Evidence map›Paper›PMID 30893822›Full record

ArticleCells2019

Effect of MSCs and MSC-Derived Extracellular Vesicles on Human Blood Coagulation.

Denis N Silachev, Kirill V Goryunov, Margarita A Shpilyuk, Olga S Beznoschenko, Natalya Y Morozova, Elizaveta E Kraevaya, Vasily A Popkov, Irina B Pevzner, Ljubava D Zorova, Ekaterina A Evtushenko and 7 more

Open access · goldAbstract read
In one paragraph

Article in Cells, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 2% 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

95 citing papers in PubMed, 2 syntheses or guidelines pooled it, 152 citations in OpenAlex.

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35 more citing papers are in PubMed but not listed here.

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

17 authors at 4 institutions in 1 country.

Denis N SilachevV.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology, Moscow 117198, Russia. d_silachev@oparina4.ru.
Kirill V GoryunovV.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology, Moscow 117198, Russia. kirishgor@gmail.com.
Margarita A ShpilyukV.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology, Moscow 117198, Russia. tambovtsevamr@mail.ru.
Olga S BeznoschenkoV.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology, Moscow 117198, Russia.
Natalya Y MorozovaV.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology, Moscow 117198, Russia. n_morozova@oparina4.ru.
Elizaveta E KraevayaV.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology, Moscow 117198, Russia. e_kraevaya@oparina4.ru.
Vasily A PopkovV.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology, Moscow 117198, Russia. popkov.vas@gmail.com.
Irina B PevznerV.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology, Moscow 117198, Russia. irinapevzner@mail.ru.
Ljubava D ZorovaV.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology, Moscow 117198, Russia. lju_2003@list.ru.
Ekaterina A EvtushenkoFaculty of Biology, Lomonosov Moscow State University, Moscow 119234, Russia. trifonova.katerina@gmail.com.
Natalia L StarodubtsevaV.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology, Moscow 117198, Russia. n_starodubtseva@oparina4.ru.
Alexey S KononikhinV.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology, Moscow 117198, Russia. alex.kononikhin@gmail.com.
Anna E BugrovaV.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology, Moscow 117198, Russia. annabugrova@gmail.com.
Evgeniy G EvtushenkoFaculty of Chemistry, Lomonosov Moscow State University, Moscow 119992, Russia. evtushenko@enzyme.chem.msu.ru.
Egor Y PlotnikovV.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology, Moscow 117198, Russia. plotnikov@belozersky.msu.ru.ORCID 0000-0003-2838-3704
Dmitry B ZorovV.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology, Moscow 117198, Russia. zorov@belozersky.msu.ru.
Gennady T SukhikhV.I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology, Moscow 117198, Russia. gtsukhikh@mail.ru.
Lomonosov Moscow State University · RUNational Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I.Kulakov of the Ministry of Healthcare of the Russian Federation · RUMoscow Institute of Physics and Technology · RUSechenov University · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mesenchymal stem cells (MSCs) have emerged as a potent therapeutic tool for the treatment of a number of pathologies, including immune pathologies. However, unwelcome effects of MSCs on blood coagulation have been reported, motivating us to explore the thrombotic properties of human MSCs from the umbilical cord. We revealed strong procoagulant effects of MSCs on human blood and platelet-free plasma using rotational thromboelastometry and thrombodynamic tests. A similar potentiation of clotting was demonstrated for MSC-derived extracellular vesicles (EVs). To offer approaches to avoid unwanted effects, we studied the impact of a heparin supplement on MSC procoagulative properties. However, MSCs still retained procoagulant activity toward blood from children receiving a therapeutic dose of unfractionated heparin. An analysis of the mechanisms responsible for the procoagulant effect of MSCs/EVs revealed the presence of tissue factor and other proteins involved in coagulation-associated pathways. Also, we found that some MSCs and EVs were positive for annexin V, which implies the presence of phosphatidylserine on their surfaces, which can potentiate clot formation. Thus, we revealed procoagulant activity of MSCs/EVs associated with the presence of phosphatidylserine and tissue factor, which requires further analysis to avoid adverse effects of MSC therapy in patients with a risk of thrombosis.

Indexed as

Blood CoagulationAdultAnticoagulantsBlood PlateletsExtracellular VesiclesHeparinHumansInfant, NewbornMesenchymal Stem CellsPhosphatidylserinesAnticoagulantsHeparinPhosphatidylserinesextracellular vesiclesheparinmesenchymal stem cellsprocoagulant proteinsthrombosis

Identifiers

PMID30893822
PMCPMC6468445
OpenAlexW2921050683

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.