Evidence map›Paper›PMID 23723374›Full record

ArticleArteriosclerosis, thrombosis, and vascular biology2013

Elevated prothrombin promotes venous, but not arterial, thrombosis in mice.

Maria M Aleman, Bethany L Walton, James R Byrnes, Jian-Guo Wang, Matthew J Heisler, Kellie R Machlus, Brian C Cooley, Alisa S Wolberg

Open access · greenAbstract read
In one paragraph

Article in Arteriosclerosis, thrombosis, and vascular biology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.1field-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

25 citing papers in PubMed, 51 citations in OpenAlex.

  1. Hypoalbuminemia increases fibrin clot density and impairs fibrinolysis.Journal of thrombosis and haemostasis : JTH · 2026
    Article
  2. Article
  3. Observational
  4. Effects of Prothrombin on Podocytopathy and Proteinuria in Glomerular Disease.Journal of the American Society of Nephrology : JASN · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Visualizing thrombosis to improve thrombus resolution.Research and practice in thrombosis and haemostasis · 2021
    Article
  11. Article
  12. Model-dependent contributions of FXII and FXI to venous thrombosis in mice.Journal of thrombosis and haemostasis : JTH · 2020
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Fibrinogen and Fibrin in Hemostasis and Thrombosis.Arteriosclerosis, thrombosis, and vascular biology · 2017
    Review
  18. Review
  19. Article
  20. Assessment of Venous Thrombosis in Animal Models.Arteriosclerosis, thrombosis, and vascular biology · 2016
    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

8 authors at 1 institution in 1 country.

Maria M AlemanDepartment of Pathology and Laboratory Medicine, University of North Carolina at Chapel Hill, NC 27599-7525, USA.
Bethany L Walton
James R Byrnes
Jian-Guo Wang
Matthew J Heisler
Kellie R Machlus
Brian C Cooley
Alisa S Wolberg
University of North Carolina at Chapel Hill · US

Funding

Pre-doctoral Training Program in Integrative Vascular BiologyT32HL069768 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Christopher P. Mack · 2002 to 2026
$9.7M
Cellular Determinants of Fibrin Structure and StabilityR01HL094740 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WOLBERG, ALISA S. · 2009 to 2013
$1.6M
Effect of clot composition on thrombus resolutionF31HL112608 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ALEMAN, MARIA M. · 2012 to 2013
$48k
Howard Hughes Medical Institute #56005708NHLBI NIH HHS F31 HL112608NHLBI NIH HHS F31HL112608NHLBI NIH HHS R01 HL094740NHLBI NIH HHS R01HL094740NHLBI NIH HHS T32 HL069768NHLBI NIH HHS T32HL069768
6 · The paper itself

Abstract

objectiveIndividuals with elevated prothrombin, including those with the prothrombin G20210A mutation, have increased risk of venous thrombosis. Although these individuals do not have increased circulating prothrombotic biomarkers, their plasma demonstrates increased tissue factor-dependent thrombin generation in vitro. The objectives of this study were to determine the pathological role of elevated prothrombin in venous and arterial thrombosis in vivo, and distinguish thrombogenic mechanisms in these vessels. APPROACH AND

resultsProthrombin was infused into mice to raise circulating levels. Venous thrombosis was induced by electrolytic stimulus to the femoral vein or inferior vena cava ligation. Arterial thrombosis was induced by electrolytic stimulus or ferric chloride application to the carotid artery. Mice infused with prothrombin demonstrated increased tissue factor-triggered thrombin generation measured ex vivo, but did not have increased circulating prothrombotic biomarkers in the absence of vessel injury. After venous injury, elevated prothrombin increased thrombin generation and the fibrin accumulation rate and total amount of fibrin ≈ 3-fold, producing extended thrombi with increased mass. However, elevated prothrombin did not accelerate platelet accumulation, increase the fibrin accumulation rate, or shorten the vessel occlusion time after arterial injury.

conclusionsThese findings reconcile previously discordant findings on thrombin generation in hyperprothrombinemic individuals measured ex vivo and in vitro, and show elevated prothrombin promotes venous, but not arterial, thrombosis in vivo.

Indexed as

AnimalsBlood CoagulationBlood PlateletsCarotid ArteriesChloridesDisease Models, AnimalFemoral VeinFerric CompoundsFibrinHumansMiceNoxaeProthrombinRisk FactorsThrombophiliaVena Cava, InferiorChloridesferric chlorideFerric CompoundsFibrinNoxaeProthrombinarterialfibrinhyperprothrombinemiaplateletprothrombinthrombosisvenous

Identifiers

PMID23723374
PMCPMC3779620
OpenAlexW2111887931

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.