Evidence map›Paper›PMID 16449527›Full record

ArticleBlood2006

Mechanism of platelet adhesion to von Willebrand factor and microparticle formation under high shear stress.

Armin J Reininger, Harry F G Heijnen, Hannah Schumann, Hanno M Specht, Wolfgang Schramm, Zaverio M Ruggeri

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 133 papers.

0numbers the graph read from it
0cells of the map it votes in
133citing papers in PubMed
9.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

133 citing papers in PubMed, 330 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Computational and Experimental Assessment of Shear-Induced Blood Trauma by HeartMate II, HeartMate 3, and BrioVAD.ASAIO journal (American Society for Artificial Internal Organs : 1992) · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Hemodynamic consequences of TEVAR with different configurations ofFrontiers in cardiovascular medicine · 2026
    Article
  10. Review
  11. Article
  12. Key markers and detection methods for evaluating platelet dysfunction in mechanical circulatory support devices.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2025
    Review
  13. Article
  14. Article
  15. Proteomics of arterial thrombi in acute limb ischemia.Journal of thrombosis and thrombolysis · 2025
    Article
  16. Article
  17. Article
  18. Hemodynamic simulation andPhysics of fluids (Woodbury, N.Y. : 1994) · 2025
    Article
  19. Article
  20. Review

73 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Armin J ReiningerDepartment of Transfusion Medicine and Hemostaseology, University Clinic Munich, Ziemssenstr. 1, 80336 Munich, Germany. armin.reininger@med.uni-muenchen.de
Harry F G Heijnen
Hannah Schumann
Hanno M Specht
Wolfgang Schramm
Zaverio M Ruggeri
Institute for Transfusion Medicine · US

Funding

THROMBUS FORMATION IN BABOONSP01HL031950 · NHLBI · SCRIPPS RESEARCH INSTITUTE, THE · PI GRIFFIN, JOHN H · 1985 to 2015
$29.4M
The Interaction of TPO and Integrins in Hematopoiesis CellsP01HL078784 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GINSBERG, MARK HOWARD · 2005 to 2019
$28.3M
STRUCTURE/FUNCTION OF PLATELET MEMBRANE GLYCOPROTEINSR37HL042846 · NHLBI · SCRIPPS RESEARCH INSTITUTE, THE · PI RUGGERI, ZAVERIO M · 1999 to 2008
$4.1M
STRUCTURE &FUNCTION OF PLATELET MEMBRANE GLYCOPROTEINSR01HL042846 · NHLBI · SCRIPPS RESEARCH INSTITUTE, THE · PI RUGGERI, ZAVERIO M · 1989 to 2014
$2.4M
NHLBI NIH HHS HL31950NHLBI NIH HHS HL42846NHLBI NIH HHS HL78784
6 · The paper itself

Abstract

We describe here the mechanism of platelet adhesion to immobilized von Willebrand factor (VWF) and subsequent formation of platelet-derived microparticles mediated by glycoprotein Ibalpha (GPIbalpha) under high shear stress. As visualized in whole blood perfused in a flow chamber, platelet attachment to VWF involved one or few membrane areas of 0.05 to 0.1 microm(2) that formed discrete adhesion points (DAPs) capable of resisting force in excess of 160 pN. Under the influence of hydrodynamic drag, membrane tethers developed between the moving platelet body and DAPs firmly adherent to immobilized VWF. Continued stretching eventually caused the separation of many such tethers, leaving on the surface tube-shaped or spherical microparticles with a diameter as low as 50 to 100 nm. Adhesion receptors (GPIbalpha, alphaIIbbeta3) and phosphatidylserine were expressed on the surface of these microparticles, which were procoagulant. Shearing platelet-rich plasma at the rate of 10,000 s(-1) in a cone-and-plate viscosimeter increased microparticle counts up to 55-fold above baseline. Blocking the GPIb-VWF interaction abolished microparticle generation in both experimental conditions. Thus, a biomechanical process mediated by GPIbalpha-VWF bonds in rapidly flowing blood may not only initiate platelet arrest onto reactive vascular surfaces but also generate procoagulant microparticles that further enhance thrombus formation.

Indexed as

Blood PlateletsHemorheologyHumansIn Vitro TechniquesMicroscopy, ElectronPlatelet AdhesivenessPlatelet Glycoprotein GPIb-IX ComplexRecombinant ProteinsStress, Mechanicalvon Willebrand FactorPlatelet Glycoprotein GPIb-IX ComplexRecombinant Proteinsvon Willebrand Factor

Identifiers

PMID16449527
PMCPMC1895770
OpenAlexW1963549684

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.