Evidence map›Paper›PMID 29941674›Full record

ArticleBlood2018

von Willebrand factor enhances microvesicle-induced vascular leakage and coagulopathy in mice with traumatic brain injury.

Yingang Wu, Wei Liu, Yuan Zhou, Tristan Hilton, Zilong Zhao, Wei Liu, Min Wang, Jason Yeon, Katie Houck, Perumal Thiagarajan and 6 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 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% 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

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Hyperadhesive von Willebrand Factor Contributes to Pathogenesis of Preeclampsia.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. The effect of ADAMTS13 on graft-versus-host disease.Journal of cellular and molecular medicine · 2024
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Observational
  20. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 6 institutions in 2 countries.

Yingang WuDepartment of Neurosurgery, Tianjin Institute of Neurology, Tianjin, China.
Wei LiuInstitute of Pathology, School of Medical Sciences, and.
Yuan ZhouDepartment of Neurosurgery, Tianjin Institute of Neurology, Tianjin, China.
Tristan HiltonBloodworks Research Institute, Seattle, WA.
Zilong ZhaoDepartment of Neurosurgery, Tianjin Institute of Neurology, Tianjin, China.
Wei LiuTianjin Medical University General Hospital, Tianjin, China.
Min WangInstitute of Pathology, School of Medical Sciences, and.
Jason YeonBloodworks Research Institute, Seattle, WA.
Katie HouckBloodworks Research Institute, Seattle, WA.
Perumal ThiagarajanDepartment of Medicine and.
Fangyi ZhangDepartment of Neurosurgery, University of Washington School of Medicine, Seattle, WA.
Fu-Dong ShiDepartment of Neurology, Barrow Neurological Institute, St. Joseph's Hospital, Phoenix, AZ; and.
Xiaoping WuInstitute of Pathology, School of Medical Sciences, and.
Min LiGansu Provincial Key Laboratory of Preclinical Study for New Drug Development, Lanzhou University, Lanzhou, China.
Jing-Fei DongInstitute of Pathology, School of Medical Sciences, and.
Jianning ZhangDepartment of Neurosurgery, Tianjin Institute of Neurology, Tianjin, China.
Bloodworks Northwest · USTianjin Medical University General Hospital · CNLanzhou University · CNUniversity of Washington · USBarrow Neurological Institute · USMichael E. DeBakey VA Medical Center · US

Funding

VWF Activity: Molecular Biology, Ethnic Diversity and Disease AssociationsR01HL125957 · NHLBI · BLOODWORKS · PI DONG, JING-FEI, YU, FULI · 2015 to 2018
$2.5M
Traumatic Brain Injury-induced CoagulopathyR21NS087296 · NINDS · BLOODWORKS · PI DONG, JING-FEI · 2014 to 2015
$507k
NHLBI NIH HHS R01 HL125957NINDS NIH HHS R21 NS087296
6 · The paper itself

Abstract

von Willebrand factor (VWF) is an adhesive ligand, and its activity is proteolytically regulated by the metalloprotease ADAMTS-13 (a disintegrin and metalloprotease with thrombospondin type 1 repeat 13). An elevated level of plasma VWF has been widely considered a marker for endothelial cell activation in trauma and inflammation, but its causal role in these pathological conditions remains poorly defined. Using a fluid percussion injury mouse model, we demonstrated that VWF released during acute traumatic brain injury (TBI) was activated and became microvesicle-bound. The VWF-bound microvesicles promoted vascular leakage and systemic coagulation. Recombinant ADAMTS-13 given either before or after TBI reduced the VWF reactivity with minimal influence on VWF secretion. rADAMTS-13 protected the integrity of endothelial cell barriers and prevented TBI-induced coagulopathy by enhancing VWF cleavage without impairing basal hemostasis. Promoting microvesicle clearance by lactadherin had efficacy similar to that of rADAMTS-13. This study uncovers a novel synergistic action between VWF and cellular microvesicles in TBI-induced vascular leakage and coagulopathy and demonstrates protective effects of rADAMTS-13.

Indexed as

AnimalsBlood Coagulation DisordersBrain InjuriesDisease Models, AnimalEndothelial CellsMaleMiceMice, KnockoutMicrovesselsvon Willebrand Factorvon Willebrand Factor

Identifiers

PMID29941674
PMCPMC6128082
OpenAlexW2811271014

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.