C4d
proteinC4d deposition marks platelet activation and complement engagement in arterial thrombosis.
Pathway placement
Cascade stepPlatelet adhesion & activation
Confidencemedium
RationaleComplement-activation fragment deposited on platelet surface during activation and thrombosis.
Also acts inVascular inflammation
Druggability
Not assessed (no mapped human gene target).
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I60
C — confounder / Type-II65
A — assay feasibility68
E — evidence strength27
T1DI (composite)9
Specificity differential (R−C)-4.9
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 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(1)
- Platelet bound complement split product (PC4d) is a marker of platelet activation and arterial vascular events in Systemic Lupus Erythematosus.Clinical immunology (Orlando, Fla.) · 2021 · PMID 33984497 · doi