Evidence map›Paper›PMID 22109555›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2011

Unexpected role of anticoagulant protein C in controlling epithelial barrier integrity and intestinal inflammation.

Stefania Vetrano, Victoria A Ploplis, Emanuela Sala, Mayra Sandoval-Cooper, Deborah L Donahue, Carmen Correale, Vincenzo Arena, Antonino Spinelli, Alessandro Repici, Alberto Malesci and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
3.8field-weighted citation impact, top 7% 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

47 citing papers in PubMed, 85 citations in OpenAlex.

  1. Angiogenesis in Inflammatory Bowel Disease.Pharmaceuticals (Basel, Switzerland) · 2026
    Review
  2. Article
  3. Article
  4. Newly developed evaluation for intestinal permeability usingJournal of clinical biochemistry and nutrition · 2025
    Article
  5. Article
  6. Review
  7. Tissue factor-dependent colitogenic CD4Nature communications · 2025
    Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Dysregulated haemostasis in thrombo-inflammatory disease.Clinical science (London, England : 1979) · 2022
    Review
  16. Article
  17. Leaky Gut in IBD: Intestinal Barrier-Gut Microbiota Interaction.Journal of microbiology and biotechnology · 2022
    Review
  18. Article
  19. Article
  20. Review
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

12 authors at 4 institutions in 2 countries.

Stefania VetranoIBD Unit, Division of Gastroenterology, Istituto Clinico Humanitas IRCCS, Rozzano 20089 Milan, Italy.
Victoria A Ploplis
Emanuela Sala
Mayra Sandoval-Cooper
Deborah L Donahue
Carmen Correale
Vincenzo Arena
Antonino Spinelli
Alessandro Repici
Alberto Malesci
Francis J Castellino
Silvio Danese
IRCCS Humanitas Research Hospital · ITUniversity of Notre Dame · USFondazione Humanitas per la Ricerca · ITUniversità Cattolica del Sacro Cuore · IT

Funding

BLOOD COAGULATION PROTEIN-METAL ION-LIPID INTERACTIONSR01HL019982 · NHLBI · UNIVERSITY OF NOTRE DAME · PI CASTELLINO, FRANCIS J · 1985 to 2013
$4.9M
NHLBI NIH HHS HL019982NHLBI NIH HHS R01 HL019982
6 · The paper itself

Abstract

The protein C (PC) pathway is a well-characterized coagulation system. Endothelial PC receptors and thrombomodulin mediate the conversion of PC to its activated form, a potent anticoagulant and anti-inflammatory molecule. Here we show that the PC pathway is expressed on intestinal epithelial cells. The epithelial expression of PC and endothelial PC receptor is down-regulated In patients with inflammatory bowel disease. PC(-/-)/PC(Tg) mice, expressing only 3% of WT PC, developed spontaneous intestinal inflammation and were prone to severe experimental colitis. These mice also demonstrated spontaneous elevated production of inflammatory cytokines and increased intestinal permeability. Structural analysis of epithelial tight junction molecules revealed that lack of PC leads to decreased JAM-A and claudin-3 expression and an altered pattern of ZO-1 expression. In vitro, treatment of epithelial cells with activated PC led to protection of tight junction disruption induced by TNF-α, and in vivo, topical treatment with activated PC led to mucosal healing and amelioration of colitis. Taken together, these findings demonstrate that the PC pathway is a unique system involved in controlling intestinal homeostasis and inflammation by regulating epithelial barrier function.

Indexed as

AnimalsAnticoagulantsAntigens, CDCaco-2 CellsCells, CulturedColitisEndothelial Protein C ReceptorEpithelial CellsGene ExpressionHumansImmunohistochemistryInflammatory Bowel DiseasesInterleukin-6Interleukin-8Intestinal MucosaIntestinesAnticoagulantsAntigens, CDEndothelial Protein C ReceptorInterleukin-6Interleukin-8Membrane ProteinsPhosphoproteinsPROCR protein, humanProtein CReceptors, Cell SurfaceTJP1 protein, humanTjp1 protein, mouseZonula Occludens-1 Protein

Identifiers

PMID22109555
PMCPMC3241765
OpenAlexW2105917038

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.