Evidence map›Paper›PMID 26511074›Full record

ArticleBritish journal of haematology2015

Coagulation activation in sickle cell trait: an exploratory study.

Chirag Amin, Soheir Adam, Micah J Mooberry, Abdullah Kutlar, Ferdane Kutlar, Denise Esserman, Julia E Brittain, Kenneth I Ataga, Jen-Yea Chang, Alisa S Wolberg and 1 more

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in British journal of haematology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Computational Modeling of Pro-inflammatory Cytokine-Enhanced Blood Coagulation.Computational and structural biotechnology journal · 2026
    Article
  6. When sickle cell trait is not just trait: risk of VTE.Hematology. American Society of Hematology. Education Program · 2025
    Review
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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

11 authors at 4 institutions in 1 country.

Chirag AminDepartment of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Soheir AdamDepartment of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Micah J MooberryDepartment of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Abdullah KutlarDepartment of Medicine, Georgia Regents University, Augusta, GA, USA.
Ferdane KutlarDepartment of Medicine, Georgia Regents University, Augusta, GA, USA.
Denise EssermanDepartment of Biostatistics, School of Public Health, Yale University, New Haven, CT, USA.
Julia E BrittainDepartment of Cell Biology and Anatomy, Georgia Regents University, Augusta, GA, USA.
Kenneth I AtagaDepartment of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Jen-Yea ChangDepartment of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Alisa S WolbergDepartment of Pathology and Laboratory Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Nigel S KeyDepartment of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
University of North Carolina at Chapel Hill · USGeorgia Regents Medical Center · USAugusta University · USYale University · US

Funding

Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
UNC Clinical and Translational Science AwardUL1TR000083 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2012 to 2013
$11.6M
Research Training in Hematology at UNC Chapel HillT32HL007149 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Nigel S. Key · 1985 to 2026
$8.6M
Targeted Anticoagulant Therapy for Sickle Cell DiseaseU01HL117659 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KEY, NIGEL S., MACKMAN, NIGEL · 2013 to 2017
$7.6M
Duke-UNC Clinical Hematology Research Career Development ProgramK12HL087097 · NHLBI · DUKE UNIVERSITY · PI TELEN, MARILYN J · 2006 to 2016
$4.0M
Cellular Determinants of Fibrin Structure and StabilityR01HL094740 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WOLBERG, ALISA S. · 2009 to 2013
$1.6M
Red Blood Cell Pathology in Hemodialysis PatientsR01DK093734 · NIDDK · AUGUSTA UNIVERSITY · PI BRITTAIN, JULIA · 2012 to 2016
$1.6M
NCATS NIH HHS UL1 TR000083NCATS NIH HHS UL1TR000083NCATS NIH HHS UL1 TR000142NCATS NIH HHS UL1TR000142NHLBI NIH HHS K12 HL087097NHLBI NIH HHS K12HL087097NHLBI NIH HHS R01 HL094740NHLBI NIH HHS T32 HL007149NHLBI NIH HHS T32HL007149NHLBI NIH HHS U01 HL117659NHLBI NIH HHS UO1HL117659NIDDK NIH HHS R01 DK093734
6 · The paper itself

Abstract

Recent epidemiologic data suggest that sickle cell trait (HbAS; AS) is a risk factor for venous thromboembolism. We conducted an exploratory study of healthy subjects with AS under baseline conditions to determine whether a chronic basal hyperactivation of coagulation exists, and if so, what mechanism(s) contribute to this state. Eighteen healthy AS individuals were compared to 22 African-American controls with a normal haemoglobin profile (HbAA; AA) and 17 patients with sickle cell disease (HbSS; SS). Plasma thrombin-antithrombin complexes and D-dimer levels were elevated in AS relative to AA patients (P = 0·0385 and P = 0·017, respectively), and as expected, were much higher in SSversusAA (P < 0·0001 for both). Thrombin generation in platelet poor plasma was indistinguishable between AA and AS subjects, whereas a paradoxical decrease in endogenous thrombin potential was observed in SS (P ≤ 0·0001). Whole blood tissue factor was elevated in SS compared to AA (P = 0·005), but did not differ between AA and AS. Plasma microparticle tissue factor activity was non-significantly elevated in AS (P = 0·051), but was clearly elevated in SS patients (P = 0·004) when compared to AA controls. Further studies in larger cohorts of subjects with sickle cell trait are needed to confirm the results of this preliminary investigation.

Indexed as

AdultAnemia, Sickle CellAntithrombin IIIBlack or African AmericanCase-Control StudiesCell-Derived MicroparticlesCytokinesFemaleFibrinFibrin Fibrinogen Degradation ProductsHumansInflammation MediatorsMaleMiddle AgedPeptide HydrolasesPlasmaAntithrombin IIIantithrombin III-protease complexCytokinesFibrinFibrin Fibrinogen Degradation Productsfibrin fragment DInflammation MediatorsPeptide HydrolasesThrombinThromboplastincoagulationsicklethrombintissue factorvenous thrombosis

Identifiers

PMID26511074
PMCPMC4782194
OpenAlexW2131608724

What OpenQuestion holds

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Registered trials

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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.