Evidence map›Paper›PMID 29449604›Full record

ArticleScientific reports2018

Intravenous synthetic platelet (SynthoPlate) nanoconstructs reduce bleeding and improve 'golden hour' survival in a porcine model of traumatic arterial hemorrhage.

DaShawn A Hickman, Christa L Pawlowski, Andrew Shevitz, Norman F Luc, Ann Kim, Aditya Girish, Joyann Marks, Simi Ganjoo, Stephanie Huang, Edward Niedoba and 6 more

Abstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
–field-weighted citation impact
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

42 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Total thrombus formation system exploration of primary hemostasis in cirrhotic patients.Research and practice in thrombosis and haemostasis · 2026
    Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Transfusion biomaterials for hemostasis.Journal of thrombosis and haemostasis : JTH · 2025
    Review
  11. Article
  12. Article
  13. ENGINEERED INTRAVENOUS THERAPIES FOR TRAUMA.Current opinion in biomedical engineering · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Review
  20. 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

16 authors.

DaShawn A HickmanDepartment of Pathology, Case Western Reserve University, Cleveland, OH, 44106, USA.ORCID 0000-0002-1014-1419
Christa L PawlowskiDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, 44106, USA.
Andrew ShevitzUniversity Hospitals of Cleveland, Division of Vascular Surgery, Cleveland, OH, 44106, USA.
Norman F LucDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, 44106, USA.ORCID 0000-0003-0020-5850
Ann KimUniversity Hospitals of Cleveland, Division of Vascular Surgery, Cleveland, OH, 44106, USA.
Aditya GirishDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, 44106, USA.
Joyann MarksDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, 44106, USA.ORCID 0000-0001-9062-3532
Simi GanjooDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, 44106, USA.
Stephanie HuangDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, 44106, USA.
Edward NiedobaDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, 44106, USA.
Ujjal D S SekhonDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, 44106, USA.
Michael SunDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, 44106, USA.
Mitchell DyerDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, 15213, USA.
Matthew D NealDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, 15213, USA.
Vikram S KashyapUniversity Hospitals of Cleveland, Division of Vascular Surgery, Cleveland, OH, 44106, USA.
Anirban Sen GuptaDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, 44106, USA. anirban.sengupta@case.edu.

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007250 · NIGMS · CASE WESTERN RESERVE UNIVERSITY · PI HUANG, ALEX YEE-CHEN · 1985 to 2023
$33.4M
The Cleveland Clinic Innovation AcceleratorU54HL119810 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI VINCE, D. GEOFFREY · 2013 to 2020
$14.4M
Heteromutivalent Peptide-Lipid Nanoconstructs as Artificial Platelet AnaloguesR01HL121212 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI SEN GUPTA, ANIRBAN · 2014 to 2024
$4.1M
Mechanistic Elucidation and Targeted Therapy of Platelet Dysfunction After TraumaR35GM119526 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI NEAL, MATTHEW D · 2016 to 2025
$3.9M
NRSA Training CoreTL1TR002549 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI HARDING, CLIFFORD V · 2018 to 2022
$2.9M
Clinical and Translational Science Collaborative of ClevelandTL1TR000441 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$2.8M
BIOMEDICAL ENGINEERING RESEARCH FACILITIESC06RR012463 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI KUTINA, KENNETH L · 1997 to 1997
–
NCATS NIH HHS TL1 TR002549NCRR NIH HHS C06 RR012463NHLBI NIH HHS R01 HL121212NHLBI NIH HHS U54 HL119810NIGMS NIH HHS R35 GM119526NIGMS NIH HHS T32 GM007250
6 · The paper itself

Abstract

Traumatic non-compressible hemorrhage is a leading cause of civilian and military mortality and its treatment requires massive transfusion of blood components, especially platelets. However, in austere civilian and battlefield locations, access to platelets is highly challenging due to limited supply and portability, high risk of bacterial contamination and short shelf-life. To resolve this, we have developed an I.V.-administrable 'synthetic platelet' nanoconstruct (SynthoPlate), that can mimic and amplify body's natural hemostatic mechanisms specifically at the bleeding site while maintaining systemic safety. Previously we have reported the detailed biochemical and hemostatic characterization of SynthoPlate in a non-trauma tail-bleeding model in mice. Building on this, here we sought to evaluate the hemostatic ability of SynthoPlate in emergency administration within the 'golden hour' following traumatic hemorrhagic injury in the femoral artery, in a pig model. We first characterized the storage stability and post-sterilization biofunctionality of SynthoPlate in vitro. The nanoconstructs were then I.V.-administered to pigs and their systemic safety and biodistribution were characterized. Subsequently we demonstrated that, following femoral artery injury, bolus administration of SynthoPlate could reduce blood loss, stabilize blood pressure and significantly improve survival. Our results indicate substantial promise of SynthoPlate as a viable platelet surrogate for emergency management of traumatic bleeding.

Indexed as

3T3 CellsAnimalsBlood PlateletsBlood TransfusionFemoral ArteryHemorrhageHemostasisHemostaticsHumansMicePlatelet TransfusionPolyethylene GlycolsSwineTissue DistributionHemostaticspolyethylene glycol 2000Polyethylene Glycols

Identifiers

PMID29449604
PMCPMC5814434

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Registered trials

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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.