Evidence map›Paper›PMID 27077125›Full record

ArticleEBioMedicine2016

Complement Activation in Arterial and Venous Thrombosis is Mediated by Plasmin.

Jonathan H Foley, Bethany L Walton, Maria M Aleman, Alice M O'Byrne, Victor Lei, Micaela Harrasser, Kimberley A Foley, Alisa S Wolberg, Edward M Conway

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed
5.6field-weighted citation impact, top 4% 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

85 citing papers in PubMed, 137 citations in OpenAlex.

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  12. Disseminated intravascular coagulation.Journal of intensive care · 2025
    Review
  13. mBio · 2025
    Article
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  19. Immunity and Coagulation in COVID-19.International journal of molecular sciences · 2024
    Review
  20. The synergistic effects of Korean Red Ginseng andJournal of ginseng research · 2024
    Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Jonathan H FoleyCentre for Blood Research, Department of Medicine, Life Sciences Institute, University of British Columbia, 2350 Health Sciences Mall, LSC4306, Vancouver V6T 1Z3, Canada; Department of Haematology, UCL Cancer Institute, University College London, London, United Kingdom; Katharine Dormandy Haemophilia Centre and Thrombosis Unit, Royal Free NHS Trust, London, United Kingdom.
Bethany L WaltonDepartment of Pathology and Laboratory Medicine, University of North Carolina at Chapel Hill, 819 Brinkhous-Bullitt Building, CB# 7525, Chapel Hill, NC 27599-7525, USA.
Maria M AlemanDepartment of Pathology and Laboratory Medicine, University of North Carolina at Chapel Hill, 819 Brinkhous-Bullitt Building, CB# 7525, Chapel Hill, NC 27599-7525, USA.
Alice M O'ByrneCentre for Blood Research, Department of Medicine, Life Sciences Institute, University of British Columbia, 2350 Health Sciences Mall, LSC4306, Vancouver V6T 1Z3, Canada.
Victor LeiCentre for Blood Research, Department of Medicine, Life Sciences Institute, University of British Columbia, 2350 Health Sciences Mall, LSC4306, Vancouver V6T 1Z3, Canada.
Micaela HarrasserDepartment of Haematology, UCL Cancer Institute, University College London, London, United Kingdom.
Kimberley A FoleyCancer Care and Epidemiology, Queen's Cancer Research Institute, Queen's University, Kingston, Canada.
Alisa S WolbergDepartment of Pathology and Laboratory Medicine, University of North Carolina at Chapel Hill, 819 Brinkhous-Bullitt Building, CB# 7525, Chapel Hill, NC 27599-7525, USA.
Edward M ConwayCentre for Blood Research, Department of Medicine, Life Sciences Institute, University of British Columbia, 2350 Health Sciences Mall, LSC4306, Vancouver V6T 1Z3, Canada.
University of British Columbia · CAUniversity of North Carolina at Chapel Hill · USQueen's University · CAUniversity College London · GB

Funding

Pre-doctoral Training Program in Integrative Vascular BiologyT32HL069768 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Christopher P. Mack · 2002 to 2026
$9.7M
Fibrinogen and Factor XIII in Venous ThrombosisR01HL126974 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Alisa S. Wolberg · 2016 to 2026
$4.4M
Cellular Determinants of Fibrin Structure and StabilityR01HL094740 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WOLBERG, ALISA S. · 2009 to 2013
$1.6M
Determinants of Thrombus Structure and StabilityR56HL094740 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WOLBERG, ALISA S. · 2014 to 2014
$378k
Effect of clot composition on thrombus resolutionF31HL112608 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ALEMAN, MARIA M. · 2012 to 2013
$48k
Canadian Institutes of Health ResearchNHLBI NIH HHS F31 HL112608NHLBI NIH HHS F31HL112608NHLBI NIH HHS R01 HL094740NHLBI NIH HHS R01HL094740NHLBI NIH HHS R01 HL126974NHLBI NIH HHS R56 HL094740NHLBI NIH HHS R56HL094740NHLBI NIH HHS T32 HL069768NHLBI NIH HHS T32HL069768
6 · The paper itself

Abstract

Thrombus formation leading to vaso-occlusive events is a major cause of death, and involves complex interactions between coagulation, fibrinolytic and innate immune systems. Leukocyte recruitment is a key step, mediated partly by chemotactic complement activation factors C3a and C5a. However, mechanisms mediating C3a/C5a generation during thrombosis have not been studied. In a murine venous thrombosis model, levels of thrombin-antithrombin complexes poorly correlated with C3a and C5a, excluding a central role for thrombin in C3a/C5a production. However, clot weight strongly correlated with C5a, suggesting processes triggered during thrombosis promote C5a generation. Since thrombosis elicits fibrinolysis, we hypothesized that plasmin activates C5 during thrombosis. In vitro, the catalytic efficiency of plasmin-mediated C5a generation greatly exceeded that of thrombin or factor Xa, but was similar to the recognized complement C5 convertases. Plasmin-activated C5 yielded a functional membrane attack complex (MAC). In an arterial thrombosis model, plasminogen activator administration increased C5a levels. Overall, these findings suggest plasmin bridges thrombosis and the immune response by liberating C5a and inducing MAC assembly. These new insights may lead to the development of strategies to limit thrombus formation and/or enhance resolution.

Indexed as

AnimalsAntithrombin IIIArteriesComplement ActivationComplement C3aComplement C5aComplement Membrane Attack ComplexFactor XaFibrinolysinHumansMicePeptide HydrolasesPlasminogen ActivatorsThrombinVenous ThrombosisAntithrombin IIIantithrombin III-protease complexComplement C3aComplement C5aComplement Membrane Attack ComplexFactor XaFibrinolysinPeptide HydrolasesPlasminogen ActivatorsThrombinComplementFDP, fibrin degradation productFeCl3, ferric chlorideFibrinolysisIL-8, interleukin-8IVC, inferior vena cavaLeukocytesMAC, membrane attack complexMCP1-1, monocyte chemoattracant protein-1NETs, neutrophil extracellular trapsPAR1, protease activated receptor 1PPACK, Phe-Pro-Arg-chloromethylketoneR751, arginine 751TAT, thrombin antithrombinThrombinThrombosistPA, tissue-type plasminogen activatorVFKck, Val-Phe-Lys-chloromethylketoneVWF, von Willebrand factor

Identifiers

PMID27077125
PMCPMC4816834
OpenAlexW2270810037

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.