Evidence map›Paper›PMID 27043916›Full record

ArticleAnnals of neurology2016

Targeting coagulation factor XII as a novel therapeutic option in brain trauma.

Sarah Hopp, Christiane Albert-Weissenberger, Stine Mencl, Michael Bieber, Michael K Schuhmann, Christian Stetter, Bernhard Nieswandt, Peter M Schmidt, Camelia-Maria Monoranu, Irina Alafuzoff and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Annals of neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Factor XII-A New Therapeutic Target? A Systematic Review.International journal of molecular sciences · 2026
    Pooled it
  2. Review
  3. Review
  4. Review
  5. Review
  6. Triazol-1-yl Benzamides Promote Anticoagulant ActivityCardiovascular & hematological agents in medicinal chemistry · 2023
    Article
  7. Review
  8. Neuroprotective Strategies in Aneurysmal Subarachnoid Hemorrhage (aSAH).International journal of molecular sciences · 2021
    Review
  9. Article
  10. Article
  11. Review
  12. Hemorrhage Associated Mechanisms of Neuroinflammation in Experimental Traumatic Brain Injury.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2020
    Article
  13. Article
  14. Review
  15. Article
  16. Article
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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

14 authors at 5 institutions in 3 countries.

Sarah HoppDepartment of Neurology, University Hospital of Würzburg, Würzburg, Germany.
Christiane Albert-WeissenbergerDepartment of Neurology, University Hospital of Würzburg, Würzburg, Germany.
Stine MenclDepartment of Neurology, University Hospital of Würzburg, Würzburg, Germany.
Michael BieberDepartment of Neurology, University Hospital of Würzburg, Würzburg, Germany.
Michael K SchuhmannDepartment of Neurology, University Hospital of Würzburg, Würzburg, Germany.
Christian StetterDepartment of Neurosurgery, University Hospital of Würzburg, Würzburg, Germany.
Bernhard NieswandtRudolf Virchow Center, German Research Society Research Center for Experimental Biomedicine, Julius Maximilian University, Würzburg, Germany.
Peter M SchmidtCSL Limited, Bio21 Molecular Science and Biotechnology Institute, Parkville, Victoria, Australia.
Camelia-Maria MonoranuInstitute of Pathology, Department of Neuropathology, Comprehensive Cancer Center Mainfranken, Julius Maximilian University, Würzburg, Germany.
Irina AlafuzoffDepartment of Immunology, Uppsala University, Uppsala, Sweden.
Niklas MarklundDepartment of Neuroscience, Neurosurgery, Uppsala University, Uppsala, Sweden.
Marc W NolteCSL Behring, Marburg, Germany.
Anna-Leena SirénDepartment of Neurosurgery, University Hospital of Würzburg, Würzburg, Germany.
Christoph KleinschnitzDepartment of Neurology, University Hospital of Würzburg, Würzburg, Germany.
Universitätsklinikum Würzburg · DEUppsala University · SEBehringwerke (Germany) · DEComprehensive Cancer Center Mainfranken · DECSL (Australia) · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTraumatic brain injury is a major global public health problem for which specific therapeutic interventions are lacking. There is, therefore, a pressing need to identify innovative pathomechanism-based effective therapies for this condition. Thrombus formation in the cerebral microcirculation has been proposed to contribute to secondary brain damage by causing pericontusional ischemia, but previous studies have failed to harness this finding for therapeutic use. The aim of this study was to obtain preclinical evidence supporting the hypothesis that targeting factor XII prevents thrombus formation and has a beneficial effect on outcome after traumatic brain injury.

methodsWe investigated the impact of genetic deficiency of factor XII and acute inhibition of activated factor XII with a single bolus injection of recombinant human albumin-fused infestin-4 (rHA-Infestin-4) on trauma-induced microvascular thrombus formation and the subsequent outcome in 2 mouse models of traumatic brain injury.

resultsOur study showed that both genetic deficiency of factor XII and an inhibition of activated factor XII in mice minimize trauma-induced microvascular thrombus formation and improve outcome, as reflected by better motor function, reduced brain lesion volume, and diminished neurodegeneration. Administration of human factor XII in factor XII-deficient mice fully restored injury-induced microvascular thrombus formation and brain damage.

interpretationThe robust protective effect of rHA-Infestin-4 points to a novel treatment option that can decrease ischemic injury after traumatic brain injury without increasing bleeding tendencies. Ann Neurol 2016;79:970-982.

Indexed as

AdultAgedAnimalsBrain Injuries, TraumaticCase-Control StudiesDisease Models, AnimalFactor XIIFactor XIIaFemaleHumansInsect ProteinsIntracranial ThrombosisMagnetic Resonance ImagingMaleMiceMice, KnockoutFactor XIIFactor XIIaInsect ProteinsRecombinant Fusion ProteinsrHA-infestin-4 proteinSerum AlbuminSerum Albumin, Human

Identifiers

PMID27043916
PMCPMC5074329
OpenAlexW2340128954

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.