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All 1969 molecules

All molecules

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1,969 molecules
MoleculeTypePathway stepConf.RefsTrialsOmicsEvidenceMechanism
LDL cholesterol
lipoproteinLipid entry/oxidationhigh606LDL accumulation in the arterial intima is the initiating substrate of atherosclerotic plaque formation.
Oxidized LDL
lipoproteinLipid entry/oxidationhigh602Oxidized LDL drives plaque formation, inflammation, and endothelial dysfunction in atherothrombotic disease.
HDL
lipoproteinLipid entry/oxidationmedium60HDL exerts atheroprotective effects via reverse cholesterol transport, antioxidant activity, and endothelial stabilization.
C-reactive protein
CRP
proteinVascular inflammationhigh608hs-CRP is a systemic inflammatory marker reflecting plaque-driven inflammation and predicting atherothrombotic events.
Interleukin-6
IL6
proteinVascular inflammationhigh601IL-6 promotes plaque inflammation and leukocyte recruitment, accelerating atherosclerotic instability and thrombotic risk.
TNF-α
TNF
proteinVascular inflammationhigh601TNF-α is a pro-inflammatory cytokine that promotes atherosclerotic plaque inflammation, macrophage recruitment, endothelial dysfunction, and oxidative stress dr
von Willebrand factor
VWF
proteinEndothelial activation/erosionhigh60vWF exposure following endothelial activation enables platelet adhesion and thrombotic cascade initiation.
P-selectin
SELP
proteinPlatelet activationhigh60P-selectin mediates platelet activation and adhesion to endothelium, driving thrombotic cascade in MI.
D-dimer
proteinCoagulation / thrombushigh601D-dimer indicates active coagulation and thrombus formation during acute coronary events.
Fibrinogen
FGA
proteinCoagulation / thrombushigh60Fibrinogen is the substrate for thrombin-driven fibrin polymerization forming the occlusive coronary thrombus.
Plasminogen activator inhibitor-1
SERPINE1
proteinCoagulation / thrombusmedium60PAI-1 inhibits fibrinolysis and promotes a prothrombotic state favoring coronary thrombus formation and persistence.
Cardiac troponin I
TNNI3
proteinMyocardial injuryhigh602Cardiac troponin I is released from damaged cardiomyocytes following myocardial ischemia and necrosis and is the gold-standard biomarker for acute MI diagnosis,
B-type natriuretic peptide
NPPB
proteinSystemic / off-pathwayhigh601BNP reflects post-infarction cardiac insufficiency and hemodynamic strain, operating off the atherothrombotic axis.
Soluble CD40 ligand
CD40LG
proteinPlatelet activationhigh59sCD40L released from activated platelets amplifies endothelial dysfunction and platelet–leukocyte thrombotic crosstalk.
Interleukin-1β
IL1B
proteinVascular inflammationhigh57Interleukin-1β is a central inflammasome-derived cytokine that orchestrates atherosclerotic plaque inflammation, promotes endothelial dysfunction and procoagula
CK-MB
CKM
proteinMyocardial injuryhigh511CK-MB is a cardiac enzyme released following myocardial necrosis and serves as a diagnostic and prognostic biomarker of infarct size and adverse outcomes in acu
Apolipoprotein B
APOB
proteinLipid entry/oxidationhigh493ApoB-containing lipoproteins are retained in the subendothelium and oxidatively modified, initiating atherogenesis.
Thrombin-antithrombin complex
proteinCoagulation / thrombushigh48Thrombin-antithrombin complex is a marker of tissue-factor-triggered coagulation activation and thrombin generation, indicating active thrombus formation in acu
Troponin T
TNNT2
proteinMyocardial injuryhigh476Cardiac troponin T is released from damaged cardiomyocytes following myocardial ischemia and necrosis and is the primary biomarker for acute MI diagnosis, progn
Lipoprotein(a)
LPA
lipoproteinLipid entry/oxidationhigh4619Lipoprotein(a) is an ApoB-containing lipoprotein retained in the subendothelial intima where it undergoes oxidative modification; its apo(a) moiety confers inde
sVCAM-1
VCAM1
proteinEndothelial activation/erosionhigh44Soluble VCAM-1 is an endothelial adhesion molecule upregulated during endothelial activation and dysfunction; it mediates leukocyte recruitment into atheroscler
Intercellular Adhesion Molecule 1
ICAM1
proteinEndothelial activation/erosionhigh43sICAM-1 reflects endothelial activation and leukocyte recruitment to atherosclerotic plaques and coronary injury sites.
Tissue Factor
F3
proteinCoagulation / thrombushigh411Tissue Factor is exposed on thrombogenic lipid-core material after plaque rupture, triggering Factor VIIa and thrombin generation.
Myeloperoxidase
MPO
proteinVascular inflammationhigh401Myeloperoxidase oxidizes LDL and generates reactive oxygen species in atherosclerotic plaques, promoting inflammation and endothelial dysfunction; also a marker
Matrix metalloproteinase-9
MMP9
proteinCap degradation / rupturehigh39MMP-9 degrades extracellular matrix in the atherosclerotic fibrous cap, promoting rupture and thrombotic exposure.
Growth differentiation factor 15
GDF15
proteinSystemic / off-pathwaymedium39GDF15 reflects systemic stress, cardiac injury, and post-infarction remodeling, operating on a parallel outcome axis.
Tissue plasminogen activator
PLAT
proteinCoagulation / thrombushigh38Tissue plasminogen activator is released during coronary thrombosis and serves as a marker of fibrinolytic activity and thrombus burden in acute MI.
Fibrinopeptide A
peptideCoagulation / thrombushigh37Fibrinopeptide A is released during thrombin-catalyzed fibrin polymerization, marking coagulation activation in coronary thrombosis.
Platelet Factor 4
PF4
proteinPlatelet activationhigh32PF4 is released upon platelet activation and serves as an early biomarker of platelet recruitment and thrombus formation in Type 1 MI.
Apolipoprotein A-I
APOA1
proteinLipid entry/oxidationhigh301ApoA-I is the major HDL component mediating reverse cholesterol transport and endothelial protective effects; reduced levels indicate atherosclerotic burden.
E-selectin
SELE
proteinEndothelial activation/erosionhigh30E-selectin expression on endothelium marks activation and enables leukocyte rolling and adhesion during plaque inflammation and erosion.
Prothrombin fragment 1+2
F2
proteinCoagulation / thrombushigh29F1+2 release quantifies activated prothrombin conversion, reflecting the rate of thrombin generation and coagulation activation.
Interleukin-10
IL10
proteinVascular inflammationmedium28Interleukin-10 is a protective anti-inflammatory cytokine that restrains atherosclerotic plaque inflammation and macrophage activation; its reduction by oxidize
Apolipoprotein E
APOE
proteinLipid entry/oxidationmedium261Apolipoprotein E is a lipoprotein structural protein and receptor ligand whose genetic polymorphisms influence LDL metabolism, lipoprotein retention, and athero
PCSK9
PCSK9
proteinLipid entry/oxidationhigh25201PCSK9 regulates LDL-receptor degradation, controlling LDL-C levels and subendothelial lipid retention underlying atherosclerosis.
Beta-Thromboglobulin
PPBP
proteinPlatelet activationhigh251Beta-thromboglobulin is released upon platelet activation and serves as an early AMI biomarker of platelet recruitment.
Integrin alpha IIb
ITGA2B
proteinPlatelet activationhigh25ITGA2B-encoded integrin αIIb subunit forms the αIIbβ3 receptor essential for platelet aggregation and coronary thrombus formation in Type 1 MI.
Thrombin
proteinCoagulation / thrombushigh251Thrombin is generated by tissue-factor-triggered coagulation and drives fibrin polymerization and platelet activation in coronary thrombosis.
Fibrinogen Beta Chain
FGB
proteinCoagulation / thrombushigh25Fibrinogen polymerizes into fibrin scaffolding the occlusive coronary thrombus and amplifies platelet aggregation.
Lipoprotein-associated Phospholipase A2
PLA2G7
proteinVascular inflammationhigh244Lp-PLA2 generates inflammatory mediators from oxidized lipids within atherosclerotic plaques, promoting destabilization and rupture.
Monocyte Chemoattractant Protein-1
CCL2
proteinVascular inflammationhigh24MCP-1 recruits monocytes to the atherosclerotic plaque and inflamed endothelium, sustaining plaque destabilization.
Prothrombin Fragment 1+2
proteinCoagulation / thrombushigh24Prothrombin fragment 1+2 is released during tissue-factor-triggered coagulation, indicating thrombin generation during coronary thrombosis.
Lysophosphatidylcholine
lipidLipid entry/oxidationmedium23Lysophosphatidylcholine, a bioactive lipid species derived from lipoprotein remodeling, promotes atherosclerosis and altered lipid homeostasis in Type 1 MI.
thrombomodulin
THBD
proteinEndothelial activation/erosionhigh23Thrombomodulin shedding from damaged endothelium impairs anticoagulation and indicates endothelial erosion/dysfunction in acute coronary events.
Lectin-like Oxidized LDL Receptor 1
proteinLipid entry/oxidationhigh22LOX-1 mediates uptake of oxidized LDL by endothelial cells and macrophages, fueling plaque lipid accumulation and inflammation.
Nitric oxide
metaboliteEndothelial activation/erosionhigh223Nitric oxide produced by endothelial cells regulates vasodilation and suppresses platelet adhesion; reduced bioavailability reflects endothelial dysfunction and
Endothelial nitric oxide synthase
NOS3
proteinEndothelial activation/erosionhigh22Endothelial NOS catalyzes NO production essential for vasodilation and platelet inhibition; dysfunction contributes to endothelial erosion and thrombosis.
Very-Low-Density Lipoprotein
lipoproteinLipid entry/oxidationhigh21VLDL, an apoB-containing atherogenic lipoprotein, accumulates in the arterial intima where it undergoes oxidative modification, initiating atherosclerotic plaqu
Interleukin-18
IL18
proteinVascular inflammationhigh21Interleukin-18 is an inflammasome-processed cytokine that promotes atherosclerotic inflammation, immune activation, and plaque destabilization in the atherothro
ST2
IL1RL1
proteinSystemic / off-pathwayhigh21ST2 signals myocardial stress and remodeling response post-infarction, serving as an off-pathway hemodynamic/mechanical stress indicator.
Interleukin-8
CXCL8
proteinVascular inflammationhigh20IL-8 is released during plaque inflammation and endothelial activation, recruiting neutrophils and amplifying platelet activation.
Vascular endothelial growth factor
VEGFA
proteinEndothelial activation/erosionmedium201VEGF promotes endothelial repair, angiogenesis and endothelial progenitor cell mobilization following myocardial injury and revascularization therapy.
Glycoprotein VI
GP6
proteinPlatelet activationhigh20GPVI binds exposed collagen upon cap rupture or erosion, triggering platelet adhesion, activation, and thrombus propagation.
CD31
proteinEndothelial activation/erosionmedium19CD31 marks endothelial cell activation and erosion in sEVs, indicating endothelial dysfunction and superficial erosion in Type 1 MI pathology.
Fibrin
proteinCoagulation / thrombushigh191Fibrin polymerization forms the structural matrix of the occlusive coronary thrombus, with impaired fibrinolysis predicting worse outcomes.
Phosphatidylcholine
lipidLipid entry/oxidationhigh18Phosphatidylcholine species composition of lipoproteins and plaques reflects atherogenesis severity and plaque lipid core character.
Adiponectin
ADIPOQ
proteinVascular inflammationhigh18Adiponectin suppresses plaque inflammation and endothelial dysfunction, exerting cardioprotection against atherothrombotic injury.
Glycoprotein Ib
GP1BA
proteinPlatelet activationhigh18GPIb mediates platelet tethering to exposed von Willebrand factor at the site of endothelial rupture or erosion, initiating platelet adhesion and activation.
H-FABP
FABP3
proteinMyocardial injuryhigh181H-FABP is released early from myocardial ischemia and necrosis, serving as an early biomarker of cardiomyocyte injury in acute MI.
Sphingomyelin
lipidLipid entry/oxidationmedium17Sphingomyelin alters LDL aggregation susceptibility and membrane integrity, contributing to lipid retention and oxidative modification in the atherosclerotic le
LDL Receptor
LDLR
geneLipid entry/oxidationhigh1731LDLR mediates LDL endocytosis; mutations impair LDL clearance, driving lipid retention and accelerated atherogenesis.
homocysteine
metaboliteEndothelial activation/erosionmedium17Elevated homocysteine impairs endothelial function and promotes oxidative modification of LDL, accelerating atherosclerotic lipid retention and plaque vulnerabi
antithrombin III
SERPINC1
proteinCoagulation / thrombusmedium17Antithrombin III is consumed during thrombin-driven thrombus formation, and its depletion indicates active coagulation in acute infarction.
Cystatin C
CST3
proteinSystemic / off-pathwayhigh17Cystatin C reflects glomerular filtration and renal function; elevated levels indicate cardiorenal risk and mortality in acute coronary syndrome.
Ceramide
lipidLipid entry/oxidationhigh16Ceramide is a pro-atherogenic bioactive lipid that drives altered lipid metabolism, LDL aggregation, foam-cell formation and atherosclerotic plaque progression.
HDL cholesterol
lipoproteinLipid entry/oxidationhigh161HDL removes cholesterol and phospholipid hydroperoxides from lesions, opposing atherosclerotic lipid accumulation.
Plasminogen
PLG
proteinCoagulation / thrombushigh161Plasminogen activation to plasmin drives fibrin degradation and thrombus resolution in coronary occlusion.
Triglycerides
lipidLipid entry/oxidationhigh152Elevated triglycerides promote atherosclerotic lipid deposition and dysfunctional lipoprotein remodeling.
NLRP3 inflammasome
NLRP3
proteinVascular inflammationmedium151NLRP3 inflammasome activation in atherosclerotic plaques and post-MI inflammation generates IL-1β and IL-18, amplifying plaque destabilization and injury respon
Thromboxane B2
metaboliteThromboxane / COX-1high15Thromboxane B2 is the stable inactive metabolite of thromboxane A2, a COX-1-generated eicosanoid that amplifies platelet recruitment and aggregation.
Interferon-Gamma
IFNG
proteinVascular inflammationhigh14IFN-γ amplifies macrophage activation and vascular inflammation in destabilized atherosclerotic plaques preceding Type 1 MI.
PECAM-1
PECAM1
proteinEndothelial activation/erosionmedium14PECAM-1 mediates endothelial cell–cell and endothelial–platelet adhesion; dysfunction reflects endothelial activation and increased thrombotic risk.
Phosphatidylserine
lipidPlatelet activationmedium14Phosphatidylserine exposure on activated platelets and microparticles promotes platelet aggregation and thrombin generation.
Factor VII
F7
proteinCoagulation / thrombushigh14FVII activity initiates tissue-factor-mediated coagulation and fibrin-thrombus formation in MI.
Copeptin
AVP
peptideMyocardial injuryhigh145Copeptin is released in response to myocardial ischemia and necrosis, providing early detection of acute coronary syndrome alongside cardiomyocyte injury.
Myoglobin
MB
proteinMyocardial injuryhigh14Myoglobin released from ischemic cardiomyocytes serves as an early biomarker of myocardial infarction and necrotic injury.
Trimethylamine N-oxide
metaboliteLipid entry/oxidationhigh13TMAO promotes lipid oxidation, plaque inflammation and destabilization, increasing atherothrombotic rupture and thrombotic risk.
Matrix Metalloproteinase-2
MMP2
proteinCap degradation / rupturehigh13MMP-2 degrades the fibrous cap and myocardial ECM, mediating plaque rupture and post-infarction ventricular remodeling.
CD36 molecule
CD36
proteinPlatelet activationhigh131CD36 acts as a platelet scavenger receptor for oxidized LDL, amplifying platelet activation and microvesicle formation during acute thrombosis.
CD39
ENTPD1
proteinPlatelet activationhigh13CD39 ectonucleotidase hydrolyzes ATP and ADP to adenosine monophosphate, attenuating platelet activation and arterial thrombosis.
arachidonic acid
metaboliteThromboxane / COX-1high13Arachidonic acid elevation drives thromboxane-A2 generation and eicosanoid-mediated platelet aggregation and inflammation in acute MI.
CD34
proteinEndothelial activation/erosionmedium121Circulating CD34+ endothelial progenitor and endothelial cells mark endothelial erosion and reparative responses in MI.
Fibronectin
FN1
proteinPlatelet activationhigh12Fibronectin mediates platelet adhesion to exposed matrix and fibroblast paracrine signaling; dysregulation marks plaque instability and thrombotic coronary even
Factor XI
F11
proteinCoagulation / thrombushigh12Factor XI activation by thrombin and contact factors amplifies intrinsic coagulation in post-rupture and post-erosion thrombosis, driving coronary occlusion.
Transforming Growth Factor-Beta
TGFB1
proteinMyocardial injurymedium12TGF-β drives myocardial fibrosis and remodeling following ischemic injury and modulates plaque inflammation via foam cell formation.
Serum Amyloid A
SAA1
proteinVascular inflammationhigh11SAA is a major acute-phase protein elevated at plaque rupture, modifies HDL-mediated reverse cholesterol transport and amplifies vascular inflammation.
Pregnancy-associated Plasma Protein A
PAPPA
proteinCap degradation / rupturehigh11PAPP-A is a metalloproteinase elevated in atherosclerotic plaques that degrades extracellular matrix, promoting cap rupture and thrombosis.
Soluble lectin-like oxidized LDL receptor 1
OLR1
proteinEndothelial activation/erosionhigh111Soluble LOX-1 reflects endothelial activation, oxidized-lipoprotein uptake, and pro-thrombotic endothelial dysfunction in acute coronary syndrome and Type 1 MI.
Vascular Endothelial Cadherin
CDH5
proteinEndothelial activation/erosionhigh11Vascular endothelial cadherin cleavage destabilizes endothelial junctions, enabling transmigration and exposing subendothelial matrix.
phosphatidylethanolamine
lipidPlatelet activationhigh11Phosphatidylethanolamine dysregulation in platelets and monocytes contributes to platelet dysfunction and pro-thrombotic extracellular vesicle release in Type 1
Adenosine diphosphate
metabolitePlatelet activationhigh111ADP released from platelet dense granules activates P2Y receptors, sustaining platelet aggregation and thrombus propagation.
Integrin αIIbβ3
proteinPlatelet activationhigh11Integrin αIIbβ3 bridges platelets via fibrinogen binding, essential for platelet-dependent thrombus formation.
Tissue factor pathway inhibitor
TFPI
proteinCoagulation / thrombushigh11Tissue factor pathway inhibitor antagonizes coagulation activation and thrombus formation, with inverse association to MI risk.
Coagulation factor VIII
F8
proteinCoagulation / thrombusmedium11Factor VIII elevation reflects a pro-coagulative state and augments the intrinsic tenase complex, increasing thrombin generation risk.
Factor V
F5
proteinCoagulation / thrombushigh11Factor V acts as a cofactor in the prothrombinase complex to amplify thrombin generation and drive fibrin polymerization during coronary thrombus formation.
Ceramides
lipidLipid entry/oxidationhigh10Ceramide elevation is a biomarker of atherosclerotic disease progression and cardiometabolic lipid stress in acute MI.
Pentraxin-3
PTX3
proteinVascular inflammationhigh10Pentraxin-3 mediates immune inflammation in atherosclerotic plaques and modulates platelet activation during thrombosis.
CD40
CD40
geneVascular inflammationhigh10CD40–CD40L interaction promotes endothelial activation, leukocyte recruitment, and platelet–leukocyte thromboinflammatory crosstalk.
S100A9
S100A9
proteinVascular inflammationhigh10S100A9 (calprotectin) is a key alarmin amplifying vascular inflammation and thromboinflammation through monocyte recruitment and neutrophil-platelet interaction
S100A8
S100A8
proteinVascular inflammationhigh10S100A8 (calprotectin) drives sterile inflammation and thromboinflammation in acute MI, promoting infarct wall thinning and adverse remodeling.
Interleukin-2
IL2
proteinVascular inflammationmedium10IL-2 elevation promotes T-cell-mediated vascular inflammation and is associated with acute coronary syndrome.
Interleukin-17A
IL17A
proteinVascular inflammationhigh10IL-17A is a pro-inflammatory T-cell cytokine that destabilizes plaques, activates platelets, and promotes coronary thrombosis in Type 1 MI.
Collagen Type I Alpha 1
COL1A1
proteinCap degradation / rupturemedium10COL1A1 is the major fibrous-cap structural protein; its exposure upon rupture initiates platelet adhesion and thrombosis.
Coagulation Factor XII
F12
proteinCoagulation / thrombusmedium10Factor XII activation in the contact system amplifies coagulation and contributes to thrombus formation and fibrinolytic-induced reactivation in MI.
Protein C
PROC
proteinCoagulation / thrombusmedium10Protein C deficiency or inactivation impairs anticoagulant regulation, promoting prothrombotic thrombus formation in acute MI.
tryptophan
metaboliteSystemic / off-pathwaymedium10Tryptophan metabolism dysregulation associates with immune dysbalance and heightened atherosclerotic inflammation in MI risk, operating through systemic pathway
Paraoxonase 1
PON1
proteinLipid entry/oxidationhigh9PON1 is an HDL-associated esterase that hydrolyzes oxidized phospholipids in LDL, preventing lipid-core accumulation and plaque inflammation.
Apolipoprotein C3
APOC3
proteinLipid entry/oxidationhigh9ApoC3 on atherogenic remnants attenuates clearance and intensifies subendothelial lipid retention, plaque inflammation, and rupture risk in Type 1 MI.
C-X-C Motif Chemokine Ligand 12
CXCL12
proteinVascular inflammationhigh9CXCL12 activates endothelial NF-κB signaling, recruits immune cells to atherosclerotic plaques, and mediates platelet–thrombosis interactions.
CD14
CD14
proteinVascular inflammationhigh91CD14 marks monocyte and macrophage subsets that drive vascular inflammation, plaque destabilization, and contribute to platelet–leukocyte crosstalk during acute
Toll-Like Receptor 4
TLR4
proteinVascular inflammationhigh91TLR4 promotes inflammasome signaling and oxidative stress in atherothrombotic plaque and platelets, driving MI progression.
Thrombospondin-1
THBS1
proteinEndothelial activation/erosionmedium9Thrombospondin-1 mediates endothelial erosion and platelet-leukocyte engagement, modulating thrombus formation and post-MI inflammation.
VEGFR-2 (KDR)
KDR
proteinEndothelial activation/erosionmedium9VEGFR-2 on circulating endothelial cells and EPCs marks endothelial activation, injury and angiogenic response in Type 1 MI.
lactate dehydrogenase
proteinMyocardial injuryhigh9LDH is released from ischemic and necrotic myocardium during acute infarction, indicating cardiomyocyte death.
Lipoprotein lipase
LPL
proteinLipid entry/oxidationhigh8Rate-limiting enzyme hydrolyzing triglycerides in atherogenic lipoproteins, regulated by ANGPTL inhibitors.
Oxidized Phospholipids
lipidLipid entry/oxidationhigh8Oxidized phospholipids generated from atherosclerotic lipid oxidation drive plaque inflammation and vascular cell activation in atherothrombotic cascade.
CDKN2B
CDKN2B
geneVascular inflammationmedium8CDKN2B variants affect vascular cell proliferation and inflammatory signaling, modulating atherosclerotic plaque development and rupture risk.
Osteopontin
SPP1
proteinVascular inflammationmedium8Osteopontin promotes macrophage-fibroblast crosstalk and collagen remodeling, destabilizing the plaque and driving post-MI cardiac remodeling.
Uric acid
metaboliteVascular inflammationmedium8Uric acid accumulates during oxidative injury and endothelial dysfunction in acute MI, serving as a biomarker of inflammatory burden and CAD severity.
Endothelin-1
EDN1
peptideEndothelial activation/erosionhigh81ET-1 drives endothelial activation, excessive vasoconstriction, and endocardial injury during acute MI, with predictive value for endothelial progenitor cell mo