Bradykinin
peptideKallikrein-generated vasodilatory mediator providing endothelial signaling and cardioprotection during acute thrombosis.
Pathway placement
Cascade stepCoagulation & thrombus formation
Confidencemedium
RationaleContact-phase activation byproduct; vasodilation and cardioprotection in acute injury.
Also acts inEndothelial activation/erosion
Druggability
Not assessed (no mapped human gene target).
Type I vs Type II discrimination
ScoresShared / rises in both
R — rupture / Type-I67
C — confounder / Type-II78
A — assay feasibility66
E — evidence strength60
T1DI (composite)18
Specificity differential (R−C)-11
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationmag 2
2anemia / acute blood lossmag 3
3hypovolemia / dehydrationmag 2
4tachyarrhythmiamag 2
5hypoxemia / respiratory failuren/a
6hypertensive emergencymag 2
7high-demand / peri-operative stressmag 3
Coverage: 6/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 11 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
Plasma (EDTA; peptidase-labile — chilled + protease inhibitor)
Collection tube
K2-EDTA, chilled plastic (lavender-top) · Serum separator (gold/red-top, SST)
Method / principle
Competitive/sandwich immunoassay or LC-MS/MS
Reagent / substrate
Anti-peptide antibody; or isotope-labeled internal standard (MS)
Platform
Immunoassay / LC-MS/MS
Turnaround · availability
Send-out / research · Research-grade
Literature evidence(2)
- Insight into the mode of action of ACE inhibition in coronary artery disease: the ultimate 'EUROPA' story.Drugs · 2009 · PMID 19275271 · 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
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