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Clinical impact of current evidence on cardiac troponin structure, function and release mechanisms – An up to date review

Hatherley, J; Collinson, P; Shantsila, E; Gaze, D; Khand, A (2025) Clinical impact of current evidence on cardiac troponin structure, function and release mechanisms – An up to date review. Annals of Clinical Biochemistry: International Journal of Laboratory Medicine. p. 45632251378025. ISSN 0004-5632 https://doi.org/10.1177/00045632251378025
SGUL Authors: Collinson, Paul

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Abstract

Myocardial infarction remains a significant cause of mortality globally. High-sensitivity cardiac troponin is an essential criterion in the fourth universal definition of myocardial infarction. Our understanding of the structure and release mechanisms of troponin has been updated over the last decade, facilitated by ever more sensitive assays. This review initially outlines the structure and function of the troponin complex, then details the currently proposed mechanisms of release and elimination of troponin. It concludes by using this updated understanding to critique the current universal definition of myocardial infarction and injury.

Item Type: Article
Additional Information: Hatherley, J; Collinson, P; Shantsila, E; Gaze, D; Khand, A; Clinical impact of current evidence on cardiac troponin structure, function and release mechanisms – An up to date review, Annals of Clinical Biochemistry. Copyright © 2025 (The Author(s)). DOI: 10.1177/00045632251378025.
Keywords: Troponin, metabolism, myocardial infarction, myocardial injury, release mechanisms, structure and function
SGUL Research Institute / Research Centre: Academic Structure > Cardiovascular & Genomics Research Institute
Academic Structure > Cardiovascular & Genomics Research Institute > Clinical Cardiology
Journal or Publication Title: Annals of Clinical Biochemistry: International Journal of Laboratory Medicine
ISSN: 0004-5632
Language: en
Media of Output: Print-Electronic
Related URLs:
Publisher License: Publisher's own licence
PubMed ID: 40877034
Dates:
Date Event
2025-08-28 Published Online
2025-08-21 Accepted
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/117932
Publisher's version: https://doi.org/10.1177/00045632251378025

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