Evidence map›Paper›PMID 25856160›Full record

Trial reportPlatelets2016

Longitudinal effects of menopausal hormone treatments on platelet characteristics and cell-derived microvesicles.

Virginia M Miller, Brian D Lahr, Kent R Bailey, John A Heit, S Mitchell Harman, Muthuvel Jayachandran

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Platelets, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Differential effects of hormone therapy on serotonin, vascular function and mood in the KEEPS.Climacteric : the journal of the International Menopause Society · 2016
    Trial
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Effects of Estrogens on Platelets and Megakaryocytes.International journal of molecular sciences · 2019
    Review
  12. Article
  13. Cerebrovascular reactivity after cessation of menopausal hormone treatment.Climacteric : the journal of the International Menopause Society · 2019
    Article
  14. Review
  15. Pregnancy history, coronary artery calcification and bone mineral density in menopausal women.Climacteric : the journal of the International Menopause Society · 2018
    Article
  16. Article
  17. Article
  18. Review
  19. Article
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

6 authors at 4 institutions in 1 country.

Virginia M Millera Department of Surgery , College of Medicine, Mayo Clinic , Rochester , MN , USA .
Brian D Lahrc Division of Biomedical Statistics and Informatics , Mayo Clinic , Rochester , MN , USA .
Kent R Baileyc Division of Biomedical Statistics and Informatics , Mayo Clinic , Rochester , MN , USA .
John A Heite Division of Cardiovascular Diseases , Internal Medicine, Mayo Clinic , Rochester , MN , USA , and.
S Mitchell Harmanf Kronos Longevity Research Institute and Phoenix VA Health Care System , Phoenix , AZ , USA.
Muthuvel Jayachandranb Department of Physiology & Biomedical Engineering , Mayo Clinic , Rochester , MN , USA .
Mayo Clinic · USMayo Clinic in Arizona · USKronos Longevity Research Institute · USMayo Clinic in Florida · US

Funding

Sex-specific Risk for Vascular Dysfunction and Cognitive DeclineP50AG044170 · NIA · MAYO CLINIC ROCHESTER · PI MILLER, VIRGINIA M · 2012 to 2017
$6.1M
Estrogen, Platelets, and ArtherosclerosisR01HL090639 · NHLBI · MAYO CLINIC ROCHESTER · PI BAILEY, KENT R, MILLER, VIRGINIA M · 2008 to 2012
$1.9M
NCATS NIH HHS UL1TR00013NHLBI NIH HHS NIH HL90639NHLBI NIH HHS R01 HL090639NIA NIH HHS AG44170NIA NIH HHS P50 AG044170
6 · The paper itself

Abstract

Activated platelets serve as a catalyst for thrombin generation and a source of vasoactive and mitogenic factors affecting vascular remodeling. Oral menopausal hormone treatments (MHT) may carry greater thrombotic risk than transdermal products. This study compared effects of oral and transdermal MHT on platelet characteristics, platelet proteins, and platelet-derived microvesicles (MV) in recently menopausal women. Platelets and MV were prepared from blood of a subset of women (n = 117) enrolled in the Kronos Early Estrogen Prevention Study prior to and after 48 months of treatment with either oral conjugated equine estrogen (0.45 mg/day), transdermal 17β-estradiol (50 µg/day), each with intermittent progesterone (200 mg/day for 12 days a month), or placebo pills and patch. Platelet count and expression of platelet P-selectin and fibrinogen receptors were similar across groups. An aggregate measure of 4-year change in vasoactive and mitogenic factors in platelet lysate, by principle component analysis, indicated significantly lower values in both MHT groups compared to placebo. Increases in numbers of tissue factor positive and platelet-derived MV were significantly greater in the transdermal compared to placebo group. MHT was associated with significantly reduced platelet content of vasoactive and mitogenic factors representing a potential mechanism by which MHT may affect vascular remodeling. Various hormonal compositions and doses of MHT could differentially regulate nuclear transcription in bone marrow megakaryocytes and non-genomic pathways in circulating platelets thus determining numbers and characteristics of circulating MV. Thrombotic risk associated with oral MHT most likely involves liver-derived inflammatory/coagulation proteins rather than circulating platelets per se.

Indexed as

AdultBlood PlateletsCell-Derived MicroparticlesEstradiolEstrogens, Conjugated (USP)FemaleHormone Replacement TherapyHumansLongitudinal StudiesMenopauseMiddle AgedPlatelet AggregationProgesteroneRisk FactorsEstradiolEstrogens, Conjugated (USP)ProgesteroneEstrogenmicroparticlesplatelet aggregationplatelet-derived factorthrombosis

Identifiers

PMID25856160
PMCPMC4732432
OpenAlexW2030643826

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.