CD146
proteinSoluble CD146 and circulating CD146+ endothelial cells and microparticles mark endothelial injury, erosion, and post-MI angiogenesis.
Pathway placement
Cascade stepEndothelial activation & erosion
Confidencehigh
RationaleCirculating endothelial cell and microparticle marker; erosion biomarker.
Also acts inMyocardial injury
Druggability
Not assessed (no mapped human gene target).
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I51
C — confounder / Type-II63
A — assay feasibility68
E — evidence strength25
T1DI (composite)7
Specificity differential (R−C)-12.6
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(5)
- Plasma Levels of Soluble CD146 Reflect the Severity of Pulmonary Congestion Better Than Brain Natriuretic Peptide in Acute Coronary Syndrome.Annals of laboratory medicine · 2016 · PMID 27139601 · doi
- Detection and validation of circulating endothelial cells, a blood-based diagnostic marker of acute myocardial infarction.PloS one · 2013 · PMID 23484031 · doi
- Microparticle release in remote ischemic conditioning mechanism.American journal of physiology. Heart and circulatory physiology · 2012 · PMID 22886414 · doi
- Serum C-reactive protein and circulating endothelial cells in patients with acute myocardial infarction.Clinical hemorheology and microcirculation · 2005 · PMID 15894827
- Morphological characteristics of the microvasculature in healing myocardial infarcts.The journal of histochemistry and cytochemistry : official journal of the Histochemistry Society · 2002 · PMID 11748296 · doi