sphingosine-1-phosphate
lipidSphingosine-1-phosphate is a thrombin-downstream lipid mediator that amplifies platelet activation and coagulation responses.
Pathway placement
Cascade stepCoagulation & thrombus formation
Confidencemedium
RationalePro-inflammatory lipid mediator downstream thrombin; platelet and coagulation amplification.
Also acts inVascular inflammation
Druggability
Not assessed (no mapped human gene target).
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I63
C — confounder / Type-II90
A — assay feasibility40
E — evidence strength33
T1DI (composite)5
Specificity differential (R−C)-27.3
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
Serum or plasma (EDTA to limit oxidation)
Collection tube
K2/K3-EDTA (lavender-top) · Serum separator (gold/red-top, SST)
Method / principle
LC-MS/MS lipidomics (targeted or shotgun)
Reagent / substrate
Deuterated lipid-class internal standards; MS/MS transitions
Platform
LC-MS/MS
Turnaround · availability
Research · Research-only
Literature evidence(6)
- Therapeutic CFTR Correction Normalizes Systemic and Lung-Specific S1P Level Alterations Associated with Heart Failure.International journal of molecular sciences · 2022 · PMID 35055052 · doi
- Sphingolipids in Atherosclerosis: Chimeras in Structure and Function.International journal of molecular sciences · 2022 · PMID 36233252 · doi
- Sphingosine-1-phosphate in anti-neutrophil cytoplasmic antibody-associated vasculitis: coagulation-related clinical indicators and complications.Bioscience reports · 2020 · PMID 33083841 · doi
- Race disparity in blood sphingolipidomics associated with lupus cardiovascular comorbidity.PloS one · 2019 · PMID 31747417 · doi
- Antiinflammatory effects of aspirin in ACS: relevant to its cardiocoronary actions?Thrombosis and haemostasis · 2015 · PMID 26085050 · doi
- [Sphingolipids, possible biomarkers for atherosclerotic disorders].Rinsho byori. The Japanese journal of clinical pathology · 2013 · PMID 24369591