CD31
proteinCD31 marks endothelial cell activation and erosion in sEVs, indicating endothelial dysfunction and superficial erosion in Type 1 MI pathology.
Pathway placement
Cascade stepEndothelial activation & erosion
Confidencemedium
RationaleEndothelial marker in sEVs; signals endothelial cell damage and erosion.
Druggability
Not assessed (no mapped human gene target).
Type I vs Type II discrimination
ScoresIndeterminate
R — rupture / Type-I—
C — confounder / Type-II27
A — assay feasibility68
E — evidence strength42
T1DI (composite)13
Specificity differential (R−C)-11.7
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationmag 0
2anemia / acute blood lossn/a
3hypovolemia / dehydrationmag 0
4tachyarrhythmian/a
5hypoxemia / respiratory failuremag 2
6hypertensive emergencymag 0
7high-demand / peri-operative stressmag 2
Coverage: 5/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 14 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(19)
- Restricted T-Cell Repertoire in the Epicardial Adipose Tissue of Non-ST Segment Elevation Myocardial Infarction Patients.Frontiers in immunology · 2022 · PMID 35880176 · doi
- Immunohistochemical analysis of CD31 expression in myocardial tissues from autopsies of patients with ischemic heart disease.Legal medicine (Tokyo, Japan) · 2022 · PMID 35917764 · doi
- Characterization of Plasma-Derived Small Extracellular Vesicles Indicates Ongoing Endothelial and Platelet Activation in Patients with Thrombotic Antiphospholipid Syndrome.Cells · 2020 · PMID 32414170 · doi
- An extracellular vesicle epitope profile is associated with acute myocardial infarction.Journal of cellular and molecular medicine · 2020 · PMID 32666618 · doi
- Circulating microparticle concentrations across acute and chronic cardiovascular disease conditions.Physiological reports · 2020 · PMID 32748505 · doi
- Altered profile of circulating microparticles in nonvalvular atrial fibrillation.Clinical cardiology · 2019 · PMID 30680757 · doi
- Flow analysis of individual blood extracellular vesicles in acute coronary syndrome.Platelets · 2016 · PMID 27595614 · doi
- Co-expression of vascular and lymphatic endothelial cell markers on early endothelial cells present in aspirated coronary thrombi from patients with ST-elevation myocardial infarction.Experimental and molecular pathology · 2015 · PMID 26657000 · doi
- Coronary thrombi neovascularization in patients with ST-elevation myocardial infarction - clinical and angiographic implications.Thrombosis research · 2014 · PMID 25262107 · doi
- Detection and validation of circulating endothelial cells, a blood-based diagnostic marker of acute myocardial infarction.PloS one · 2013 · PMID 23484031 · doi
- Endothelial progenitor cells in acute myocardial infarction and sleep-disordered breathing.American journal of respiratory and critical care medicine · 2012 · PMID 23155141 · doi
- Improved identification of endothelial erosion by simultaneous detection of endothelial cells (CD31/CD34) and platelets (CD42b).Endothelium : journal of endothelial cell research · 2007 · PMID 17497364 · doi
- The impact of the capability of circulating progenitor cell to differentiate on myocardial salvage in patients with primary acute myocardial infarction.Circulation · 2006 · PMID 16820559 · doi
- Serum C-reactive protein and circulating endothelial cells in patients with acute myocardial infarction.Clinical hemorheology and microcirculation · 2005 · PMID 15894827
- Circulating endothelial microparticles in patients with acute myocardial infarction.Kardiologia polska · 2005 · PMID 16123851
- High levels of circulating endothelial microparticles in patients with acute coronary syndromes.American heart journal · 2003 · PMID 12796750 · doi
- 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
- Mobilization of endothelial progenitor cells in patients with acute myocardial infarction.Circulation · 2001 · PMID 11401930 · doi
- CD40L activation in circulating platelets in patients with acute coronary syndrome.Cardiology · 1999 · PMID 10640791 · doi