Evidence map›Paper›PMID 28737512›Full record

ArticleThe Journal of clinical investigation2017

Thrombin promotes diet-induced obesity through fibrin-driven inflammation.

Anna K Kopec, Sara R Abrahams, Sherry Thornton, Joseph S Palumbo, Eric S Mullins, Senad Divanovic, Hartmut Weiler, A Phillip Owens, Nigel Mackman, Ashley Goss and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed
7.9field-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

71 citing papers in PubMed, 116 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Association of Early Heparin Use with Mortality in Cirrhotic Patients: A Retrospective Cohort Study.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Fibrinogen superfamily proteins: Key regulators in hepatic disorders.World journal of experimental medicine · 2025
    Review
  12. Review
  13. A lipid atlas of the human kidney.Science advances · 2025
    Article
  14. Article
  15. Review
  16. Article
  17. The thrombin receptor PAR4 supports visceral adipose tissue inflammation.Naunyn-Schmiedeberg's archives of pharmacology · 2024
    Article
  18. Review
  19. Article
  20. METTL14 downregulation drives S100A4Signal transduction and targeted therapy · 2024
    Article

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

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

13 authors at 7 institutions in 5 countries.

Anna K KopecDepartment of Pathobiology and Diagnostic Investigation, Institute for Integrative Toxicology, Michigan State University, East Lansing, Michigan, USA.
Sara R AbrahamsDivision of Experimental Hematology and Cancer Biology.
Sherry ThorntonDivision of Rheumatology.
Joseph S PalumboDivision of Hematology, and.
Eric S MullinsDivision of Hematology, and.
Senad DivanovicDivision of Immunobiology, Cincinnati Children's Hospital Research Foundation, Cincinnati, Ohio, USA.
Hartmut WeilerDepartment of Physiology, Blood Center of Wisconsin, Milwaukee, Wisconsin, USA.
A Phillip OwensDivision of Cardiovascular Health and Disease, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Nigel MackmanThrombosis and Hemostasis Program, Division of Hematology and Oncology, Department of Medicine, UNC McAllister Heart Institute, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Ashley GossDepartment of Cardiometabolic Disease Research, Boehringer Ingelheim Pharmaceuticals Inc., Ridgefield, Connecticut, USA.
Joanne van RynDepartment of Cardiometabolic Disease Research, Boehringer Ingelheim Pharma GmbH, Biberach, Germany.
James P LuyendykDepartment of Pathobiology and Diagnostic Investigation, Institute for Integrative Toxicology, Michigan State University, East Lansing, Michigan, USA.
Matthew J FlickDivision of Experimental Hematology and Cancer Biology.
Cincinnati Children's Hospital Medical Center · USMichigan State University · USBoehringer Ingelheim (Brazil) · BRBoehringer Ingelheim (Germany) · DEUniversity of Cincinnati · USUniversity of North Carolina at Chapel Hill · USVersiti Blood Center of Wisconsin · US

Funding

UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SUSAN M. SMITH · 1999 to 2026
$31.6M
Stem Cell/Organoid and Genome Editing CoreP30DK078392 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Alexander Miethke · 2007 to 2026
$24.4M
Tissue Repository CoreP30AR070549 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI Leah Claire Kottyan · 2016 to 2026
$7.7M
Immunopathogenesis of Non-alcoholic Fatty Liver DiseaseR01DK099222 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Senad Divanovic · 2013 to 2026
$5.6M
Novel anti-fibrotic mechanisms in chemical-induced liver injuryR01ES017537 · NIEHS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI LUYENDYK, JAMES P · 2009 to 2019
$3.6M
Thrombin-dependent mechanisms of pancreatic ductal adenocarcinoma diseaseR01CA211098 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FLICK, MATTHEW J. · 2017 to 2022
$2.2M
Hemostatic factors and sickle cell diseaseR01HL112603 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI FLICK, MATTHEW J., MALIK, PUNAM · 2012 to 2016
$1.9M
Coagulation factors as modifiers of the colon cancer microenvironmentR01CA204058 · NCI · CINCINNATI CHILDRENS HOSP MED CTR · PI PALUMBO, JOSEPH S. · 2016 to 2020
$1.8M
Hemostatic Factors Drive Prostate Cancer PathogenesisR01CA193678 · NCI · CINCINNATI CHILDRENS HOSP MED CTR · PI PALUMBO, JOSEPH S. · 2016 to 2020
$1.8M
Regulation of Innate Immunity by Coagulation ReceptorsR01HL133348 · NHLBI · VERSITI WISCONSIN, INC. · PI WEILER, HARTMUT KARL-HEINZ · 2016 to 2019
$1.7M
Tissue Factor & Clot Formation In Abdominal Aortic AneurysmR00HL116786 · NHLBI · UNIVERSITY OF CINCINNATI · PI OWENS III, ALBERT PHILLIP · 2015 to 2017
$736k
NCI NIH HHS R01 CA193678NCI NIH HHS R01 CA204058NCI NIH HHS R01 CA211098NHLBI NIH HHS R00 HL116786NHLBI NIH HHS R01 HL112603NHLBI NIH HHS R01 HL133348NIAMS NIH HHS P30 AR070549NIDDK NIH HHS P30 DK056350NIDDK NIH HHS P30 DK078392NIDDK NIH HHS R01 DK099222NIEHS NIH HHS R01 ES017537
6 · The paper itself

Abstract

Obesity promotes a chronic inflammatory and hypercoagulable state that drives cardiovascular disease, type 2 diabetes, fatty liver disease, and several cancers. Elevated thrombin activity underlies obesity-linked thromboembolic events, but the mechanistic links between the thrombin/fibrin(ogen) axis and obesity-associated pathologies are incompletely understood. In this work, immunohistochemical studies identified extravascular fibrin deposits within white adipose tissue and liver as distinct features of mice fed a high-fat diet (HFD) as well as obese patients. Fibγ390-396A mice carrying a mutant form of fibrinogen incapable of binding leukocyte αMβ2-integrin were protected from HFD-induced weight gain and elevated adiposity. Fibγ390-396A mice had markedly diminished systemic, adipose, and hepatic inflammation with reduced macrophage counts within white adipose tissue, as well as near-complete protection from development of fatty liver disease and glucose dysmetabolism. Homozygous thrombomodulin-mutant ThbdPro mice, which have elevated thrombin procoagulant function, gained more weight and developed exacerbated fatty liver disease when fed a HFD compared with WT mice. In contrast, treatment with dabigatran, a direct thrombin inhibitor, limited HFD-induced obesity development and suppressed progression of sequelae in mice with established obesity. Collectively, these data provide proof of concept that targeting thrombin or fibrin(ogen) may limit pathologies in obese patients.

Indexed as

Adipose TissueAdiposityAmino Acid MotifsAnimalsBlood GlucoseBody CompositionBody WeightCoagulantsDabigatranDiet, High-FatFatty LiverFemaleFibrinGenotypeHomozygoteInflammationBlood GlucoseCoagulantsDabigatranFibrinThrombin

Identifiers

PMID28737512
PMCPMC5531415
OpenAlexW2739353751

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.