Evidence map›Paper›PMID 18437154›Full record

ArticleNature biotechnology2008

Oversulfated chondroitin sulfate is a contaminant in heparin associated with adverse clinical events.

Marco Guerrini, Daniela Beccati, Zachary Shriver, Annamaria Naggi, Karthik Viswanathan, Antonella Bisio, Ishan Capila, Jonathan C Lansing, Sara Guglieri, Blair Fraser and 13 more

Abstract read
In one paragraph

Article in Nature biotechnology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 180 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
180citing papers in PubMed, 1 pooled it
26.9field-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

180 citing papers in PubMed, 1 synthesis or guideline pooled it, 614 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Glycan Sequencing, A Brief Primer.Glycoscience & therapy · 2026
    Article
  4. Article
  5. Synthetic biology for heparin biomanufacturing.Bioresources and bioprocessing · 2026
    Review
  6. Glycosaminoglycans as Polyelectrolytes: Charge, Interactions, and Applications.Chembiochem : a European journal of chemical biology · 2025
    Review
  7. Bioactive Polysulfate-Based Nano-Assemblies Against Virus Infection.Small (Weinheim an der Bergstrasse, Germany) · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. The Road Toward Nanopore Sequencing of Glycosaminoglycans.Handbook of experimental pharmacology · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. [Advances in heparin structural analysis by chromatography technologies].Se pu = Chinese journal of chromatography · 2023
    Review
  19. Non-anticoagulant heparin derivatives for COVID-19 treatment.International journal of biological macromolecules · 2023
    Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 7 institutions in 2 countries.

Marco GuerriniIstituto di Ricerche Chimiche e Biochimiche G. Ronzoni, Città Studi, via Giuseppe, Colombo 81, 20133 Milan, Italy.
Daniela Beccati
Zachary Shriver
Annamaria Naggi
Karthik Viswanathan
Antonella Bisio
Ishan Capila
Jonathan C Lansing
Sara Guglieri
Blair Fraser
Ali Al-Hakim
Nur Sibel Gunay
Zhenqing Zhang
Luke Robinson
Lucinda Buhse
Moheb Nasr
Janet Woodcock
Robert Langer
Ganesh Venkataraman
Robert J Linhardt
Benito Casu
Giangiacomo Torri
Ram Sasisekharan
Istituto di Ricerche Chimiche e Biochimiche G. Ronzoni · ITMomenta Pharmaceuticals (United States) · USHarvard–MIT Division of Health Sciences and Technology · USUnited States Food and Drug Administration · USCenter for Drug Evaluation and Research · USRensselaer Polytechnic Institute · USMassachusetts Institute of Technology · US

Funding

Interdepartmental Biotechnology Training ProgramT32GM008334 · NIGMS · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI WITTRUP, KARL DANE · 1989 to 2018
$15.2M
Structure-Function Relationship of GlycosaminoglycansR37GM057073 · NIGMS · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI SASISEKHARAN, RAM · 2010 to 2019
$3.9M
Sequence Analysis of GlycosaminoglycansR01GM057073 · NIGMS · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI SASISEKHARAN, RAM · 1998 to 2010
$3.1M
SEQUENCING THE POLYSACCHARIDE COMPONENT OF PROTEOGLYCANSR01GM038060 · NIGMS · UNIVERSITY OF IOWA · PI LINHARDT, ROBERT J · 1988 to 2012
$2.8M
HEPARIN-PROTEIN/PEPTIDE INTERACTIONSR01HL052622 · NHLBI · UNIVERSITY OF IOWA · PI LINHARDT, ROBERT J · 1996 to 2003
$1.1M
NHLBI NIH HHS R01 HL052622NIGMS NIH HHS GM38060NIGMS NIH HHS GM57073NIGMS NIH HHS R01 GM038060NIGMS NIH HHS R01 GM057073NIGMS NIH HHS R37 GM057073NIGMS NIH HHS T32 GM008334
6 · The paper itself

Abstract

Recently, certain lots of heparin have been associated with an acute, rapid onset of serious side effects indicative of an allergic-type reaction. To identify potential causes for this sudden rise in side effects, we examined lots of heparin that correlated with adverse events using orthogonal high-resolution analytical techniques. Through detailed structural analysis, the contaminant was found to contain a disaccharide repeat unit of glucuronic acid linked beta1-->3 to a beta-N-acetylgalactosamine. The disaccharide unit has an unusual sulfation pattern and is sulfated at the 2-O and 3-O positions of the glucuronic acid as well as at the 4-O and 6-O positions of the galactosamine. Given the nature of this contaminant, traditional screening tests cannot differentiate between affected and unaffected lots. Our analysis suggests effective screening methods that can be used to determine whether or not heparin lots contain the contaminant reported here.

Indexed as

Drug-Related Side Effects and Adverse ReactionsChondroitin SulfatesDrug ContaminationDrug Evaluation, PreclinicalHeparinHumansChondroitin SulfatesHeparin

Identifiers

PMID18437154
PMCPMC3491566
OpenAlexW1984402172

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.