and monocyte activation in a rabbit model of extracorporeal circulation by a nitric oxide releasing polymer.Biomaterials · 2009 · PMID 20042236 · doi
- Platelet CD36 mediates interactions with endothelial cell-derived microparticles and contributes to thrombosis in mice.The Journal of clinical investigation · 2008 · PMID 18431509 · doi
- Effects of von Willebrand factor concentration and platelet collision on shear-induced platelet activation.Thrombosis and haemostasis · 2008 · PMID 18612539 · doi
- Soluble P-selectin as a marker of in vivo platelet activation.Clinica chimica acta; international journal of clinical chemistry · 2008 · PMID 18835553 · doi
- Myocardial ischemic memory imaging with molecular echocardiography.Circulation · 2007 · PMID 17210843 · doi
- Platelet glycoprotein VI: a novel marker for acute coronary syndrome.Seminars in thrombosis and hemostasis · 2007 · PMID 17340467 · doi
- Clinical evidence for anti-inflammatory effects of antiplatelet therapy in patients with atherothrombotic disease.Vascular medicine (London, England) · 2007 · PMID 17615799 · doi
- Prothrombotic markers and early spontaneous recanalization in ST-segment elevation myocardial infarction.Thrombosis and haemostasis · 2007 · PMID 17721626
- Review of the pleiotropic effects of peroxisome proliferator-activated receptor gamma agonists on platelet function.Diabetes technology & therapeutics · 2007 · PMID 17931049 · doi
- Leukocyte adhesion and thrombosis.Current opinion in hematology · 2006 · PMID 16319685 · doi
- Heparin immobilization reduces thrombogenicity of small-caliber expanded polytetrafluoroethylene grafts.Journal of vascular surgery · 2006 · PMID 16520178 · doi
- Soluble guanylyl cyclase activation with HMR1766 attenuates platelet activation in diabetic rats.Arteriosclerosis, thrombosis, and vascular biology · 2006 · PMID 17023677 · doi
- 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
- The emerging value of P-selectin as a disease marker.Clinical chemistry and laboratory medicine · 2004 · PMID 15202782 · doi
- Platelet activation as a marker for in vivo prothrombotic activity: detection by flow cytometry.Journal of biological regulators and homeostatic agents · 2004 · PMID 15471223
- P-selectin in arterial thrombosis.Zeitschrift fur Kardiologie · 2004 · PMID 15568145 · 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
- The stratification of platelet reactivity and activation in patients with stable coronary artery disease on aspirin therapy.Thrombosis research · 2003 · PMID 15013266 · doi
- Increases in circulating levels of monocyte-platelet and neutrophil-platelet complexes following hip arthroplasty.Clinical science (London, England : 1979) · 2002 · PMID 11869168
- A reliable plasma marker of platelet activation: does it exist?American journal of hematology · 2002 · PMID 12111787 · doi
- Thrombogenesis in sickle cell disease.The Journal of laboratory and clinical medicine · 2001 · PMID 11385360 · doi
- Vascular adhesion protein-1, intercellular adhesion molecule-1 and P-selectin mediate leukocyte binding to ischemic heart in humans.Journal of the American College of Cardiology · 2000 · PMID 10898423 · doi
- A pilot study of streptokinase-induced endothelial injury and platelet activation following acute myocardial infarction.Journal of internal medicine · 2000 · PMID 11086642 · doi
Showing 40 of 60 linked references.