Evidence map›Paper›PMID 31294514›Full record

ArticleJournal of thrombosis and haemostasis : JTH2019

Platelet-derived extracellular vesicles released after trauma promote hemostasis and contribute to DVT in mice.

Mitchell R Dyer, Wyeth Alexander, Adnan Hassoune, Qiwei Chen, Tomasz Brzoska, Jurgis Alvikas, Yingjie Liu, Shannon Haldeman, Will Plautz, Patricia Loughran and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
6.5field-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

48 citing papers in PubMed, 82 citations in OpenAlex.

  1. Review
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  3. Platelet Products and Artificial Platelets for Regenerative Medicine.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2026
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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 at 4 institutions in 2 countries.

Mitchell R DyerDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Wyeth AlexanderUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Adnan HassouneDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Qiwei ChenDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Tomasz BrzoskaPittsburgh Heart, Lung, and Blood Vascular Medicine Institute, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Jurgis AlvikasDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Yingjie LiuDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Shannon HaldemanDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Will PlautzUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Patricia LoughranDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Hui LiDepartment of Obstetrics, Gynecology, and Reproductive Science, Magee-Women's Research Institute, Pittsburgh, Pennsylvania.
Brian BooneDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Yoel SadovskyDepartment of Obstetrics, Gynecology, and Reproductive Science, Magee-Women's Research Institute, Pittsburgh, Pennsylvania.
Prithu SunddPittsburgh Heart, Lung, and Blood Vascular Medicine Institute, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Brian S ZuckerbraunDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Matthew D NealDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
University of Pittsburgh Medical Center · USUniversity of Pittsburgh · USCentral South University · CNMagee-Womens Research Institute · US

Funding

Analysis and Characterization of Trauma-Induced CoagulopathyUM1HL120877 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI MORRISSEY, JAMES H., WISNIEWSKI, STEPHEN R · 2013 to 2019
$26.6M
TRAINING IN TRAUMA AND SEPSIS RESEARCHT32GM008516 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI TIMOTHY R BILLIAR · 1994 to 2026
$9.4M
Pulmonary arteriole occlusion by platelet-neutrophil micro-emboli in Acute Chest SyndromeR01HL128297 · NHLBI · VERSITI WISCONSIN, INC. · PI SUNDD, PRITHU · 2015 to 2025
$5.4M
Inflammasome activation in trauma-hemorrhagic shockR01GM102146 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SCOTT, MELANIE J. · 2013 to 2025
$4.3M
Mechanistic Elucidation and Targeted Therapy of Platelet Dysfunction After TraumaR35GM119526 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI NEAL, MATTHEW D · 2016 to 2025
$3.9M
Mechanisms of platelet exosome-mediated acute chest syndrome in sickle cell diseaseR01HL141080 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI NEAL, MATTHEW D, NOVELLI, ENRICO M · 2019 to 2022
$3.1M
NHLBI NIH HHS R01 HL128297NHLBI NIH HHS R01 HL141080NHLBI NIH HHS UM1 HL120877NIGMS NIH HHS R01 GM102146NIGMS NIH HHS R35 GM119526NIGMS NIH HHS T32 GM008516
6 · The paper itself

Abstract

backgroundTraumatic injury can lead to dysregulation of the normal clotting system, resulting in hemorrhagic and thrombotic complications. Platelet activation is robust following traumatic injury and one process of platelet activation is to release of extracellular vesicles (PEV) that carry heterogenous cargo loads and surface ligands.

objectivesWe sought to investigate and characterize the release and function of PEVs generated following traumatic injury.

methodsPEV content and quantity in circulation following trauma in humans and mice was measured using flow cytometry, size exclusion chromatography, and nanoparticle tracking analysis. PEVs were isolated from circulation and the effects on thrombin generation, bleeding time, hemorrhage control, and thrombus formation were determined. Finally, the effect of hydroxychloroquine (HCQ) on PEV release and thrombosis were examined.

resultsHuman and murine trauma results in a significant release of PEVs into circulation compared with healthy controls. These PEVs result in abundant thrombin generation, increased platelet aggregation, decreased bleeding times, and decreased hemorrhage in uncontrolled bleeding. Conversely, PEVs contributed to enhanced venous thrombus formation and were recruited to the developing thrombus site. Interestingly, HCQ treatment resulted in decreased platelet aggregation, decreased PEV release, and reduced deep vein thrombosis burden in mice.

conclusionsThese data demonstrate that trauma results in significant release of PEVs which are both pro-hemostatic and pro-thrombotic. The effects of PEVs can be mitigated by treatment with HCQ, suggesting the potential use as a form of deep vein thrombosis prophylaxis.

Indexed as

HemostasisAdultAgedAnimalsBlood PlateletsDisease Models, AnimalExtracellular VesiclesFemaleFibrinolytic AgentsHumansHydroxychloroquineMaleMice, Inbred C57BLMiddle AgedMultiple TraumaPlatelet AggregationFibrinolytic AgentsHydroxychloroquinePlatelet Aggregation InhibitorsThrombinextracellular vesicleshemorrhageplateletsthrombosistrauma

Identifiers

PMID31294514
PMCPMC6773503
OpenAlexW2961238429

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.