Evidence map›Paper›PMID 30926232›Full record

ArticleImmunity2019

The Coagulation and Immune Systems Are Directly Linked through the Activation of Interleukin-1α by Thrombin.

Laura C Burzynski, Melanie Humphry, Katerina Pyrillou, Kimberley A Wiggins, Julie N E Chan, Nichola Figg, Lauren L Kitt, Charlotte Summers, Kate C Tatham, Paul B Martin and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Immunity, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed, 2 pooled it
20.0field-weighted citation impact, top 1% 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

116 citing papers in PubMed, 2 syntheses or guidelines pooled it, 220 citations in OpenAlex.

  1. Pooled it
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  9. IL-1 family cytokines in inflammation and immunity.Cellular & molecular immunology · 2025
    Review
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56 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Laura C BurzynskiDivision of Cardiovascular Medicine, University of Cambridge, Addenbrooke's Hospital, Cambridge, CB2 0QQ, UK.
Melanie HumphryDivision of Cardiovascular Medicine, University of Cambridge, Addenbrooke's Hospital, Cambridge, CB2 0QQ, UK.
Katerina PyrillouDivision of Cardiovascular Medicine, University of Cambridge, Addenbrooke's Hospital, Cambridge, CB2 0QQ, UK.
Kimberley A WigginsDivision of Cardiovascular Medicine, University of Cambridge, Addenbrooke's Hospital, Cambridge, CB2 0QQ, UK.
Julie N E ChanDivision of Cardiovascular Medicine, University of Cambridge, Addenbrooke's Hospital, Cambridge, CB2 0QQ, UK.
Nichola FiggDivision of Cardiovascular Medicine, University of Cambridge, Addenbrooke's Hospital, Cambridge, CB2 0QQ, UK.
Lauren L KittDivision of Cardiovascular Medicine, University of Cambridge, Addenbrooke's Hospital, Cambridge, CB2 0QQ, UK.
Charlotte SummersDivision of Anaesthesia, Department of Medicine, University of Cambridge, Addenbrooke's Hospital, Cambridge, CB2 0QQ, UK.
Kate C TathamSection of Anaesthetics, Pain Medicine and Intensive Care, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, SW7 2AZ, UK.
Paul B MartinSchool of Biochemistry, Biomedical Sciences, University of Bristol, Bristol, BS8 1TD, UK.
Martin R BennettDivision of Cardiovascular Medicine, University of Cambridge, Addenbrooke's Hospital, Cambridge, CB2 0QQ, UK.
Murray C H ClarkeDivision of Cardiovascular Medicine, University of Cambridge, Addenbrooke's Hospital, Cambridge, CB2 0QQ, UK. Electronic address: mchc2@cam.ac.uk.
University of Cambridge · GBAddenbrooke's Hospital · GBImperial College London · GBUniversity of Bristol · GB

Funding

British Heart Foundation FS/09/005/26845British Heart Foundation FS/13/3/30038British Heart Foundation FS/18/19/33371British Heart Foundation PG/16/11/32021British Heart Foundation RE/13/6/30180British Heart Foundation RG/13/14/30314British Heart Foundation RG/16/8/32388British Heart Foundation RM/13/3/30159
6 · The paper itself

Abstract

Ancient organisms have a combined coagulation and immune system, and although links between inflammation and hemostasis exist in mammals, they are indirect and slower to act. Here we investigated direct links between mammalian immune and coagulation systems by examining cytokine proproteins for potential thrombin protease consensus sites. We found that interleukin (IL)-1α is directly activated by thrombin. Thrombin cleaved pro-IL-1α at a site perfectly conserved across disparate species, indicating functional importance. Surface pro-IL-1α on macrophages and activated platelets was cleaved and activated by thrombin, while tissue factor, a potent thrombin activator, colocalized with pro-IL-1α in the epidermis. Mice bearing a mutation in the IL-1α thrombin cleavage site (R114Q) exhibited defects in efficient wound healing and rapid thrombopoiesis after acute platelet loss. Thrombin-cleaved IL-1α was detected in humans during sepsis, pointing to the relevance of this pathway for normal physiology and the pathogenesis of inflammatory and thrombotic diseases.

Indexed as

Adaptive ImmunityAmino Acid SequenceAnimalsBlood CoagulationBlood PlateletsHumansImmune SystemImmunity, InnateInterleukin-1alphaKeratinocytesMacrophagesMammalsMiceProtein PrecursorsSelection, GeneticSepsisIL1A protein, humanInterleukin-1alphaProtein PrecursorsThrombin

Identifiers

PMID30926232
PMCPMC6476404
OpenAlexW2924731596

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.