uPA
proteinuPA degrades fibrin and facilitates fibrinolysis, with downregulation post-MI predicting adverse cardiac remodeling and heart failure risk.
Pathway placement
Cascade stepCoagulation & thrombus formation
Confidencemedium
RationaleUrokinase-type plasminogen activator; fibrinolytic enzyme and cardiac remodeling regulator.
Druggability
Not assessed (no mapped human gene target).
Type I vs non-Type I discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I85
C — non-Type-I70
A — assay feasibility68
E — evidence strength34
T1DI (composite)13
Specificity differential (R−C)+15.2
Non-Type-I axis panel
Does this marker also move in each non-Type-I setting? mag 0–3; higher means less Type-I-specific. n/a = no evidence retrieved, which is not the same as no change.
No non-Type-I axis 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
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(5)
- The Immediate Impact of Infarct Size on the Systemic Inflammatory Response: IL-6 as Central Mediator Identified through Biomarker and Proteomic Profiling.Journal of cardiovascular translational research · 2026 · PMID 42373877 · doi
- In-depth proteomics approach reveals novel biomarkers of cardiac remodelling after myocardial infarction: An exploratory analysis.Journal of cellular and molecular medicine · 2020 · PMID 32701210 · doi
- Fibrinolytic status in acute coronary syndromes: evidence of differences in relation to clinical features and pathophysiological pathways.Thrombosis and haemostasis · 2012 · PMID 22538774 · doi
- How to search for the role and prevalence of defective fibrinolytic states as triggers of myocardial infarction? The haemostasis epidemiologist's view.Italian heart journal : official journal of the Italian Federation of Cardiology · 2001 · PMID 11666092
- [Blood coagulation and fibrinolysis in arteriosclerosis].Zeitschrift fur Kardiologie · 1999 · PMID 10413853 · doi