Evidence map›Paper›PMID 26153520›Full record

ArticleBlood2015

The polyphosphate-factor XII pathway drives coagulation in prostate cancer-associated thrombosis.

Katrin F Nickel, Göran Ronquist, Florian Langer, Linda Labberton, Tobias A Fuchs, Carsten Bokemeyer, Guido Sauter, Markus Graefen, Nigel Mackman, Evi X Stavrou and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 1 pooled it
10.0field-weighted citation impact, top 1% 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

70 citing papers in PubMed, 1 synthesis or guideline pooled it, 145 citations in OpenAlex.

  1. Factor XII-A New Therapeutic Target? A Systematic Review.International journal of molecular sciences · 2026
    Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Inorganic Polyphosphate and Human Diseases.Progress in molecular and subcellular biology · 2026
    Review
  9. Factor XII-driven coagulation traps bacterial infections.The Journal of experimental medicine · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Inhibitors of Polyphosphate and Neutrophil Extracellular Traps.Seminars in thrombosis and hemostasis · 2024
    Review
  14. Inorganic Polyphosphate Is in the Surface ofPathogens (Basel, Switzerland) · 2024
    Article
  15. Review
  16. Review
  17. The pathogenesis of cancer-associated thrombosis.International journal of hematology · 2024
    Review
  18. Article
  19. Article
  20. Review

10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 3 countries.

Katrin F NickelInstitute of Clinical Chemistry and Laboratory Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Division of Clinical Chemistry, Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; Center of Molecular Medicine, Karolinska University Hospital, Stockholm, Sweden;
Göran RonquistClinical Chemistry, Department of Medical Sciences, Clinical Chemistry, University Hospital of Uppsala, Uppsala, Sweden;
Florian LangerClinical Department of Hematology and Oncology, Center for Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany;
Linda LabbertonDivision of Clinical Chemistry, Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; Center of Molecular Medicine, Karolinska University Hospital, Stockholm, Sweden;
Tobias A FuchsInstitute of Clinical Chemistry and Laboratory Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany;
Carsten BokemeyerClinical Department of Hematology and Oncology, Center for Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany;
Guido SauterInstitute for Pathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany;
Markus GraefenMartini-Clinic, Prostate Cancer Center, University Medical Center Hamburg-Eppendorf, Hamburg, Germany;
Nigel MackmanDivision of Hematology/Oncology, Department of Medicine, University of North Carolina, Chapel Hill, NC;
Evi X StavrouDivisions of Hematology and Oncology, Department of Medicine, Case Western Reserve University, Cleveland, OH; and Department of Medicine, Louis Stokes Veterans Administration Hospital, Cleveland, OH.
Gunnar RonquistClinical Chemistry, Department of Medical Sciences, Clinical Chemistry, University Hospital of Uppsala, Uppsala, Sweden;
Thomas RennéInstitute of Clinical Chemistry and Laboratory Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Division of Clinical Chemistry, Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; Center of Molecular Medicine, Karolinska University Hospital, Stockholm, Sweden;
University Medical Center Hamburg-Eppendorf · DEUniversität Hamburg · DEUppsala University Hospital · SECase Western Reserve University · USKarolinska Institutet · SEKarolinska University Hospital · SEUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer is a leading cause of thrombosis. We identify a new procoagulant mechanism that contributes to thromboembolism in prostate cancer and allows for safe anticoagulation therapy development. Prostate cancer-mediated procoagulant activity was reduced in plasma in the absence of factor XII or its substrate of the intrinsic coagulation pathway factor XI. Prostate cancer cells and secreted prostasomes expose long chain polyphosphate on their surface that colocalized with active factor XII and initiated coagulation in a factor XII-dependent manner. Polyphosphate content correlated with the procoagulant activity of prostasomes. Inherited deficiency in factor XI or XII or high-molecular-weight kininogen, but not plasma kallikrein, protected mice from prostasome-induced lethal pulmonary embolism. Targeting polyphosphate or factor XII conferred resistance to prostate cancer-driven thrombosis in mice, without increasing bleeding. Inhibition of factor XII with recombinant 3F7 antibody reduced the increased prostasome-mediated procoagulant activity in patient plasma. The data illustrate a critical role for polyphosphate/factor XII-triggered coagulation in prostate cancer-associated thrombosis with implications for anticoagulation without therapy-associated bleeding in malignancies.

Indexed as

AnimalsAntibodies, Monoclonal, HumanizedCell Line, TumorFactor XIIFactor XIIaFibrinHumansMaleMicePolyphosphatesProstatic NeoplasmsPulmonary EmbolismSecretory VesiclesThrombinThrombosisAntibodies, Monoclonal, HumanizedFactor XIIFactor XIIaFibrinPolyphosphatesThrombin

Identifiers

PMID26153520
PMCPMC4566812
OpenAlexW1816831867

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.