Evidence map›Paper›PMID 23995229›Full record

ArticleCell death and differentiation2013

Mechanisms of haptoglobin protection against hemoglobin peroxidation triggered endothelial damage.

C A Schaer, J W Deuel, A G Bittermann, I G Rubio, G Schoedon, D R Spahn, R A Wepf, F Vallelian, D J Schaer

Registry-linked trialAbstract read
In one paragraph

Article in Cell death and differentiation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03948737 (The Effect of Alpha-tocopherol in Hemolysis and Oxidative Stress Marker on the Red Cell), which is not on this map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
–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.

NCT03948737 nacompletednot on this mapstarted 2016, after this paper: background citation

The Effect of Alpha-tocopherol in Hemolysis and Oxidative Stress Marker on the Red Cell

TypeinterventionalSponsorIndonesia UniversityRan2016 to 2017Enrolled40ConditionsBeta Thalassemia Major Anemia, Hemolysis, Oxidative StressArmsAlpha-Tocopherol, Placebo oral tablet
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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 A SchaerInstitute of Anesthesiology, University Hospital, Zurich, Switzerland.ORCID 0000000161140750
J W Deuel
A G Bittermann
I G Rubio
G Schoedon
D R Spahn
R A Wepf
F Vallelian
D J Schaer

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extracellular hemoglobin (Hb) has been recognized as a disease trigger in hemolytic conditions such as sickle cell disease, malaria, and blood transfusion. In vivo, many of the adverse effects of free Hb can be attenuated by the Hb scavenger acute-phase protein haptoglobin (Hp). The primary physiologic disturbances that can be caused by free Hb are found within the cardiovascular system and Hb-triggered oxidative toxicity toward the endothelium has been promoted as a potential mechanism. The molecular mechanisms of this toxicity as well as of the protective activities of Hp are not yet clear. Within this study, we systematically investigated the structural, biochemical, and cell biologic nature of Hb toxicity in an endothelial cell system under peroxidative stress. We identified two principal mechanisms of oxidative Hb toxicity that are mediated by globin degradation products and by modified lipoprotein species, respectively. The two damage pathways trigger diverse and discriminative inflammatory and cytotoxic responses. Hp provides structural stabilization of Hb and shields Hb's oxidative reactions with lipoproteins, providing dramatic protection against both pathways of toxicity. By these mechanisms, Hp shifts Hb's destructive pseudo-peroxidative reaction to a potential anti-oxidative function during peroxidative stress.

Indexed as

Cells, CulturedEndothelial CellsGene ExpressionHaptoglobinsHemoglobinsHumansLipid PeroxidationLipoproteins, LDLOxidation-ReductionHaptoglobinsHemoglobinsLipoproteins, LDL

Identifiers

PMID23995229
PMCPMC3792434

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Registered trials

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.