Evidence map›Paper›PMID 27919911›Full record

ArticleBlood2017

In vitro activation of coagulation by human neutrophil DNA and histone proteins but not neutrophil extracellular traps.

Denis F Noubouossie, Matthew F Whelihan, Yuan-Bin Yu, Erica Sparkenbaugh, Rafal Pawlinski, Dougald M Monroe, Nigel S Key

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 146 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
146citing papers in PubMed, 1 pooled it
9.2field-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

146 citing papers in PubMed, 1 synthesis or guideline pooled it, 238 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Plasma Proteomic Profile of Chemotherapy-Induced Severe Neutropenia: A Pilot Discovery Phase Study.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Tandem ssDNA in neutrophil extracellular traps binds thrombin and regulates immunothrombosis.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  15. Disseminated intravascular coagulation.Journal of intensive care · 2025
    Review
  16. Article
  17. Review
  18. Research and practice in thrombosis and haemostasis · 2025
    Article
  19. Review
  20. Neutrophil Extracellular Traps in Atherosclerosis: Research Progress.International journal of molecular sciences · 2025
    Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Denis F NoubouossieDivision of Hematology/Oncology, Department of Medicine, University of North Carolina, Chapel Hill, NC; and.
Matthew F WhelihanDivision of Hematology/Oncology, Department of Medicine, University of North Carolina, Chapel Hill, NC; and.
Yuan-Bin YuDivision of Hematology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Erica SparkenbaughDivision of Hematology/Oncology, Department of Medicine, University of North Carolina, Chapel Hill, NC; and.
Rafal PawlinskiDivision of Hematology/Oncology, Department of Medicine, University of North Carolina, Chapel Hill, NC; and.
Dougald M MonroeDivision of Hematology/Oncology, Department of Medicine, University of North Carolina, Chapel Hill, NC; and.
Nigel S KeyDivision of Hematology/Oncology, Department of Medicine, University of North Carolina, Chapel Hill, NC; and.ORCID 0000-0002-8930-4304
University of North Carolina at Chapel Hill · USTaipei Veterans General Hospital · TW

Funding

Research Training in Hematology at UNC Chapel HillT32HL007149 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Nigel S. Key · 1985 to 2026
$8.6M
Targeted Anticoagulant Therapy for Sickle Cell DiseaseU01HL117659 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KEY, NIGEL S., MACKMAN, NIGEL · 2013 to 2017
$7.6M
NHLBI NIH HHS T32 HL007149NHLBI NIH HHS U01 HL117659
6 · The paper itself

Abstract

NETosis is a physiologic process in which neutrophils release their nuclear material in the form of neutrophil extracellular traps (NETs). NETs have been reported to directly promote thrombosis in animal models. Although the effects of purified NET components including DNA, histone proteins, and neutrophil enzymes on coagulation have been characterized, the mechanism by which intact NETs promote thrombosis is largely unknown. In this study, human neutrophils were stimulated to produce NETs in platelet-free plasma (PFP) or in buffer using phorbol myristate actetate or calcium ionophore. DNA and histone proteins were also separately purified from normal human neutrophils and used to reconstitute chromatin using a salt-gradient dialysis method. Neutrophil stimulation resulted in robust NET release. In recalcified PFP, purified DNA triggered contact-dependent thrombin generation (TG) and amplified TG initiated by low concentrations of tissue factor. Similarly, in a buffer milieu, DNA initiated the contact pathway and amplified thrombin-dependent factor XI activation. Recombinant human histones H3 and H4 triggered TG in recalcified human plasma in a platelet-dependent manner. In contrast, neither intact NETs, reconstituted chromatin, individual nucleosome particles, nor octameric core histones reproduced any of these procoagulant effects. We conclude that unlike DNA or individual histone proteins, human intact NETs do not directly initiate or amplify coagulation in vitro. This difference is likely explained by the complex histone-histone and histone-DNA interactions within the nucleosome unit and higher-order supercoiled chromatin leading to neutralization of the negative charges on polyanionic DNA and modification of the binding properties of individual histone proteins.

Indexed as

Blood CoagulationCell SeparationDNAExtracellular TrapsHistonesHumansNeutrophilsNucleosomesDNAHistonesNucleosomes

Identifiers

PMID27919911
PMCPMC5324715
OpenAlexW2559847201

What OpenQuestion holds

Textmetadata
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.