Evidence map›Paper›PMID 29274308›Full record

ArticleTranslational research : the journal of laboratory and clinical medicine2018

The platelet phenotype in patients with ST-segment elevation myocardial infarction is different from non-ST-segment elevation myocardial infarction.

Rachel A Schmidt, Craig N Morrell, Frederick S Ling, Preya Simlote, Genaro Fernandez, David Q Rich, David Adler, Joe Gervase, Scott J Cameron

Registry-linked trialAbstract read
In one paragraph

Article in Translational research : the journal of laboratory and clinical medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05628974 (Normal Donor Blood Draws for Platelet Studies and Biomarker Evaluation), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.8field-weighted citation impact, top 13% 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.

NCT05628974 recruitingnot on this mapstarted 2020, after this paper: background citation

Normal Donor Blood Draws for Platelet Studies and Biomarker Evaluation (ND-PLT)

TypeobservationalSponsorThe Cleveland ClinicRan2020 to 2031Enrolled400ConditionsHealthy
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 27 citations in OpenAlex.

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  16. Megakaryocyte and Platelet Transcriptomics for Discoveries in Human Health and Disease.Arteriosclerosis, thrombosis, and vascular biology · 2020
    Review
  17. Article
  18. Article
  19. Article
  20. Hypoxia and Ischemia Promote a Maladaptive Platelet Phenotype.Arteriosclerosis, thrombosis, and vascular biology · 2018
    Article
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 1 institution in 1 country.

Rachel A SchmidtAab Cardiovascular Research Institute, University of Rochester School of Medicine, Rochester, New York.
Craig N MorrellAab Cardiovascular Research Institute, University of Rochester School of Medicine, Rochester, New York.
Frederick S LingDepartment of Medicine, Division of Cardiology, University of Rochester School of Medicine, Rochester, New York.
Preya SimloteDepartment of Medicine, Division of Cardiology, University of Rochester School of Medicine, Rochester, New York.
Genaro FernandezDepartment of Medicine, Division of Cardiology, University of Rochester School of Medicine, Rochester, New York.
David Q RichAab Cardiovascular Research Institute, University of Rochester School of Medicine, Rochester, New York; Department of Public Health Sciences, University of Rochester School of Medicine, Rochester, New York; Department of Environmental Medicine, University of Rochester School of Medicine, Rochester, New York.
David AdlerDepartment of Emergency Medicine, University of Rochester School of Medicine, Rochester, New York.
Joe GervaseDepartment of Emergency Medicine, University of Rochester School of Medicine, Rochester, New York.
Scott J CameronAab Cardiovascular Research Institute, University of Rochester School of Medicine, Rochester, New York; Department of Medicine, Division of Cardiology, University of Rochester School of Medicine, Rochester, New York; Department of Surgery, University of Rochester School of Medicine, Rochester, New York. Electronic address: Scott_Cameron@urmc.rochester.edu.
University of Rochester · US

Funding

MULTIDISCIPLINARY TRAINING IN PULMONARY RESEARCHT32HL066988 · NHLBI · UNIVERSITY OF ROCHESTER · PI GEORAS, STEVE N, O'REILLY, MICHAEL A · 2001 to 2021
$8.1M
Novel platelet functions for in T-cell helper cell responsesR01HL124018 · NHLBI · UNIVERSITY OF ROCHESTER · PI MORRELL, CRAIG N · 2015 to 2018
$1.5M
Platelet ERK5 regulates myocardial infarct expansionK08HL128856 · NHLBI · UNIVERSITY OF ROCHESTER · PI CAMERON, SCOTT JAMES · 2016 to 2020
$775k
NHLBI NIH HHS K08 HL128856NHLBI NIH HHS L30 HL120200NHLBI NIH HHS R01 HL124018NHLBI NIH HHS T32 HL066988
6 · The paper itself

Abstract

It is assumed that platelets in diseased conditions share similar properties to platelets in healthy conditions, although this has never been examined in detail for myocardial infarction (MI). We examined platelets from patients with ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI) compared with platelets from healthy volunteers to evaluate for differences in platelet phenotype and function. Platelet activation was examined and postreceptor signal transduction pathways were assessed. Platelet-derived plasma biomarkers were evaluated by receiver operator characteristic curve analysis. Maximum platelet activation through the thromboxane receptor was greater in STEMI than in NSTEMI but less through protease-activated receptor 1. Extracellular-signal related-kinase 5 activation, which can activate platelets, was increased in platelets from subjects with STEMI and especially in platelets from patients with NSTEMI. Matrix metalloproteinase 9 (MMP9) protein content and enzymatic activity were several-fold greater in platelets with MI than in control. Mean plasma MMP9 concentration in patients with MI distinguished between STEMI and NSTEMI (area under curve [AUC] 75% [confidence interval (CI) 60-91], P = 0.006) which was superior to troponin T (AUC 66% [CI 48-85, P = 0.08), predicting STEMI with 80% sensitivity (95% CI 56-94), 90% specificity (CI 68-99), 70% AUC (CI 54-86, P < 0.0001), and NSTEMI with 50% sensitivity (CI 27-70), 90% specificity (CI 68-99), 70% AUC (CI 54-86, P = 0.03). Platelets from patients with STEMI and NSTEMI show differences in platelet surface receptor activation and postreceptor signal transduction, suggesting the healthy platelet phenotype in which antiplatelet agents are often evaluated in preclinical studies is different from platelets in patients with MI.

Indexed as

AgedBlood PlateletsFemaleHumansMaleMatrix Metalloproteinase 9Middle AgedMyocardial InfarctionPhenotypeReceptor, PAR-1Receptors, Purinergic P2Y12ST Elevation Myocardial InfarctionMatrix Metalloproteinase 9MMP9 protein, humanP2RY12 protein, humanReceptor, PAR-1Receptors, Purinergic P2Y12

Identifiers

PMID29274308
PMCPMC5898983
OpenAlexW2775130110

What OpenQuestion holds

Textmetadata
LicenceTDM
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.