miR-21-5p
rnamiR-21-5p is an acute MI biomarker that regulates antioxidant responses (SOD2) and vascular inflammation.
Pathway placement
Cascade stepPlaque inflammation
Confidencehigh
RationaleMI biomarker regulating SOD2; vascular performance and heart failure regulatory network.
Also acts inMyocardial injury
Druggability
Not assessed (no mapped human gene target).
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I32
C — confounder / Type-II62
A — assay feasibility50
E — evidence strength23
T1DI (composite)4
Specificity differential (R−C)-30.3
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
Whole blood or cell-free plasma
Collection tube
PAXgene/Tempus RNA tube · K2/K3-EDTA (lavender-top)
Method / principle
RT-qPCR (TaqMan) or small-RNA sequencing
Reagent / substrate
Target-specific primers/probe; reverse transcriptase (miRNA: stem-loop RT primer)
Platform
qPCR instrument / NGS
Turnaround · availability
Research / send-out · Research (few LDTs)
Literature evidence(4)
- Integrative transcriptomic analysis identifies an oxidative stress-associated diagnostic signature for myocardial infarction.Journal of thrombosis and thrombolysis · 2025 · PMID 41222888 · doi
- Atherosclerotic Conditions Promote the Packaging of Functional MicroRNA-92a-3p Into Endothelial Microvesicles.Circulation research · 2019 · PMID 30582459 · doi
- MicroRNAs regulating superoxide dismutase 2 are new circulating biomarkers of heart failure.Scientific reports · 2017 · PMID 29116107 · doi
- Atherosclerosis-related circulating miRNAs as novel and sensitive predictors for acute myocardial infarction.PloS one · 2014 · PMID 25184815 · doi