Evidence map›Paper›PMID 31434703›Full record

ArticleBlood2019

Tissue factor pathway inhibitor primes monocytes for antiphospholipid antibody-induced thrombosis.

Nadine Müller-Calleja, Anne Hollerbach, Svenja Ritter, Denise G Pedrosa, Dennis Strand, Claudine Graf, Christoph Reinhardt, Susanne Strand, Philippe Poncelet, John H Griffin and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 3% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Proteomics of arterial thrombi in acute limb ischemia.Journal of thrombosis and thrombolysis · 2025
    Article
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  8. Article
  9. Article
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  11. Article
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  13. Review
  14. Review
  15. Article
  16. COVID-19 and antiphospholipid antibodies.Best practice & research. Clinical haematology · 2022
    Review
  17. Review
  18. Review
  19. Article
  20. 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

12 authors at 2 institutions in 2 countries.

Nadine Müller-CallejaCenter for Thrombosis and Hemostasis and.
Anne HollerbachCenter for Thrombosis and Hemostasis and.
Svenja RitterCenter for Thrombosis and Hemostasis and.
Denise G PedrosaCenter for Thrombosis and Hemostasis and.ORCID 0000-0003-3324-7088
Dennis StrandDepartment of Medicine I, Johannes Gutenberg University Medical Center, Mainz, Germany.
Claudine GrafCenter for Thrombosis and Hemostasis and.ORCID 0000-0003-2451-501X
Christoph ReinhardtCenter for Thrombosis and Hemostasis and.
Susanne StrandDepartment of Medicine I, Johannes Gutenberg University Medical Center, Mainz, Germany.
Philippe PonceletBioCytex, Marseille, France; and.
John H GriffinDepartment of Molecular Medicine, Scripps Research, La Jolla, CA.
Karl J LacknerInstitute for Clinical Chemistry and Laboratory Medicine, Johannes Gutenberg University Medical Center, Mainz, Germany.
Wolfram RufCenter for Thrombosis and Hemostasis and.ORCID 0000-0002-6064-2166
Johannes Gutenberg University Mainz · DEScripps Institution of Oceanography · US

Funding

Regulation of Protein C PathwaysR01HL142975 · NHLBI · SCRIPPS RESEARCH INSTITUTE, THE · PI GRIFFIN, JOHN H, MOSNIER, LAURENT OLIVIER · 2018 to 2025
$7.3M
SIGNALING OF TISSUE FACTOR IN CELL ADHESIONR01HL060742 · NHLBI · SCRIPPS RESEARCH INSTITUTE, THE · PI RUF, WOLFRAM · 1998 to 2017
$6.4M
NHLBI NIH HHS R01 HL060742NHLBI NIH HHS R01 HL142975
6 · The paper itself

Abstract

Antiphospholipid antibodies (aPLs) with complex lipid and/or protein reactivities cause complement-dependent thrombosis and pregnancy complications. Although cross-reactivities with coagulation regulatory proteins contribute to the risk for developing thrombosis in patients with antiphospholipid syndrome, the majority of pathogenic aPLs retain reactivity with membrane lipid components and rapidly induce reactive oxygen species-dependent proinflammatory signaling and tissue factor (TF) procoagulant activation. Here, we show that lipid-reactive aPLs activate a common species-conserved TF signaling pathway. aPLs dissociate an inhibited TF coagulation initiation complex on the cell surface of monocytes, thereby liberating factor Xa for thrombin generation and protease activated receptor 1/2 heterodimer signaling. In addition to proteolytic signaling, aPLs promote complement- and protein disulfide isomerase-dependent TF-integrin β1 trafficking that translocates aPLs and NADPH oxidase to the endosome. Cell surface TF pathway inhibitor (TFPI) synthesized by monocytes is required for TF inhibition, and disabling TFPI prevents aPL signaling, indicating a paradoxical prothrombotic role for TFPI. Myeloid cell-specific TFPI inactivation has no effect on models of arterial or venous thrombus development, but remarkably prevents experimental aPL-induced thrombosis in mice. Thus, the physiological control of TF primes monocytes for rapid aPL pathogenic signaling and thrombosis amplification in an unexpected crosstalk between complement activation and coagulation signaling.

Indexed as

AnimalsAntibodies, AntiphospholipidBlood CoagulationCells, CulturedFemaleHumansLipoproteinsMaleMice, Inbred C57BLMonocytesSignal TransductionThromboplastinThrombosisAntibodies, Antiphospholipidlipoprotein-associated coagulation inhibitorLipoproteinsThromboplastin

Identifiers

PMID31434703
PMCPMC6776793
OpenAlexW2969453819

What OpenQuestion holds

Textmetadata
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.