Evidence map›Paper›PMID 28991552›Full record

ArticleChest2017

A Platelet Factor 4-Dependent Platelet Activation Assay Facilitates Early Detection of Pathogenic Heparin-Induced Thrombocytopenia Antibodies.

Curtis G Jones, Shannon M Pechauer, Brian R Curtis, Daniel W Bougie, Mehraboon S Irani, Binod Dhakal, Brenda Pierce, Richard H Aster, Anand Padmanabhan

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Chest, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

8 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Heparin-Induced Thrombocytopenia: A Focus on Thrombosis.Arteriosclerosis, thrombosis, and vascular biology · 2021
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Drug-associated thrombocytopenia.Hematology. American Society of Hematology. Education Program · 2018
    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

9 authors at 3 institutions in 1 country.

Curtis G JonesMedical Sciences Institute, BloodCenter of Wisconsin, Milwaukee, WI.
Shannon M PechauerBlood Research Institute, BloodCenter of Wisconsin, Milwaukee, WI.
Brian R CurtisPlatelet and Neutrophil Immunology Laboratory, BloodCenter of Wisconsin, Milwaukee, WI.
Daniel W BougieBlood Research Institute, BloodCenter of Wisconsin, Milwaukee, WI.
Mehraboon S IraniMedical Sciences Institute, BloodCenter of Wisconsin, Milwaukee, WI; Department of Pathology, Medical College of Wisconsin, Milwaukee, WI.
Binod DhakalDepartment of Medicine, Medical College of Wisconsin, Milwaukee, WI.
Brenda PierceDivision of Medical Oncology, Aurora Advanced Healthcare, Milwaukee, WI.
Richard H AsterBlood Research Institute, BloodCenter of Wisconsin, Milwaukee, WI; Department of Medicine, Medical College of Wisconsin, Milwaukee, WI.
Anand PadmanabhanMedical Sciences Institute, BloodCenter of Wisconsin, Milwaukee, WI; Department of Pathology, Medical College of Wisconsin, Milwaukee, WI. Electronic address: Anand.Padmanabhan@bcw.edu.
Versiti Blood Center of Wisconsin · USMedical College of Wisconsin · USAurora Health Care · US

Funding

HEMORRHAGIC DISEASESR01HL013629 · NHLBI · VERSITI WISCONSIN, INC. · PI ASTER, RICHARD HERBERT · 1985 to 2019
$8.7M
Hemorrhagic DiseasesR56HL013629 · NHLBI · VERSITI WISCONSIN, INC. · PI ASTER, RICHARD HERBERT · 2008 to 2008
$440k
HEMORRHAGIC DISEASESR37HL013629 · NHLBI · BLOODCENTER OF WISCONSIN, INC. · PI ASTER, RICHARD HERBERT · 1989 to 1998
–
NHLBI NIH HHS R01 HL013629NHLBI NIH HHS R37 HL013629NHLBI NIH HHS R56 HL013629
6 · The paper itself

Abstract

Heparin-induced thrombocytopenia (HIT) is a dangerous complication of heparin therapy. HIT diagnosis is established by recognizing thrombocytopenia and/or thrombosis in an affected patient and from the results of serological tests such as the platelet factor 4 (PF4)/heparin immunoassay (PF4 ELISA) and serotonin release assay (SRA). Recent studies suggest that HIT antibodies activate platelets by recognizing PF4 in a complex with platelet glycosaminoglycans (and/or polyphosphates) and that an assay based on this principle, the PF4-dependent P-selectin expression assay (PEA), may be even more accurate than the SRA for HIT diagnosis. Here, we demonstrate that the PEA detected pathogenic antibodies before the SRA became positive in two patients with HIT studied serially, in one case even before seropositivity in the PF4 ELISA. In one of the patients treated with plasma exchange, persistent dissociation between the PEA and SRA test results was observed. These results support a role for the PEA in early HIT diagnosis.

Indexed as

Early DiagnosisAgedAntibodiesAnticoagulantsEnzyme-Linked Immunosorbent AssayFemaleHeparinHumansMiddle AgedPlatelet Factor 4ThrombocytopeniaAntibodiesAnticoagulantsHeparinPlatelet Factor 4early diagnosis of HITheparinHITplasma exchange, plasmapheresisthrombocytopenia

Identifiers

PMID28991552
PMCPMC5812761
OpenAlexW2762725046

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.