Evidence map›Paper›PMID 20058209›Full record

ReviewInternational journal of hematology2010

Pathophysiology of thrombotic thrombocytopenic purpura.

Han-Mou Tsai

Abstract readReview
In one paragraph

Review in International journal of hematology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 2 pooled it
7.7field-weighted citation impact, top 2% 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

85 citing papers in PubMed, 2 syntheses or guidelines pooled it, 239 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Acquired platelet disorders.Frontiers in medicine · 2025
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Von Willebrand factor and the thrombophilia of severe COVID-19:Research and practice in thrombosis and haemostasis · 2023
    Article

25 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

1 author at 1 institution in 1 country.

Han-Mou TsaiSection of Thrombosis and Hemostasis, Division of Hematology and Oncology, H046, Pennsylvania State University, Milton S. Hershey College of Medicine, Pennsylvania State Cancer Institute, 500 University Drive, Hershey, PA 17033, USA. htsai@hmc.psu.edu
Penn State Milton S. Hershey Medical Center · US

Funding

VWF PROTEINASE DEFICIENCY IN TTP WITH OR WITHOUT HIVR01HL062136 · NHLBI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI TSAI, HAN-MOU · 1999 to 2008
$2.4M
NHLBI NIH HHS R01 HL062136NHLBI NIH HHS R01 HL62136
6 · The paper itself

Abstract

Thrombotic thrombocytopenic purpura (TTP) is a disorder with characteristic von Willebrand factor (VWF)-rich microthrombi affecting the arterioles and capillaries of multiple organs. The disorder frequently leads to early death unless the patients are treated with plasma exchange or infusion. Studies in the last decade have provided ample evidence to support that TTP is caused by deficiency of a plasma metalloprotease, ADAMTS13. When exposed to high shear stress in the microcirculation, VWF and platelets are prone to form aggregates. This propensity of VWF and platelet to form microvascular thrombosis is mitigated by ADAMTS13, which cleaves VWF before it is activated by shear stress to cause platelet aggregation in the circulation. Deficiency of ADAMTS13, due to autoimmune inhibitors in patients with acquired TTP and mutations of the ADAMTS13 gene in hereditary cases, leads to VWF-platelet aggregation and microvascular thrombosis of TTP. In this review, we discuss the current knowledge on the pathogenesis, diagnosis and management of TTP, address the ongoing controversies, and indicate the directions of future investigations.

Indexed as

ADAM ProteinsADAMTS13 ProteinHumansPlatelet AggregationPurpura, Thrombotic ThrombocytopenicStress, Mechanicalvon Willebrand FactorADAM ProteinsADAMTS13 ProteinADAMTS13 protein, humanvon Willebrand Factor

Identifiers

PMID20058209
PMCPMC3159000
OpenAlexW2071260560

What OpenQuestion holds

Textmetadata
LicenceTDM
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.