Evidence map›Paper›PMID 26996437›Full record

ArticleNature communications2016

Coagulation induced by C3aR-dependent NETosis drives protumorigenic neutrophils during small intestinal tumorigenesis.

Silvia Guglietta, Andrea Chiavelli, Elena Zagato, Carsten Krieg, Sara Gandini, Paola Simona Ravenda, Barbara Bazolli, Bao Lu, Giuseppe Penna, Maria Rescigno

Abstract read
In one paragraph

Article in Nature communications, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 164 papers.

0numbers the graph read from it
0cells of the map it votes in
164citing papers in PubMed
–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.

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

164 citing papers in PubMed.

  1. Trial
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  7. Complement system in tumor growth and metastases.British journal of cancer · 2026
    Review
  8. Review
  9. The complement system in intestinal inflammation and cancer.The Journal of clinical investigation · 2025
    Review
  10. Review
  11. Review
  12. Progress in the mechanistic understanding of NETs formation in cancer.Medical oncology (Northwood, London, England) · 2025
    Review
  13. Review
  14. Target neutrophil heterogeneity and plasticity in cancer.Journal of hematology & oncology · 2025
    Review
  15. Review
  16. Disseminated intravascular coagulation.Journal of intensive care · 2025
    Review
  17. Article
  18. Review
  19. Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Silvia GugliettaDepartment of Experimental Oncology, European Institute of Oncology, Via adamello, 16, I-20139 Milan, Italy.
Andrea ChiavelliDepartment of Experimental Oncology, European Institute of Oncology, Via adamello, 16, I-20139 Milan, Italy.
Elena ZagatoDepartment of Experimental Oncology, European Institute of Oncology, Via adamello, 16, I-20139 Milan, Italy.
Carsten KriegInstitute of Experimental Immunology, University of Zurich, CH-8057 Zurich, Switzerland.
Sara GandiniDivision of Epidemiology and Biostatistic, European Institute of Oncology, I-20141 Milan, Italy.
Paola Simona RavendaGastrointestinal and Neuroendocrine Tumor Unit, European Institute of Oncology, I-20141 Milan, Italy.
Barbara BazolliDivision of Epidemiology and Biostatistic, European Institute of Oncology, I-20141 Milan, Italy.
Bao LuChildrens' Hospital, Harvard Medical School, Boston, Massachussetts 02115, USA.
Giuseppe PennaDepartment of Experimental Oncology, European Institute of Oncology, Via adamello, 16, I-20139 Milan, Italy.
Maria RescignoDepartment of Experimental Oncology, European Institute of Oncology, Via adamello, 16, I-20139 Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Excessive activation of blood coagulation and neutrophil accumulation have been described in several human cancers. However, whether hypercoagulation and neutrophilia are linked and involved in cancer development is currently unknown. Here we show that spontaneous intestinal tumorigenesis correlates with the accumulation of low-density neutrophils with a pro-tumorigenic N2 phenotype and unprompted neutrophil extracellular traps (NET) formation. We find that increased circulating lipopolysaccharide induces upregulation of complement C3a receptor on neutrophils and activation of the complement cascade. This leads to NETosis, induction of coagulation and N2 polarization, which prompts tumorigenesis, showing a novel link between coagulation, neutrophilia and complement activation. Finally, in a cohort of patients with small but not large intestinal cancer, we find a correlation between neutrophilia and hypercoagulation. This study provides a mechanistic explanation for the tumour-promoting effects of hypercoagulation, which could be used as a new biomarker or as a therapeutic target.

Indexed as

Blood CoagulationAdenomatous Polyposis ColiAdultAgedAged, 80 and overAnimalsCarcinogenesisComplement ActivationComplement Pathway, AlternativeDisease ProgressionExtracellular TrapsHematopoiesisHemostasisHeparin, Low-Molecular-WeightHumansIntestinal Neoplasmscomplement C3a receptorHeparin, Low-Molecular-WeightReceptors, Complement

Identifiers

PMID26996437
PMCPMC4802169

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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.