Evidence map›Paper›PMID 19966813›Full record

ArticleNature medicine2010

Platelets contribute to postnatal occlusion of the ductus arteriosus.

Katrin Echtler, Konstantin Stark, Michael Lorenz, Sandra Kerstan, Axel Walch, Luise Jennen, Martina Rudelius, Stefan Seidl, Elisabeth Kremmer, Nikla R Emambokus and 10 more

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Nature medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03022253 (Liberal Versus Restrictive Platelet Transfusion for Treatment of Hemodynamically Significant Patent Ductus Arteriosus in Thrombocytopenic Preterm Neonates- A Randomized Open Label, Controlled Trial), which is not on this map. Cited by 55 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT03022253 phase3completednot on this mapstarted 2016, after this paper: background citation

Liberal Versus Restrictive Platelet Transfusion for Treatment of Hemodynamically Significant Patent Ductus Arteriosus in Thrombocytopenic Preterm Neonates- A Randomized Open Label, Controlled Trial

TypeinterventionalSponsorPost Graduate Institute of Medical Education and Research, ChandigarhRan2016 to 2017Enrolled44ConditionsPatent Ductus ArteriosusArmsLiberal platelet transfusion, Restrictive platelet transfusion, Paracetamol, Ibuprofen
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  11. Mouse models of patent ductus arteriosus (PDA) and their relevance for human PDA.Developmental dynamics : an official publication of the American Association of Anatomists · 2022
    Review
  12. Article
  13. Article
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  15. Article
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  20. Leukocyte Trafficking and Hemostasis in the Mouse FetusFrontiers in cell and developmental biology · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Katrin EchtlerDeutsches Herzzentrum, Klinik für Herz- und Kreislauferkrankungen, Technische Universität, Munich, Germany.
Konstantin Stark
Michael Lorenz
Sandra Kerstan
Axel Walch
Luise Jennen
Martina Rudelius
Stefan Seidl
Elisabeth Kremmer
Nikla R Emambokus
Marie-Luise von Bruehl
Jon Frampton
Berend Isermann
Orsolya Genzel-Boroviczény
Christian Schreiber
Julinda Mehilli
Adnan Kastrati
Markus Schwaiger
Ramesh A Shivdasani
Steffen Massberg

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ductus arteriosus (DA) is a fetal shunt vessel between the pulmonary artery and the aorta that closes promptly after birth. Failure of postnatal DA closure is a major cause of morbidity and mortality particularly in preterm neonates. The events leading to DA closure are incompletely understood. Here we show that platelets have an essential role in DA closure. Using intravital microscopy of neonatal mice, we observed that platelets are recruited to the luminal aspect of the DA during closure. DA closure is impaired in neonates with malfunctioning platelet adhesion or aggregation or with defective platelet biogenesis. Defective DA closure resulted in a left-to-right shunt with increased pulmonary perfusion, pulmonary vascular remodeling and right ventricular hypertrophy. Our findings indicate that platelets are crucial for DA closure by promoting thrombotic sealing of the constricted DA and by supporting luminal remodeling. A retrospective clinical study revealed that thrombocytopenia is an independent predictor for failure of DA closure in preterm human newborns, indicating that platelets are likely to contribute to DA closure in humans.

Indexed as

AnimalsAnimals, NewbornAnti-Inflammatory Agents, Non-SteroidalBlood PlateletsDuctus ArteriosusDuctus Arteriosus, PatentHumansIndomethacinInfant, NewbornMicePlatelet AdhesivenessPlatelet AggregationPlatelet CountRisk FactorsAnti-Inflammatory Agents, Non-SteroidalIndomethacin

Identifiers

PMID19966813

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.