Evidence map›Paper›PMID 30941770›Full record

ArticleJournal of cellular physiology2019

Tranexamic acid suppresses the release of mitochondrial DNA, protects the endothelial monolayer and enhances oxidative phosphorylation.

Igor Prudovsky, Damien Carter, Doreen Kacer, Monica Palmeri, Tee Soul, Chloe Kumpel, Kathleen Pyburn, Karyn Barrett, Victoria DeMambro, Ilya Alexandrov and 3 more

Open access · greenAbstract read
In one paragraph

Article in Journal of cellular physiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.9field-weighted citation impact, top 31% 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

13 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Mitochondrial dysfunction is a major cause of thromboinflammation and inflammatory cell death in critical illnesses.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Review
  8. Tranexamic acid reduces inflammation, edema and burn wound conversion in a rodent model.Burns : journal of the International Society for Burn Injuries · 2024
    Article
  9. Article
  10. Review
  11. Article
  12. Trauma-induced coagulopathy.Nature reviews. Disease primers · 2021
    Review
  13. Article
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

13 authors at 2 institutions in 1 country.

Igor PrudovskyMaine Medical Center Research Institute, Maine Medical Center, Scarborough, Maine.ORCID 0000-0002-8916-1331
Damien CarterMaine Medical Center Research Institute, Maine Medical Center, Scarborough, Maine.
Doreen KacerMaine Medical Center Research Institute, Maine Medical Center, Scarborough, Maine.
Monica PalmeriMaine Medical Center Research Institute, Maine Medical Center, Scarborough, Maine.
Tee SoulMaine Medical Center Research Institute, Maine Medical Center, Scarborough, Maine.
Chloe KumpelMaine Medical Center Research Institute, Maine Medical Center, Scarborough, Maine.
Kathleen PyburnMaine Medical Center Research Institute, Maine Medical Center, Scarborough, Maine.
Karyn BarrettMaine Medical Center Research Institute, Maine Medical Center, Scarborough, Maine.
Victoria DeMambroMaine Medical Center Research Institute, Maine Medical Center, Scarborough, Maine.
Ilya AlexandrovActivSignal Company, Natick, Massachusetts.
Irina BrandinaActivSignal Company, Natick, Massachusetts.
Robert KramerMaine Medical Center Research Institute, Maine Medical Center, Scarborough, Maine.
Joseph RappoldMaine Medical Center Research Institute, Maine Medical Center, Scarborough, Maine.
Maine Medical Center · USBoston Scientific (United States) · US

Funding

Understanding Factors Influencing COVID-19 Testing and Vaccination in Immigrant Low-income and Homeless Populations and Testing Targeted InterventionsU54GM115516 · NIGMS · MAINEHEALTH · PI Frances E. Carr · 2017 to 2026
$51.6M
The role of night shift work in metabolic disorders during and after pregnancyP20GM121301 · NIGMS · MAINEHEALTH · PI Lucy Liaw · 2017 to 2026
$25.1M
Training (pp 214-245)P41GM103391 · NIGMS · VANDERBILT UNIVERSITY · PI CAPRIOLI, RICHARD M · 2012 to 2020
$17.7M
Progenitor Cell Analysis CoreP30GM106391 · NIGMS · MAINEHEALTH · PI WOJCHOWSKI, DON MICHAEL · 2013 to 2017
$5.7M
NIGMS NIH HHS P20 GM121301NIGMS NIH HHS P30 GM106391NIGMS NIH HHS P41 GM103391NIGMS NIH HHS U54 GM115516
6 · The paper itself

Abstract

Damage-associated molecular patterns, including mitochondrial DNA (mtDNA) are released during hemorrhage resulting in the development of endotheliopathy. Tranexamic acid (TXA), an antifibrinolytic drug used in hemorrhaging patients, enhances their survival despite the lack of a comprehensive understanding of its cellular mechanisms of action. The present study is aimed to elucidate these mechanisms, with a focus on mitochondria. We found that TXA inhibits the release of endogenous mtDNA from granulocytes and endothelial cells. Furthermore, TXA attenuates the loss of the endothelial monolayer integrity induced by exogenous mtDNA. Using the Seahorse XF technology, it was demonstrated that TXA strongly stimulates mitochondrial respiration. Studies using Mitotracker dye, cells derived from mito-QC mice, and the ActivSignal IPAD assay, indicate that TXA stimulates biogenesis of mitochondria and inhibits mitophagy. These findings open the potential for improvement of the strategies of TXA applications in trauma patients and the development of more efficient TXA derivatives.

Indexed as

AnimalsDNA DamageDNA, MitochondrialEndothelial CellsGranulocytesHemorrhageHumansMiceMitochondriaMitophagyOxidative PhosphorylationTranexamic AcidWounds and InjuriesDNA, MitochondrialTranexamic Acidendothelial cellmitochondriamitochondrial DNAmitophagytranexamic acid

Identifiers

PMID30941770
PMCPMC6660401
OpenAlexW2932367847

What OpenQuestion holds

Textmetadata
LicenceTDM
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.