Evidence map›Paper›PMID 27404454›Full record

ArticleBritish journal of cancer2016

Tissue factor-bearing microparticles and CA19.9: two players in pancreatic cancer-associated thrombosis?

F J Sherida H Woei-A-Jin, Margot E T Tesselaar, Patrica Garcia Rodriguez, Fred P H T M Romijn, Rogier M Bertina, Susanne Osanto

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
7.1field-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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Vascular Toxicities of Cancer Therapies: 2025 Update.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Pancreatic Cancer and Venous Thromboembolism.International journal of molecular sciences · 2024
    Review
  11. Article
  12. Article
  13. Review
  14. Mechanisms of cancer-associated thrombosis.Research and practice in thrombosis and haemostasis · 2023
    Article
  15. Review
  16. Review
  17. Review
  18. Review
  19. Predictors for thromboembolism in patients with cholangiocarcinoma.Journal of cancer research and clinical oncology · 2022
    Article
  20. Cancer-associated venous thromboembolism.Nature reviews. Disease primers · 2022
    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

6 authors at 3 institutions in 1 country.

F J Sherida H Woei-A-JinDepartment of Clinical Oncology, Leiden University Medical Centre, Albinusdreef 2, 2333 Leiden, The Netherlands.
Margot E T TesselaarDepartment of Medical Oncology, Netherlands Cancer Institute, Plesmanlaan 121, 1066 Amsterdam, The Netherlands.
Patrica Garcia RodriguezDepartment of Clinical Oncology, Leiden University Medical Centre, Albinusdreef 2, 2333 Leiden, The Netherlands.
Fred P H T M RomijnDepartment of Clinical Chemistry and Laboratory Medicine, Leiden University Medical Centre, Albinusdreef 2, 2333 Leiden, The Netherlands.
Rogier M BertinaEinthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Centre, Albinusdreef 2, 2333 Leiden, The Netherlands.
Susanne OsantoDepartment of Clinical Oncology, Leiden University Medical Centre, Albinusdreef 2, 2333 Leiden, The Netherlands.
Leiden University Medical Center · NLLeiden University · NLThe Netherlands Cancer Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCancer-related venous thromboembolism (VTE) heralds a poor prognosis, especially in pancreatic adenocarcinoma (PAC). Tissue factor (TF) is implicated as one of the main culprits in PAC-associated VTE and disease progression.

methodsIn a prospective cohort study of 79 PAC patients, we measured plasma CA19-9 and microparticle-associated TF activity (MP-TF activity). In addition, we enumerated TF(+)MPs and MUC1(+)MPs in plasma (n=55), and studied the expression of TF, MUC1, CD31 and CD68 in tumour tissue (n=44).

resultsPlasma MP-TF activity was markedly elevated in PAC patients with VTE compared with those without (median: 1925 vs 113 fM Xa min(-1); P<0.001) and correlated with the extent of thromboembolic events, metastatic disease and short survival. Similar results were found for CA19-9. Patients with massively progressing thrombosis and cerebral embolisms despite anticoagulant therapy (n=3) had the highest MP-TF activities (12 118-40 188 fM Xa min(-1)) and CA19-9 (40 730-197 000 kU l(-1)). All tumours expressed MUC1 and TF. MP-TF activity did not correlate with intensity of TF expression in adenocarcinoma cells, but corresponded with numbers of TF(+) macrophages in the surrounding stroma.

conclusionsCirculating TF(+)MPs and mucins may concertedly aggravate coagulopathy in PAC. Understanding of underlying mechanisms may result in new treatment strategies for VTE prevention and improvement of survival.

Indexed as

AgedAged, 80 and overCA-19-9 AntigenCohort StudiesFemaleHumansMaleMiddle AgedPancreatic NeoplasmsThromboplastinThrombosisCA-19-9 AntigenThromboplastin

Identifiers

PMID27404454
PMCPMC4973148
OpenAlexW2462749826

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.