leukotriene C4
metaboliteLeukotriene C4 is an eicosanoid inflammatory mediator released during leukocyte and platelet activation in ACS.
Pathway placement
Cascade stepPlaque inflammation
Confidencemedium
RationaleEicosanoid inflammatory mediator released by activated leukocytes and platelets.
Also acts inPlatelet activation
Druggability
Not assessed (no mapped human gene target).
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I35
C — confounder / Type-II60
A — assay feasibility42
E — evidence strength23
T1DI (composite)4
Specificity differential (R−C)-25
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(1)
- Useful laboratory tests for studying thrombogenesis in acute cardiac syndromes.Clinical chemistry · 1998 · PMID 9702994