Evidence map›Paper›PMID 30046671›Full record

ArticleResearch and practice in thrombosis and haemostasis2017

Endothelial barrier protective properties of low molecular weight heparin: A novel potential tool in the prevention of cancer metastasis?

Barry Kevane, Karl Egan, Seamus Allen, Patricia Maguire, Elaine Neary, Áine Lennon, Fionnuala Ní Áinle

Open access · goldAbstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Barry KevaneSchool of Medicine & Medical Science University College Dublin (UCD) Dublin Ireland.
Karl EganSchool of Medicine & Medical Science University College Dublin (UCD) Dublin Ireland.
Seamus AllenSchool of Medicine & Medical Science University College Dublin (UCD) Dublin Ireland.
Patricia MaguireSPHERE Research Group UCD Conway Institute Dublin Ireland.
Elaine NearyDepartment of Neonatology Rotunda Hospital Dublin Ireland.
Áine LennonDepartment of Haematology Mater Misericordiae University Hospital Dublin Ireland.
Fionnuala Ní ÁinleSchool of Medicine & Medical Science University College Dublin (UCD) Dublin Ireland.
University College Dublin · IERotunda Hospital · IEMater Misericordiae University Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne of the key events in the progression of cancer metastasis is the trans-endothelial migration of circulating tumor cells. Moreover, inhibition of tumor-induced vascular permeability has been shown to inhibit metastasis in vivo. Low molecular weight heparin (LMWH) appears to confer a survival benefit in cancer but the underlying mechanisms are poorly understood.

objectiveTo characterise LMWH-mediated endothelial barrier protection and to explore strategies to limit the LMWH-associated haemorrhagic risk in this setting.

methodsEndothelial barrier function was assessed using in vitro assays of endothelial permeability and tumor cell trans-endothelial migration. Thrombin-mediated activation of PAR-1 signalling was assessed by flow cytometry and western blotting. LMWH anticoagulant activity was assessed by calibrated automated thrombography and plasma anti-factor Xa activity assay.

resultsLMWH tinzaparin enhanced endothelial barrier function and reduced tumor cell trans-endothelial migration (73.9±5.7% of baseline;

conclusionCollectively, these results suggest that LMWH supports endothelial barrier function in a manner which does not appear to be dependent on its anticoagulant activity. If replicated in vivo, these findings could represent a novel therapeutic approach to the suppression of metastasis.

Indexed as

anticoagulantsendotheliumhaemorrhageheparinmetastasis

Identifiers

PMID30046671
PMCPMC5974908
OpenAlexW2683646229

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.