Evidence map›Paper›PMID 30975909›Full record

ArticleHaematologica2020

Extracellular mitochondria released from traumatized brains induced platelet procoagulant activity.

Zilong Zhao, Yuan Zhou, Tristan Hilton, Fanjian Li, Cha Han, Li Liu, Hengjie Yuan, Ying Li, Xin Xu, Xiaoping Wu and 6 more

Abstract read
In one paragraph

Article in Haematologica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Extracellular Mitochondria Mediate Endothelial Injury After Traumatic Brain Injury.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Article
  4. Hyperadhesive von Willebrand Factor Contributes to Pathogenesis of Preeclampsia.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Article
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  19. Role of circulating mitochondria in venous thrombosis in glioblastoma.Journal of thrombosis and haemostasis : JTH · 2023
    Article
  20. Platelet-Derived Extracellular Vesicles in Arterial Thrombosis.Advances in experimental medicine and biology · 2023
    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

16 authors.

Zilong ZhaoBloodWorks Research Institute, Seattle, WA, USA.
Yuan ZhouBloodWorks Research Institute, Seattle, WA, USA.
Tristan HiltonBloodWorks Research Institute, Seattle, WA, USA.
Fanjian LiTianjin Institute of Neurology, Departments of Neurosurgery and Neurology, Tianjin Medical University General Hospital, Tianjin, China.
Cha HanBloodWorks Research Institute, Seattle, WA, USA.
Li LiuTianjin Institute of Neurology, Departments of Neurosurgery and Neurology, Tianjin Medical University General Hospital, Tianjin, China.
Hengjie YuanTianjin Institute of Neurology, Departments of Neurosurgery and Neurology, Tianjin Medical University General Hospital, Tianjin, China.
Ying LiTianjin Institute of Neurology, Departments of Neurosurgery and Neurology, Tianjin Medical University General Hospital, Tianjin, China.
Xin XuBloodWorks Research Institute, Seattle, WA, USA.
Xiaoping WuBloodWorks Research Institute, Seattle, WA, USA.
Fangyi ZhangDepartment of Neurosurgery, University of Washington School of Medicine, Seattle, WA, USA.
Perumal ThiagarajanDepartments of Medicine and Pathology, Michael E. DeBakey VA Medical Center and Baylor College of Medicine, Houston, TX, USA.
Andrew CapUS Army Institute of Surgical Research, San Antonio, TX, USA.
Fu-Dong ShiTianjin Institute of Neurology, Departments of Neurosurgery and Neurology, Tianjin Medical University General Hospital, Tianjin, China.
Jianning ZhangTianjin Institute of Neurology, Departments of Neurosurgery and Neurology, Tianjin Medical University General Hospital, Tianjin, China jfdong@bloodworksnw.org jianningzhang@hotmail.com.
Jing-Fei DongBloodWorks Research Institute, Seattle, WA, USA jfdong@bloodworksnw.org jianningzhang@hotmail.com.

Funding

Ultra-Large VWF and Thrombotic MicroangiopathyR01HL071895 · NHLBI · BLOODWORKS · PI DONG, JING-FEI · 2003 to 2012
$3.4M
Traumatic Brain Injury-induced CoagulopathyR21NS087296 · NINDS · BLOODWORKS · PI DONG, JING-FEI · 2014 to 2015
$507k
NHLBI NIH HHS R01 HL071895NINDS NIH HHS R21 NS087296
6 · The paper itself

Abstract

Coagulopathy often develops soon after acute traumatic brain injury and its cause remains poorly understood. We have shown that injured brains release cellular microvesicles that disrupt the endothelial barrier and induce consumptive coagulopathy. Morphologically intact extracellular mitochondria accounted for 55.2% of these microvesicles, leading to the hypothesis that these extracellular mitochondria are metabolically active and serve as a source of oxidative stress that activates platelets and renders them procoagulant. In testing this hypothesis experimentally, we found that the extracellular mitochondria purified from brain trauma mice and those released from brains subjected to freeze-thaw injury remained metabolically active and produced reactive oxygen species. These extracellular mitochondria bound platelets through the phospholipid-CD36 interaction and induced α-granule secretion, microvesiculation, and procoagulant activity in an oxidant-dependent manner, but failed to induce aggregation. These results define an extracellular mitochondria-induced and redox-dependent intermediate phenotype of platelets that contribute to the pathogenesis of traumatic brain injury-induced coagulopathy and inflammation.

Indexed as

Blood Coagulation DisordersCell-Derived MicroparticlesAnimalsBlood PlateletsMiceMitochondriaPlatelet AggregationReactive Oxygen SpeciesReactive Oxygen Species

Identifiers

PMID30975909
PMCPMC6939511

What OpenQuestion holds

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LicenceCC BY-NC
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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.