Prothrombin fragment F1+2
peptideF1+2 is released during prothrombin activation, quantifying thrombin generation and thrombotic activity in acute MI.
Pathway placement
Cascade stepCoagulation & thrombus formation
Confidencehigh
RationaleDirect marker of thrombin generation and prothrombin activation in coagulation cascade.
Druggability
Not assessed (no mapped human gene target).
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I72
C — confounder / Type-II59
A — assay feasibility66
E — evidence strength28
T1DI (composite)11
Specificity differential (R−C)+13.6
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
Plasma (EDTA; peptidase-labile — chilled + protease inhibitor)
Collection tube
K2-EDTA, chilled plastic (lavender-top) · Serum separator (gold/red-top, SST)
Method / principle
Competitive/sandwich immunoassay or LC-MS/MS
Reagent / substrate
Anti-peptide antibody; or isotope-labeled internal standard (MS)
Platform
Immunoassay / LC-MS/MS
Turnaround · availability
Send-out / research · Research-grade
Literature evidence(7)
- Thrombomodulin can predict the incidence of second events in patients with acute coronary syndrome: Single-center, retrospective cohort study.Journal of cardiology · 2018 · PMID 29887328 · doi
- Characterization of the pro-thrombotic state in CAPD patients.Renal failure · 2008 · PMID 18661409 · doi
- Absence of paradoxical thrombin activation by fibrin-specific thrombolytics in acute myocardial infarction: comparison of single-bolus tenecteplase and front-loaded alteplase.Thrombosis research · 2002 · PMID 12182909 · doi
- Evaluation of coagulation markers for early diagnosis of acute coronary syndromes in the emergency room.Clinical chemistry · 2002 · PMID 12406977
- Early spontaneous intermittent myocardial reperfusion during acute myocardial infarction is associated with augmented thrombogenic activity and less myocardial damage.Journal of the American College of Cardiology · 1995 · PMID 7642856 · doi
- Thrombin generation in human coronary arteries after percutaneous transluminal balloon angioplasty.Journal of the American College of Cardiology · 1994 · PMID 7930280 · doi
- Assessment of hypercoagulable states by measurement of activation fragments and peptides.Blood reviews · 1990 · PMID 2182146 · doi