20-HETE
metaboliteEicosanoid metabolite driving adverse cardiovascular effects and plaque inflammation post-PCI.
Pathway placement
Cascade stepPlaque inflammation
Confidencemedium
RationaleEicosanoid mediator amplifying post-PCI inflammatory response in STEMI.
Druggability
Not assessed (no mapped human gene target).
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I28
C — confounder / Type-II58
A — assay feasibility42
E — evidence strength22
T1DI (composite)3
Specificity differential (R−C)-30.1
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, plasma or urine
Collection tube
Serum separator (gold/red-top, SST) · Lithium heparin (green-top) · Sterile urine container
Method / principle
LC-MS/MS (targeted metabolomics) or enzymatic colorimetric where available
Reagent / substrate
Stable-isotope-labeled internal standard (MS); or enzyme-coupled Trinder reagent
Platform
LC-MS/MS; some automated chemistry
Turnaround · availability
Send-out / research · Specialized / research
Literature evidence(2)
- Metabolomics reveal dynamic changes in eicosanoid profile in patients with ST-elevation myocardial infarction after percutaneous coronary intervention.Clinical and experimental pharmacology & physiology · 2021 · PMID 33141433 · doi
- Use of metabolomic profiling in the study of arachidonic acid metabolism in cardiovascular disease.Congestive heart failure (Greenwich, Conn.) · 2011 · PMID 21272227 · doi