Evidence map›Paper›PMID 23659638›Full record

ArticleJournal of thrombosis and haemostasis : JTH2013

Factor XII promotes blood coagulation independent of factor XI in the presence of long-chain polyphosphates.

C Puy, E I Tucker, Z C Wong, D Gailani, S A Smith, S H Choi, J H Morrissey, A Gruber, O J T McCarty

Abstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2013. 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
–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.

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.

  1. Inorganic polyphosphate chelates CaBiochemistry and biophysics reports · 2026
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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

9 authors.

C PuyDepartment of Biomedical Engineering, Oregon Health & Science University, Portland, OR, USA. puygarci@ohsu.edu
E I Tucker
Z C Wong
D Gailani
S A Smith
S H Choi
J H Morrissey
A Gruber
O J T McCarty

Funding

Oregon Clinical and Translational Research InstituteUL1TR000128 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI ELLISON, DAVID H · 2012 to 2015
$28.7M
Characterization of Coagulation Factor-platelet Interactions: Role of FXIR01HL101972 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Owen J McCarty · 2010 to 2026
$8.5M
Physiology and Molecular Biology of Factor XIR01HL058837 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GAILANI, DAVID · 1997 to 2017
$6.4M
Factor XI inhibitor for thrombosisR44HL106919 · NHLBI · ARONORA, INC. · PI LORENTZ, CHRISTINA U, TUCKER, ERIK IAN · 2012 to 2019
$5.0M
MECHANISMS OF TISSUE FACTOR/FACTOR VII ASSEMBLYR01HL047014 · NHLBI · UNIVERSITY OF ILLINOIS URBANA-CHAMPAIGN · PI MORRISSEY, JAMES H. · 1992 to 2016
$4.9M
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
The role of polyphosphates in blood coagulation and inflammationF30HL107089 · NHLBI · UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN · PI CHOI, SHARON HYONJU · 2011 to 2015
$237k
NCATS NIH HHS UL1 TR000128NHLBI NIH HHS F30 HL107089NHLBI NIH HHS R01 HL047014NHLBI NIH HHS R01 HL058837NHLBI NIH HHS R01 HL081326NHLBI NIH HHS R01 HL101972NHLBI NIH HHS R01HL101972NHLBI NIH HHS R01 HL47014NHLBI NIH HHS R44 HL106919NHLBI NIH HHS R44HL106919NIAID NIH HHS R44 AI088937NIAID NIH HHS R44AI088937
6 · The paper itself

Abstract

backgroundInorganic polyphosphates (polyP), which are secreted by activated platelets (short-chain polyP) and accumulate in some bacteria (long-chain polyP), support the contact activation of factor XII (FXII) and accelerate the activation of FXI.

objectivesThe aim of the present study was to evaluate the role of FXI in polyP-mediated coagulation activation and experimental thrombus formation. METHODS AND

resultsPretreatment of plasma with antibodies that selectively inhibit FXI activation by activated FXII (FXIIa) or FIX) activation by activated FXI (FXIa) were not able to inhibit the procoagulant effect of long or short-chain polyP in plasma. In contrast, the FXIIa inhibitor, corn trypsin inhibitor, blocked the procoagulant effect of long and short polyP in plasma. In a purified system, long polyP significantly enhanced the rate of FXII and prekallikrein activation and the activation of FXI by thrombin but not by FXIIa. In FXI-deficient plasma, long polyP promoted clotting of plasma in an FIX-dependent manner. In a purified system, the activation of FXII and prekallikrein by long polyP promoted FIX activation and prothombin activation. In an ex vivo model of occlusive thrombus formation, inhibition of FXIIa with corn trypsin inhibitor but not of FXI with a neutralizing antibodies abolished the prothrombotic effect of long polyP.

conclusionsWe propose that long polyP promotes FXII-mediated blood coagulation bypassing FXI. Accordingly, some polyp-containing pathogens may have evolved strategies to exploit polyP-initiated FXII activation for virulence, and selective inhibition of FXII may improve the host response to pathogens.

Indexed as

Blood CoagulationAnimalsAntibodies, NeutralizingFactor XIFactor XIaFactor XI DeficiencyFactor XIIFactor XIIaHumansPlant ProteinsPolyphosphatesProthrombinThrombinThrombosisTime FactorsAntibodies, NeutralizingFactor XIFactor XIaFactor XIIFactor XIIaPlant ProteinsPolyphosphatesProthrombinThrombintrypsin inhibitor, Zea maysfactor XIfactor XIIpolyphosphatethrombin generationthrombosis

Identifiers

PMID23659638
PMCPMC3714337

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Registered trials

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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.