Evidence map›Paper›PMID 29162596›Full record

ArticleBlood2018

Lactadherin promotes microvesicle clearance to prevent coagulopathy and improves survival of severe TBI mice.

Yuan Zhou, Wei Cai, Zilong Zhao, Tristan Hilton, Min Wang, Jason Yeon, Wei Liu, Fangyi Zhang, Fu-Dong Shi, Xiaoping Wu and 4 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Blood, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04274777 (The Relationship Between Lipid Peroxidation Products From Traumatic Brain Injury and Secondary Coagulation Disorders), which is not on this map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
2.8field-weighted citation impact, top 9% 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.

NCT04274777 unknown statusnot on this mapstarted 2019, after this paper: background citation

The Relationship Between Lipid Peroxidation Products From Traumatic Brain Injury and Secondary Coagulation Disorders

TypeobservationalSponsorTang-Du HospitalRan2019 to 2020Enrolled100ConditionsTraumatic Brain Injury, Coagulation Disorder
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 92 citations in OpenAlex.

  1. Extracellular Mitochondria Mediate Endothelial Injury After Traumatic Brain Injury.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Article
  2. Hyperadhesive von Willebrand Factor Contributes to Pathogenesis of Preeclampsia.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Article
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  14. 3,3'-Diindolylmethane improves pathology and neurological outcome following traumatic brain injury.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 2 countries.

Yuan ZhouTianjin Institute of Neurology, Tianjin, China.
Wei CaiInstitute of Pathology, Lanzhou University School of Basic Medical Sciences, Lanzhou, China.
Zilong ZhaoTianjin Institute of Neurology, Tianjin, China.
Tristan HiltonBloodworks Research Institute, Seattle, WA.
Min WangInstitute of Pathology, Lanzhou University School of Basic Medical Sciences, Lanzhou, China.
Jason YeonBloodworks Research Institute, Seattle, WA.
Wei LiuTianjin Institute of Neurology, Tianjin, China.
Fangyi ZhangDepartment of Neurosurgery, University of Washington School of Medicine, Seattle, WA.
Fu-Dong ShiTianjin Institute of Neurology, Tianjin, China.
Xiaoping WuBloodworks Research Institute, Seattle, WA.
Perumal ThiagarajanDepartments of Pathology and Medicine, Baylor College of Medicine and Center for Translational Research on Inflammatory Diseases, Michael E. DeBakey VA Medical Center, Houston, TX; and.
Min LiInstitute of Pathology, Lanzhou University School of Basic Medical Sciences, Lanzhou, China.
Jianning ZhangTianjin Institute of Neurology, Tianjin, China.
Jing-Fei DongBloodworks Research Institute, Seattle, WA.
Bloodworks Northwest · USLanzhou University · CNTianjin Medical University General Hospital · CNBarrow Neurological Institute · USMichael E. DeBakey VA Medical Center · USUniversity of Washington · US

Funding

Traumatic Brain Injury-induced CoagulopathyR21NS087296 · NINDS · BLOODWORKS · PI DONG, JING-FEI · 2014 to 2015
$507k
Platelet MicrovesiclesI01BX000502 · VA · MICHAEL E DEBAKEY VA MEDICAL CENTER · PI THIAGARAJAN, PERUMAL · 2009 to 2017
–
BLRD VA I01 BX000502NINDS NIH HHS R21 NS087296
6 · The paper itself

Abstract

Coagulopathy is common in patients with traumatic brain injury (TBI) and predicts poor clinical outcomes. We have shown that brain-derived extracellular microvesicles, including extracellular mitochondria, play a key role in the development of TBI-induced coagulopathy. Here, we further show in mouse models that the apoptotic cell-scavenging factor lactadherin, given at a single dose of 400 μg/kg 30 minutes before (preconditioning) or 30 minutes after cerebral fluid percussion injury, prevented coagulopathy as defined by clotting time, fibrinolysis, intravascular fibrin deposition, and microvascular bleeding of the lungs. Lactadherin also reduced cerebral edema, improved neurological function, and increased survival. It achieved these protective effects by enhancing the clearance of circulating microvesicles through phosphatidylserine-mediated phagocytosis. Together, these results identify the scavenging system for apoptotic cells as a potential therapeutic target to prevent TBI-induced coagulopathy and improve the outcome of TBI.

Indexed as

AnimalsAntigens, SurfaceBlood Coagulation DisordersBrain Injuries, TraumaticCell-Derived MicroparticlesMaleMiceMice, Inbred C57BLMice, KnockoutMilk ProteinsPhagocytosisSurvivalTrauma Severity IndicesAntigens, SurfaceMfge8 protein, mouseMilk Proteins

Identifiers

PMID29162596
PMCPMC5794502
OpenAlexW2769961846

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.