Evidence map›Paper›PMID 31484852›Full record

ArticleJournal of atherosclerosis and thrombosis2020

Profiles of Coagulation and Fibrinolysis Activation-Associated Molecular Markers of Atypical Hemolytic Uremic Syndrome in the Acute Phase.

Satoko Sakurai, Hideki Kato, Yoko Yoshida, Yuka Sugawara, Madoka Fujisawa, Atsushi Yasumoto, Masanori Matsumoto, Yoshihiro Fujimura, Yutaka Yatomi, Masaomi Nangaku

Open access · diamondAbstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.7field-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

10 citing papers in PubMed, 14 citations in OpenAlex.

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  9. Microvascular thrombosis: experimental and clinical implications.Translational research : the journal of laboratory and clinical medicine · 2020
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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

10 authors at 3 institutions in 1 country.

Satoko SakuraiDivision of Nephrology and Endocrinology, the University of Tokyo Graduate School of Medicine.
Hideki KatoDivision of Nephrology and Endocrinology, the University of Tokyo Graduate School of Medicine.
Yoko YoshidaDivision of Nephrology and Endocrinology, the University of Tokyo Graduate School of Medicine.
Yuka SugawaraDivision of Nephrology and Endocrinology, the University of Tokyo Graduate School of Medicine.
Madoka FujisawaDivision of Nephrology and Endocrinology, the University of Tokyo Graduate School of Medicine.
Atsushi YasumotoDepartment of Clinical Laboratory Medicine, the University of Tokyo Graduate School of Medicine.
Masanori MatsumotoDepartment of Blood Transfusion Medicine, Nara Medical University.
Yoshihiro FujimuraJapanese Red Cross Kinki Block Blood Center.
Yutaka YatomiDepartment of Clinical Laboratory Medicine, the University of Tokyo Graduate School of Medicine.
Masaomi NangakuDivision of Nephrology and Endocrinology, the University of Tokyo Graduate School of Medicine.
The University of Tokyo · JPJapanese Red Cross Society, Japan · JPNara Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimAtypical hemolytic uremic syndrome (aHUS), characterized by thrombotic microangiopathy (TMA), is a genetic, life-threatening disease which needs many differential diagnoses. This study aimed to reveal coagulation and fibrinolysis profiles in aHUS and secondary TMA patients. Furthermore, we investigated whether aHUS patients progress to, and meet, disseminated intravascular coagulation (DIC) criteria.

methodsThe acute phase samples were available in 15 aHUS and 20 secondary TMA patients. We measured PT-ratio, activated partial thromboplastin time (APTT), fibrinogen, fibrin degradation product (FDP), fibrin monomer complex (FMC), antithrombin (AT), plasmin-α2 plasmin inhibitor complex (PIC), and von Willebrand factor antigen (VWF:Ag). We examined and compared these tests among aHUS, secondary TMA patients, and healthy volunteer (HV), and evaluated whether patients with aHUS and secondary TMA met DIC criteria.

resultsPT-ratio, APTT, FDP, FMC and PIC in patients with aHUS and secondary TMA were higher than those in HV. Fibrinogen and AT showed no significant difference among three groups. VWF:Ag was higher in only aHUS patients. No tests showed significant difference between aHUS and secondary TMA patients. Three aHUS patients out of 15 met DIC criteria.

conclusionWe revealed the profiles and distributions of coagulation and fibrinolysis tests of aHUS and secondary TMA patients. All tests were enhanced compared to HV; however, our results showed the no specificities in distinguishing aHUS from secondary TMA patients. We also clarified that some aHUS patients fulfilled DIC diagnostic criteria, indicating that DIC itself cannot be an exclusion criterion of aHUS.

Indexed as

Blood CoagulationFibrinolysisAdolescentAdultAgedAtypical Hemolytic Uremic SyndromeBiomarkersBlood Coagulation TestsChildChild, PreschoolFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisBiomarkersaHUSCoagulation and fibrinolysisDICSecondary TMATMA

Identifiers

PMID31484852
PMCPMC7192816
OpenAlexW2972075321

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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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.