Tissue factor pathway inhibitor
TFPIproteinTissue factor pathway inhibitor antagonizes coagulation activation and thrombus formation, with inverse association to MI risk.
Pathway placement
Cascade stepCoagulation & thrombus formation
Confidencehigh
RationaleNatural anticoagulant inhibiting tissue-factor-triggered coagulation and thrombin generation.
Druggability
DruggableYes
Known drugs / candidates4
Small-molecule tractableNo
Antibody tractableYes
EnsemblENSG00000003436
Type I vs Type II discrimination
ScoresType-II-associated
R — rupture / Type-I—
C — confounder / Type-II100
A — assay feasibility72
E — evidence strength42
T1DI (composite)2
Specificity differential (R−C)-85
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationn/a
2anemia / acute blood lossmag 3
3hypovolemia / dehydrationn/a
4tachyarrhythmian/a
5hypoxemia / respiratory failuren/a
6hypertensive emergencyn/a
7high-demand / peri-operative stressmag 3
Coverage: 2/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 2 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)
Literature evidence(11)
- Plasma proteome and incident myocardial infarction: sex-specific differences.European heart journal · 2024 · PMID 39397782 · doi
- Novel multi-marker proteomics in phenotypically matched patients with ST-segment myocardial infarction: association with clinical outcomes.Journal of thrombosis and thrombolysis · 2021 · PMID 34708315 · doi
- Targeted gene expression analysis of human deep veins.Journal of vascular surgery. Venous and lymphatic disorders · 2020 · PMID 32860957 · doi
- Associations between circulating proteins and corresponding genes expressed in coronary thrombi in patients with acute myocardial infarction.Thrombosis research · 2015 · PMID 26475405 · doi
- Lower tissue factor inhibition in patients with ST segment elevation than in patients with non ST elevation acute myocardial infarction.Thrombosis research · 2012 · PMID 22424853 · doi
- Markers of inflammation, thrombosis and endothelial activation correlate with carotid IMT regression in stable coronary disease after atorvastatin treatment.Nutrition, metabolism, and cardiovascular diseases : NMCD · 2009 · PMID 19171469 · doi
- Contribution of novel biomarkers to incident stable angina and acute coronary syndrome: the PRIME Study.European heart journal · 2008 · PMID 18621771 · doi
- Tissue factor pathway inhibitor, natural coagulation inhibitors and hemostatic activation markers in patients with acute coronary syndromes.Saudi medical journal · 2005 · PMID 15983678
- Endothelial cell markers and the risk of coronary heart disease: the Prospective Epidemiological Study of Myocardial Infarction (PRIME) study.Circulation · 2004 · PMID 15023872 · doi
- Observation on tissue factor pathway and some other coagulation parameters during the onset of acute cerebrocardiac thrombotic diseases.Thrombosis research · 2002 · PMID 12479882 · doi
- Useful laboratory tests for studying thrombogenesis in acute cardiac syndromes.Clinical chemistry · 1998 · PMID 9702994