Evidence map›Paper›PMID 27281424›Full record

ArticleNature biotechnology2016

The US regulatory and pharmacopeia response to the global heparin contamination crisis.

Anita Y Szajek, Edward Chess, Kristian Johansen, Gyöngyi Gratzl, Elaine Gray, David Keire, Robert J Linhardt, Jian Liu, Tina Morris, Barbara Mulloy and 8 more

Abstract read
In one paragraph

Article in Nature biotechnology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
9.5field-weighted citation impact, top 2% 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

45 citing papers in PubMed, 103 citations in OpenAlex.

  1. The protamine-to-heparin ratio: concept and clinical application.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2026
    Article
  2. Heparin: Over 100 Years of Anticoagulation.Handbook of experimental pharmacology · 2026
    Review
  3. Article
  4. The history of heparin.Anaesthesia and intensive care · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Recombinant mucin biotechnology and engineering.Advanced drug delivery reviews · 2023
    Review
  11. Review
  12. Article
  13. Article
  14. Heparin and Derivatives for Advanced Cell Therapies.International journal of molecular sciences · 2021
    Review
  15. Article
  16. Review
  17. Enzymatic Synthesis of Glycans and Glycoconjugates.Advances in biochemical engineering/biotechnology · 2021
    Review
  18. Review
  19. Quality Control of Heparin Injections: Comparison of Four Established Methods.Analytical sciences : the international journal of the Japan Society for Analytical Chemistry · 2020
    Article
  20. Review
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

18 authors at 15 institutions in 4 countries.

Anita Y SzajekBiologics and Biotechnology Department, US Pharmacopeia, Rockville, Maryland, USA.
Edward ChessStructure Elucidation/Technology Resources, Baxter Healthcare Corporation, Round Lake, Illinois, USA.
Kristian JohansenSjølundsparken, Hellebæk, Denmark.
Gyöngyi GratzlBoehringer Ingelheim, Ben Venue Laboratories, Inc., Bedford, Ohio, USA.
Elaine GrayNational Institute for Biological Standards and Control, South Mimms, Potters Bar, UK.
David KeireUS Food and Drug Administration/Division of Pharmaceutical Analysis, St. Louis, Missouri, USA.
Robert J LinhardtCenter for Biotechnology and Interdisciplinary Studies, Rensselaer Polytechnic Institute, Troy, New York, USA.
Jian LiuEshelman School of Pharmacy, University of North Carolina, Chapel Hill, North Carolina, USA.
Tina MorrisBiologics and Biotechnology Department, US Pharmacopeia, Rockville, Maryland, USA.
Barbara MulloyNational Institute for Biological Standards and Control, South Mimms, Potters Bar, UK.
Moheb NasrR&D, GlaxoSmithKline, Collegeville, Pennsylvania, USA.
Zachary ShriverDepartment of Biological Engineering, Harvard-MIT Division of Health Sciences &Technology, Koch institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Pearle TorralbaProduct Development - Analytical Innovation and Development, Fresenius Kabi USA, Skokie, Illinois, USA.
Christian ViskovSanofi, Vitry sur Seine, France.
Roger WilliamsUS Pharmacopeia, Rockville, Maryland, USA.
Janet WoodcockCenter for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland, USA.
Wesley WorkmanPfizer Quality Operations Biotech, Chesterfield, Missouri, USA.
Ali Al-HakimCenter for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland, USA.
United States Pharmacopeial Convention · USCenter for Drug Evaluation and Research · USBaxter (United States) · USBoehringer Ingelheim (United States) · USFresenius Kabi (United States) · USGlaxoSmithKline (United States) · USHolbæk Sygehus · DKKing's College London · GBMassachusetts Institute of Technology · USNational Institute for Biological Standards and Control · GBPfizer (United States) · USRensselaer Polytechnic Institute · USSanofi (France) · FRUnited States Food and Drug Administration · USUniversity of North Carolina at Chapel Hill · US

Funding

In vitro synthesis of recombinant heparan sulfateR01HL094463 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LIU, JIAN, PAWLINSKI, RAFAL L · 2009 to 2021
$5.2M
Uncovering the controlling mechanisms in heparan sulfate biosynthesisU01GM102137 · NIGMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LIU, JIAN · 2013 to 2016
$1.2M
NHLBI NIH HHS R01 HL094463NIGMS NIH HHS U01 GM102137
6 · The paper itself

Abstract

The contamination of the widely used lifesaving anticoagulant drug heparin in 2007 has drawn renewed attention to the challenges that are associated with the characterization, quality control and standardization of complex biological medicines from natural sources. Heparin is a linear, highly sulfated polysaccharide consisting of alternating glucosamine and uronic acid monosaccharide residues. Heparin has been used successfully as an injectable antithrombotic medicine since the 1930s, and its isolation from animal sources (primarily porcine intestine) as well as its manufacturing processes have not changed substantially since its introduction. The 2007 heparin contamination crisis resulted in several deaths in the United States and hundreds of adverse reactions worldwide, revealing the vulnerability of a complex global supply chain to sophisticated adulteration. This Perspective discusses how the US Food and Drug Administration (FDA), the United States Pharmacopeial Convention (USP) and international stakeholders collaborated to redefine quality expectations for heparin, thus making an important natural product better controlled and less susceptible to economically motivated adulteration.

Indexed as

Drug ContaminationGlobal HealthGovernment RegulationHeparinLegislation, DrugPharmacopoeias as TopicPractice Guidelines as TopicProduct Surveillance, PostmarketingUnited StatesUnited States Food and Drug AdministrationHeparin

Identifiers

PMID27281424
PMCPMC6516469
OpenAlexW2412323428

What OpenQuestion holds

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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.