Evidence map›Paper›PMID 20676107›Full record

ArticleNature medicine2010

Reciprocal coupling of coagulation and innate immunity via neutrophil serine proteases.

Steffen Massberg, Lenka Grahl, Marie-Luise von Bruehl, Davit Manukyan, Susanne Pfeiler, Christian Goosmann, Volker Brinkmann, Michael Lorenz, Kiril Bidzhekov, Avinash B Khandagale and 9 more

Abstract 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. Cited by 646 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
646citing papers in PubMed, 4 pooled it
28.8field-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

646 citing papers in PubMed, 4 syntheses or guidelines pooled it, 1,184 citations in OpenAlex.

  1. Pooled it
  2. Neutrophil Extracellular Traps in Viral Infections.Pathogens (Basel, Switzerland) · 2025
    Pooled it
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  11. Haemorrhage, hypercoagulability and ischaemia: Evolution of brain injury after aneurysmal subarachnoid haemorrhage.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Review
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  18. Antithrombotic therapy for cancer-associated venous thromboembolism.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Review
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  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 4 institutions in 1 country.

Steffen MassbergDeutsches Herzzentrum, Technische Universität, Munich, Germany.
Lenka Grahl
Marie-Luise von Bruehl
Davit Manukyan
Susanne Pfeiler
Christian Goosmann
Volker Brinkmann
Michael Lorenz
Kiril Bidzhekov
Avinash B Khandagale
Ildiko Konrad
Elisabeth Kennerknecht
Katja Reges
Stefan Holdenrieder
Siegmund Braun
Christoph Reinhardt
Michael Spannagl
Klaus T Preissner
Bernd Engelmann
Ludwig-Maximilians-Universität München · DEDeutsches Herzzentrum der Charité · DEMax Planck Institute for Infection Biology · DEUniversity of Giessen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Blood neutrophils provide the first line of defense against pathogens but have also been implicated in thrombotic processes. This dual function of neutrophils could reflect an evolutionarily conserved association between blood coagulation and antimicrobial defense, although the molecular determinants and in vivo significance of this association remain unclear. Here we show that major microbicidal effectors of neutrophils, the serine proteases neutrophil elastase and cathepsin G, together with externalized nucleosomes, promote coagulation and intravascular thrombus growth in vivo. The serine proteases and extracellular nucleosomes enhance tissue factor- and factor XII-dependent coagulation in a process involving local proteolysis of the coagulation suppressor tissue factor pathway inhibitor. During systemic infection, activation of coagulation fosters compartmentalization of bacteria in liver microvessels and reduces bacterial invasion into tissue. In the absence of a pathogen challenge, neutrophil-derived serine proteases and nucleosomes can contribute to large-vessel thrombosis, the main trigger of myocardial infarction and stroke. The ability of coagulation to suppress pathogen dissemination indicates that microvessel thrombosis represents a physiological tool of host defense.

Indexed as

AnimalsBlood CoagulationBlood Coagulation FactorsCathepsin GFibrinImmunity, InnateLeukocyte ElastaseLipoproteinsMiceMice, KnockoutModels, BiologicalMyocardial InfarctionNeutrophilsNucleosomesProtein Processing, Post-TranslationalSerine ProteasesBlood Coagulation FactorsCathepsin GFibrinLeukocyte Elastaseleukocyte procoagulant activitylipoprotein-associated coagulation inhibitorLipoproteinsNucleosomesSerine Proteases

Identifiers

PMID20676107
OpenAlexW2064693934

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.