Evidence map›Paper›PMID 24119206›Full record

ArticleJournal of thrombosis and haemostasis : JTH2014

Activated protein C accelerates venous thrombus resolution through heme oxygenase-1 induction.

J Gabre, C Chabasse, C Cao, S Mukhopadhyay, S Siefert, Y Bi, S Netzel-Arnett, R Sarkar, L Zhang

Open access · greenAbstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Antithrombotic effects of heme-degrading and heme-binding proteins.American journal of physiology. Heart and circulatory physiology · 2020
    Article
  6. Article
  7. Review
  8. Evaluation of 3K3A-Activated Protein C to Treat Neonatal Hypoxic Ischemic Brain Injury in the Spiny Mouse.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2019
    Article
  9. Serpins in Venous Thrombosis and Venous Thrombus Resolution.Methods in molecular biology (Clifton, N.J.) · 2018
    Article
  10. Article
  11. Article
  12. Assessment of Venous Thrombosis in Animal Models.Arteriosclerosis, thrombosis, and vascular biology · 2016
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

J GabreCenter for Vascular and Inflammatory Diseases, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
C Chabasse
C Cao
S Mukhopadhyay
S Siefert
Y Bi
S Netzel-Arnett
R Sarkar
L Zhang
University of Maryland, Baltimore · US

Funding

tPA and LRP in StrokeP01HL054710 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI ZHANG, LI · 1996 to 2011
$17.3M
Fibrotic effects and regulation of MMP proteins in thrombus resolutionR01HL083917 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI SARKAR, RAJABRATA · 2006 to 2009
$1.7M
Integrin CD11b and its role in immune suppressionR21AI078365 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI ZHANG, LI · 2009 to 2010
$411k
NHLBI NIH HHS HL054710NHLBI NIH HHS HL083917NHLBI NIH HHS P01 HL054710NHLBI NIH HHS R01 HL083917NIAID NIH HHS AI078365NIAID NIH HHS R21 AI078365
6 · The paper itself

Abstract

backgroundThrombus resolution is a complex process that involves thrombosis, leukocyte-mediated thrombolysis, and the final resolution of inflammation. Activated protein C (APC) is an anticoagulant that also possesses immunoregulatory activities.

aimIn this study, we sought to examine the effects of APC administration on thrombus resolution using a mouse model of deep vein thrombosis by ligating the inferior vena cava (IVC).

methodsThe IVCs of C57BL/6 mice were ligated. Beginning on day 4 post IVC ligation, mice were injected intraperitoneally daily with APC, APC plus an heme oxygenase-1 (HO-1) inhibitor Sn-protoporphyrin IX (SnPP), SnPP alone, or vehicle control. At different time points following surgery, the thrombus-containing IVCs were weighed and then analyzed by use of biochemical assays and histology.

resultsVenous thrombi reached maximum size on day 4 post ligation. The APC-treated group exhibited a significant reduction in thrombus weights on day 12 but not on day 7 compared with control mice. The enhanced thrombus resolution in APC-treated mice correlated with an increased HO-1 expression and a reduced interleukin-6 production. No significant difference was found in urokinase-type plasminogen activator, plasminogen activator inhibitor-1, or matrix metalloproteinase-2 and -9 between APC-treated and control mice. Coinjection of the HO-1 inhibitor SnPP abolished the ability of APC to enhance thrombus resolution.

conclusionsOur data show that APC enhances the resolution of existing venous thrombi via a mechanism that is in part dependent on HO-1, suggesting that APC could be used as a potential treatment for patients with deep vein thrombosis to accelerate thrombus resolution.

Indexed as

AnimalsBase SequenceDNA PrimersEnzyme InductionEnzyme-Linked Immunosorbent AssayHeme Oxygenase-1MiceMice, Inbred C57BLProtein CReal-Time Polymerase Chain ReactionVenous ThrombosisDNA PrimersHeme Oxygenase-1Protein Cheme oxygenase-1inflammationprotein Cthrombolytic therapyvenous thrombosis

Identifiers

PMID24119206
PMCPMC3891561
OpenAlexW2067100631

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.