Evidence map›Paper›PMID 22442348›Full record

ArticleBlood2012

Inhibition of factor XI activation attenuates inflammation and coagulopathy while improving the survival of mouse polymicrobial sepsis.

Erik I Tucker, Norah G Verbout, Philberta Y Leung, Sawan Hurst, Owen J T McCarty, David Gailani, András Gruber

Open access · bronzeAbstract readComparative StudyEvaluation Study
In one paragraph

Article in Blood, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

64 citing papers in PubMed, 102 citations in OpenAlex.

  1. Trial
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  9. Factor XII-driven coagulation traps bacterial infections.The Journal of experimental medicine · 2025
    Article
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  20. Triazol-1-yl Benzamides Promote Anticoagulant ActivityCardiovascular & hematological agents in medicinal chemistry · 2023
    Article

4 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

7 authors at 3 institutions in 1 country.

Erik I TuckerDepartment of Biomedical Engineering, Oregon Health & Science University School of Medicine, 3303 SW Bond Ave., Portland, OR 97239, USA. tuckeeri@ohsu.edu
Norah G Verbout
Philberta Y Leung
Sawan Hurst
Owen J T McCarty
David Gailani
András Gruber
Aronora (United States) · USOregon Health & Science University · USVanderbilt University · US

Funding

Characterization of Coagulation Factor-platelet Interactions: Role of FXIR01HL101972 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Owen J McCarty · 2010 to 2026
$8.5M
Factor XI inhibitor for thrombosisR44HL106919 · NHLBI · ARONORA, INC. · PI LORENTZ, CHRISTINA U, TUCKER, ERIK IAN · 2012 to 2019
$5.0M
Factor Xl in Vascular ThrombosisR01HL081326 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GAILANI, DAVID · 2007 to 2017
$3.5M
Therapeutic factor XI blockade for sepsisR44AI088937 · NIAID · ARONORA, INC. · PI GRUBER, ANDRAS, TUCKER, ERIK IAN · 2012 to 2014
$3.0M
Factor XI inhibitor for thrombosisR43HL106919 · NHLBI · ARONORA, INC. · PI TUCKER, ERIK IAN · 2011 to 2011
$310k
Therapeutic factor XI blockade for sepsisR43AI088937 · NIAID · ARONORA, INC. · PI GRUBER, ANDRAS, TUCKER, ERIK IAN · 2010 to 2010
$297k
NHLBI NIH HHS R01 HL081326NHLBI NIH HHS R01 HL101972NHLBI NIH HHS R43 HL106919NHLBI NIH HHS R44 HL106919NIAID NIH HHS R43 AI088937NIAID NIH HHS R44 AI088937
6 · The paper itself

Abstract

Severe bacterial sepsis often leads to a systemic procoagulant and proinflammatory condition that can manifest as disseminated intravascular coagulation, septic shock, and multiple organ failure. Because activation of the contact proteases factor XII (FXII), prekallikrein, and factor XI (FXI) can trigger coagulation and inflammatory responses, the contact factors have been considered potential targets for the treatment of sepsis. However, the pathogenic role of contact activation in severe infections has not been well defined. We therefore investigated whether an anticoagulant antibody (14E11) that selectively inhibits prothrombotic FXI activation by activated FXII (FXIIa) modifies the course of bowel perforation-induced peritoneal sepsis in mice. Early anticoagulation with 14E11 suppressed systemic thrombin- antithrombin complex formation, IL-6, and TNF-α levels, and reduced platelet consumption in the circulation and deposition in the blood vessels. Treatment with 14E11 within 12 hours after bowel perforation significantly improved survival compared with vehicle treatment, and the saturating dose did not increase tail bleeding. These data suggest that severe polymicrobial abdominal infection induces prothrombotic FXI activation, to the detriment of the host. Systemic anticoagulation by inhibiting FXI activation or FXIIa procoagulant activity during sepsis may therefore limit the development of disseminated intravascular coagulation without increasing bleeding risks.

Indexed as

AnimalsAntibodies, MonoclonalAnticoagulantsBlood Coagulation DisordersCoinfectionDown-RegulationFactor XIaImmunotherapyInflammationMaleMiceMice, Inbred C57BLProtein CSepsisSurvival AnalysisAntibodies, MonoclonalAnticoagulantsFactor XIaProtein C

Identifiers

PMID22442348
PMCPMC3367876
OpenAlexW1984763915

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.