{
    "assessed_biomarker_entity": "CD40 ligand (CD40LG)",
    "assessed_entity_type": "protein",
    "components": {
        "protein": [
            {
                "accession": "P29965-1",
                "name": "CD40 ligand",
                "evidence": [
                    {
                        "id": "GLY_000625",
                        "database": "GlyGen",
                        "url": "https://data.glygen.org/GLY_000625"
                    },
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                        "id": "14760083",
                        "database": "PubMed",
                        "url": "https://glygen.org/publication/PubMed/14760083"
                    },
                    {
                        "id": "24745825",
                        "database": "PubMed",
                        "url": "https://glygen.org/publication/PubMed/24745825"
                    },
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                        "id": "32619411",
                        "database": "PubMed",
                        "url": "https://glygen.org/publication/PubMed/32619411"
                    },
                    {
                        "id": "32757722",
                        "database": "PubMed",
                        "url": "https://glygen.org/publication/PubMed/32757722"
                    }
                ]
            }
        ],
        "glycan": []
    },
    "instances": [
        {
            "best_biomarker_type": "prognostic",
            "status": "increased CD40LG level",
            "notes": "",
            "literature_evidence": "Patients with lung cancer had median sCD40L levels higher than in control subjects (0.46 versus 0.13 ng/ml; P < 0.0001), although correlation with the stage of disease was not evident. Nonetheless, sCD40L levels were significantly higher in squamous cancer compared with adenocarcinoma (0.75 versus 0.27 ng/ml; P < 0.05). Moreover, median sCD40L levels were higher in stage IV compared with nonmetastatic squamous lung cancer (1.02 versus 0.61 ng/ml; P < 0.05). sCD40L levels significantly correlated with sP-selectin (P < 0.001), prothrombin fragment 1 + 2 (P < 0.001), or thrombin-antithrombin III complex (P < 0.05) in squamous lung cancer, but only sP-selectin (P = 0.011) was independently related to sCD40L. [PMID:14760083]",
            "loinc_code": "",
            "tissue": {
                "name": "blood",
                "namespace": "UBERON",
                "id": "0000178",
                "url": "http://purl.obolibrary.org/obo/UBERON_0000178"
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                "disease_id": "DOID:1324",
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                    "resource": "Disease Ontology",
                    "url": "http://disease-ontology.org/term/DOID:1324",
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                    "description": "A respiratory system cancer that is located_in the lung."
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                    {
                        "id": "MONDO:0012159",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0012159",
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                    {
                        "id": "MONDO:0012159",
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                        "url": "https://monarchinitiative.org/disease/MONDO:0012159",
                        "name": "lung cancer susceptibility",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0012159",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0012159",
                        "name": "lung cancer susceptibility 1",
                        "description": ""
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                    {
                        "id": "MONDO:0012942",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0012942",
                        "name": "lung cancer susceptibility 3",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0012942",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0012942",
                        "name": "LNCR3",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0012942",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0012942",
                        "name": "lung cancer susceptibility 3",
                        "description": ""
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                    {
                        "id": "MONDO:0012942",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0012942",
                        "name": "adenocarcinoma of lung, susceptibility to",
                        "description": ""
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                    {
                        "id": "MONDO:0012955",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0012955",
                        "name": "lung cancer susceptibility 4",
                        "description": ""
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                    {
                        "id": "MONDO:0012955",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0012955",
                        "name": "LNCR4",
                        "description": ""
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                    {
                        "id": "MONDO:0012955",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0012955",
                        "name": "lung cancer susceptibility 4",
                        "description": ""
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                    {
                        "id": "MONDO:0013631",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0013631",
                        "name": "lung cancer susceptibility 5",
                        "description": ""
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                    {
                        "id": "MONDO:0013631",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0013631",
                        "name": "LNCR5",
                        "description": ""
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                    {
                        "id": "MONDO:0013631",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0013631",
                        "name": "lung cancer susceptibility 5",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "lung cancer",
                        "description": "A malignant neoplasm involving the lung."
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "adenocarcinoma of lung, response to tyrosine kinase inhibitor in, autosomal dominant, somatic mutation",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "adenocarcinoma of lung, somatic",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "cancer of lung",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "lung cancer",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "lung cancer, protection against, autosomal dominant, somatic mutation",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "lung cancer, resistance to, autosomal dominant, somatic mutation",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "lung cancer, somatic",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "lung cancer, susceptibility to, autosomal dominant, somatic mutation",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "malignant lung neoplasm",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "malignant lung tumor",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "malignant lung tumour",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "malignant neoplasm of lung",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "malignant neoplasm of the lung",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "malignant tumor of lung",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "malignant tumor of the lung",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "malignant tumour of lung",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "malignant tumour of the lung",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "nonsmall cell lung cancer, response to tyrosine kinase inhibitor in, autosomal dominant, somatic mutation",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "nonsmall cell lung cancer, somatic",
                        "description": ""
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                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "nonsmall cell lung cancer, susceptibility to, autosomal dominant, somatic mutation",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "Nonsmall cell lung cancer",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "alveolar cell carcinoma",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "lung cancer, protection against",
                        "description": ""
                    },
                    {
                        "id": "MONDO:0008903",
                        "resource": "MONDO",
                        "url": "https://monarchinitiative.org/disease/MONDO:0008903",
                        "name": "lung neoplasm",
                        "description": ""
                    },
                    {
                        "id": "MIM:211980",
                        "resource": "MIM",
                        "url": "https://www.omim.org/entry/211980",
                        "name": "Lung cancer",
                        "description": "Lung cancer"
                    }
                ]
            },
            "evidence": [
                {
                    "id": "GLY_000625",
                    "database": "GlyGen",
                    "url": "https://data.glygen.org/GLY_000625"
                },
                {
                    "id": "14760083",
                    "database": "PubMed",
                    "url": "https://glygen.org/publication/PubMed/14760083"
                }
            ]
        },
        {
            "best_biomarker_type": "prognostic",
            "status": "increased CD40LG level",
            "notes": "Prognostic and diagnostic biomarker for pancreatic ductal adenocarcinoma (DOID:3498)",
            "literature_evidence": "Serum sCD40L levels were significantly higher in PDAC group compared with non-cancer groups in both training (p < 0.05) and validation (p < 0.05 datasets. Kaplan-Meier survival analysis demonstrated patients with high-serum sCD40L (> 35,000 ng/ml) had a poorer prognosis than those with low serum sCD40L (log-rank, p = 0.015). Serum sCD40L is correlated with immunosuppression and angiogenesis in PDAC carcinogenesis/progression, and is a promising diagnostic and prognostic biomarker for PDAC superior to CA19-9 and CEA. [PMID:24745825]",
            "loinc_code": "",
            "tissue": {
                "name": "blood",
                "namespace": "UBERON",
                "id": "0000178",
                "url": "http://purl.obolibrary.org/obo/UBERON_0000178"
            },
            "disease": {
                "disease_id": "DOID:1793",
                "recommended_name": {
                    "id": "DOID:1793",
                    "resource": "Disease Ontology",
                    "url": "http://disease-ontology.org/term/DOID:1793",
                    "name": "pancreatic cancer",
                    "description": "An endocrine gland cancer located_in the pancreas."
                },
                "synonyms": [
                    {
                        "id": "DOID:1793",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1793",
                        "name": "Ca body of pancreas",
                        "description": ""
                    },
                    {
                        "id": "DOID:1793",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1793",
                        "name": "Ca head of pancreas",
                        "description": ""
                    },
                    {
                        "id": "DOID:1793",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1793",
                        "name": "Ca tail of pancreas",
                        "description": ""
                    },
                    {
                        "id": "DOID:1793",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1793",
                        "name": "malignant neoplasm of body of pancreas",
                        "description": ""
                    },
                    {
                        "id": "DOID:1793",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1793",
                        "name": "malignant neoplasm of head of pancreas",
                        "description": ""
                    },
                    {
                        "id": "DOID:1793",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1793",
                        "name": "malignant neoplasm of tail of pancreas",
                        "description": ""
                    },
                    {
                        "id": "DOID:1793",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1793",
                        "name": "pancreas neoplasm",
                        "description": ""
                    },
                    {
                        "id": "DOID:1793",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1793",
                        "name": "pancreatic neoplasm",
                        "description": ""
                    },
                    {
                        "id": "DOID:1793",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:1793",
                        "name": "pancreatic tumor",
                        "description": ""
                    }
                ]
            },
            "evidence": [
                {
                    "id": "GLY_000625",
                    "database": "GlyGen",
                    "url": "https://data.glygen.org/GLY_000625"
                },
                {
                    "id": "24745825",
                    "database": "PubMed",
                    "url": "https://glygen.org/publication/PubMed/24745825"
                }
            ]
        },
        {
            "best_biomarker_type": "monitoring",
            "status": "increased CD40LG level",
            "notes": "Measured in plasma (UN:0001969) as well.",
            "literature_evidence": "We also show that critical illness is associated with further elevations in VWF, as well as increases in soluble P-selectin and sCD40L when compared with controls. Together, these results provide biochemical evidence that endotheliopathy and platelet activation are ubiquitous in COVID-19-associated coagulopathy and might play key roles in the progression of disease. [PMID:32619411]",
            "loinc_code": "",
            "tissue": {
                "name": "blood",
                "namespace": "UBERON",
                "id": "0000178",
                "url": "http://purl.obolibrary.org/obo/UBERON_0000178"
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            "disease": {
                "disease_id": "DOID:0080600",
                "recommended_name": {
                    "id": "DOID:0080600",
                    "resource": "Disease Ontology",
                    "url": "http://disease-ontology.org/term/DOID:0080600",
                    "name": "COVID-19",
                    "description": "A Coronavirus infection that is characterized by fever, cough and shortness of breath and that has_material_basis_in SARS-CoV-2."
                },
                "synonyms": [
                    {
                        "id": "DOID:0080600",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:0080600",
                        "name": "2019 Novel Coronavirus (2019-nCoV)",
                        "description": ""
                    },
                    {
                        "id": "DOID:0080600",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:0080600",
                        "name": "2019-nCoV infection",
                        "description": ""
                    },
                    {
                        "id": "DOID:0080600",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:0080600",
                        "name": "Wuhan coronavirus infection",
                        "description": ""
                    },
                    {
                        "id": "DOID:0080600",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:0080600",
                        "name": "Wuhan seafood market pneumonia virus infection",
                        "description": ""
                    },
                    {
                        "id": "DOID:0080600",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:0080600",
                        "name": "COVID19",
                        "description": ""
                    },
                    {
                        "id": "DOID:0080600",
                        "resource": "Disease Ontology",
                        "url": "http://disease-ontology.org/term/DOID:0080600",
                        "name": "SARS-CoV-2 infection",
                        "description": ""
                    }
                ]
            },
            "evidence": [
                {
                    "id": "GLY_000625",
                    "database": "GlyGen",
                    "url": "https://data.glygen.org/GLY_000625"
                },
                {
                    "id": "32619411",
                    "database": "PubMed",
                    "url": "https://glygen.org/publication/PubMed/32619411"
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                    "id": "32757722",
                    "database": "PubMed",
                    "url": "https://glygen.org/publication/PubMed/32757722"
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        {
            "title": "Endotheliopathy in COVID-19-associated coagulopathy: evidence from a single-centre, cross-sectional study.",
            "journal": "The Lancet. Haematology",
            "authors": "Goshua G, Pine AB, Meizlish ML, Chang CH, Zhang H, Bahel P, Baluha A, Bar N, Bona RD, Burns AJ, Dela Cruz CS, Dumont A, Halene S, Hwa J, Koff J, Menninger H, Neparidze N, Price C, Siner JM, Tormey C, Rinder HM, Chun HJ, Lee AI",
            "date": "2020",
            "reference": [
                {
                    "type": "PubMed",
                    "id": "32619411",
                    "url": "https://glygen.org/publication/PubMed/32619411"
                }
            ],
            "evidence": [
                {
                    "id": "GLY_000625",
                    "database": "GlyGen",
                    "url": "https://data.glygen.org/GLY_000625"
                }
            ]
        },
        {
            "title": "Clinical significance of elevated serum soluble CD40 ligand levels as a diagnostic and prognostic tumor marker for pancreatic ductal adenocarcinoma.",
            "journal": "Journal of translational medicine",
            "authors": "Chung HW, Lim JB",
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                    "type": "PubMed",
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                    "id": "GLY_000625",
                    "database": "GlyGen",
                    "url": "https://data.glygen.org/GLY_000625"
                }
            ]
        },
        {
            "title": "Soluble CD40 ligand plasma levels in lung cancer.",
            "journal": "Clinical cancer research : an official journal of the American Association for Cancer Research",
            "authors": "Roselli M, Mineo TC, Basili S, Martini F, Mariotti S, Aloe S, Del Monte G, Ambrogi V, Spila A, Palmirotta R, D'Alessandro R, Davi G, Guadagni F, Ferroni P",
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                    "database": "GlyGen",
                    "url": "https://data.glygen.org/GLY_000625"
                }
            ]
        },
        {
            "title": "Platelet and Vascular Biomarkers Associate With Thrombosis and Death in Coronavirus Disease.",
            "journal": "Circulation research",
            "authors": "Barrett TJ, Lee AH, Xia Y, Lin LH, Black M, Cotzia P, Hochman J, Berger JS",
            "date": "2020",
            "reference": [
                {
                    "type": "PubMed",
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                    "url": "https://glygen.org/publication/PubMed/32757722"
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            "database": "PubMed",
            "url": "https://glygen.org/publication/PubMed/32757722"
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