Evidence map›Paper›PMID 30366922›Full record

ArticleBlood2019

The von Willebrand factor Tyr2561 allele is a gain-of-function variant and a risk factor for early myocardial infarction.

Reinhard Schneppenheim, Natalie Hellermann, Maria A Brehm, Ulrike Klemm, Tobias Obser, Volker Huck, Stefan W Schneider, Cécile V Denis, Alexander Tischer, Matthew Auton and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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.

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

16 citing papers in PubMed, 27 citations in OpenAlex.

  1. Assessing genetic risk factors for early-onset coronary artery disease in Iranians.Research and practice in thrombosis and haemostasis · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Genetic and Clinical Predictors of Left Atrial Thrombus: A Single Center Case-Control Study.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 7 institutions in 4 countries.

Reinhard SchneppenheimDepartment of Pediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-8113-7118
Natalie HellermannMedicum Detmold GmbH, Detmold, Germany.
Maria A BrehmDepartment of Pediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0003-0416-8233
Ulrike KlemmDepartment of Pediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Tobias ObserDepartment of Pediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Volker HuckCenter for Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-8988-1091
Stefan W SchneiderCenter for Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Cécile V DenisINSERM, Unit 770, Le Kremlin Bicêtre, Paris, France.ORCID 0000-0001-5152-9156
Alexander TischerDivision of Hematology, Mayo Clinic, Rochester, MN.
Matthew AutonDivision of Hematology, Mayo Clinic, Rochester, MN.ORCID 0000-0002-4446-6932
Winfried MärzMedical Clinic V (Nephrology, Rheumatology, Hypertensiology, Endocrinology, Diabetology), Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Emma-Ruoqi XuHamburg Unit, European Molecular Biology Laboratory, Hamburg, Germany.ORCID 0000-0001-7300-3868
Matthias WilmannsHamburg Unit, European Molecular Biology Laboratory, Hamburg, Germany.ORCID 0000-0002-4643-5435
Rainer B ZotzDepartment of Hemostasis and Transfusion Medicine, Heinrich Heine University Medical Center, Düsseldorf, Germany.
Universität Hamburg · DEMayo Clinic in Arizona · USDüsseldorf University Hospital · DEEuropean Molecular Biology Laboratory · DEInserm · FRMedical University of Graz · ATUniversity of Music Detmold · DE

Funding

Thermodynamics of the Conformational Activation of Von Willebrand FactorR01HL109109 · NHLBI · MAYO CLINIC ROCHESTER · PI AUTON, MATTHEW · 2011 to 2015
$1.7M
NHLBI NIH HHS R01 HL109109
6 · The paper itself

Abstract

The frequent von Willebrand factor (VWF) variant p.Phe2561Tyr is located within the C4 domain, which also harbors the platelet GPIIb/IIIa-binding RGD sequence. To investigate its potential effect on hemostasis, we genotyped 865 patients with coronary artery disease (CAD), 915 with myocardial infarction (MI), and 417 control patients (Ludwigshafen Risk and Cardiovascular Health Study) and performed functional studies of this variant. A univariate analysis of male and female carriers of the Tyr2561 allele aged 55 years or younger revealed an elevated risk for repeated MI (odds ratio, 2.53; 95% confidence interval [CI], 1.07-5.98). The odds ratio was even higher in females aged 55 years or younger, at a value of 5.93 (95% CI, 1.12-31.24). Cone and plate aggregometry showed that compared with Phe2561, Tyr2561 was associated with increased platelet aggregate size both in probands' blood and with the recombinant variants. Microfluidic assays revealed that the critical shear rate for inducing aggregate formation was decreased to 50% by Tyr2561 compared with Phe2561. Differences in C-domain circular dichroism spectra resulting from Tyr2561 suggest an increased shear sensitivity of VWF as a result of altered association of the C domains that disrupts the normal dimer interface. In summary, our data emphasize the functional effect of the VWF C4 domain for VWF-mediated platelet aggregation in a shear-dependent manner and provide the first evidence that a functional variant of VWF plays a role in arterial thromboembolism.

Indexed as

AllelesGenetic Predisposition to DiseaseCase-Control StudiesFemaleGain of Function MutationHumansMaleMiddle AgedMyocardial InfarctionOdds RatioPlatelet Glycoprotein GPIIb-IIIa ComplexProtein BindingProtein ConformationRisk FactorsTyrosinevon Willebrand FactorPlatelet Glycoprotein GPIIb-IIIa ComplexTyrosinevon Willebrand Factor

Identifiers

PMID30366922
PMCPMC6347094
OpenAlexW2898553088

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.