Evidence map›Paper›PMID 31722433›Full record

ArticleThe Journal of infectious diseases2020

Circulating Extracellular Vesicle Tissue Factor Activity During Orthohantavirus Infection Is Associated With Intravascular Coagulation.

Clare M Schmedes, Steven P Grover, Yohei M Hisada, Marco Goeijenbier, Johan Hultdin, Sofie Nilsson, Therese Thunberg, Clas Ahlm, Nigel Mackman, Anne-Marie Fors Connolly

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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  20. Extracellular Vesicle-Related Thrombosis in Viral Infection.International journal of general 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 3 countries.

Clare M SchmedesDepartment of Medicine, Division of Hematology and Oncology, University of North Carolina at Chapel Hill, Chapel Hill, North Carlina, USA.
Steven P GroverDepartment of Medicine, Division of Hematology and Oncology, University of North Carolina at Chapel Hill, Chapel Hill, North Carlina, USA.
Yohei M HisadaDepartment of Medicine, Division of Hematology and Oncology, University of North Carolina at Chapel Hill, Chapel Hill, North Carlina, USA.
Marco GoeijenbierDepartment of Viroscience, Erasmus University Medical Center, Rotterdam, Netherlands.
Johan HultdinDepartment of Medical Biosciences, Clinical Chemistry, Umeå University, Umeå, Sweden.
Sofie NilssonDepartment of Medical Biosciences, Clinical Chemistry, Umeå University, Umeå, Sweden.
Therese ThunbergDepartment of Clinical Microbiology, Umeå University, Umeå, Sweden.
Clas AhlmDepartment of Clinical Microbiology, Umeå University, Umeå, Sweden.
Nigel MackmanDepartment of Medicine, Division of Hematology and Oncology, University of North Carolina at Chapel Hill, Chapel Hill, North Carlina, USA.
Anne-Marie Fors ConnollyDepartment of Clinical Microbiology, Umeå University, Umeå, Sweden.
Umeå University · SEUniversity of North Carolina at Chapel Hill · USErasmus MC · NL

Funding

Role of the Thrombin PAR-1 Pathway in Viral InfectionR01HL119523 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MACKMAN, NIGEL · 2013 to 2020
$3.0M
NHLBI NIH HHS R01 HL119523
6 · The paper itself

Abstract

backgroundPuumala orthohantavirus (PUUV) causes hemorrhagic fever with renal syndrome (HFRS). Patients with HFRS have an activated coagulation system with increased risk of disseminated intravascular coagulation (DIC) and venous thromboembolism (VTE). The aim of the study was to determine whether circulating extracellular vesicle tissue factor (EVTF) activity levels associates with DIC and VTE (grouped as intravascular coagulation) in HFRS patients.

methodsLongitudinal samples were collected from 88 HFRS patients. Patients were stratified into groups of those with intravascular coagulation (n = 27) and those who did not (n = 61). We measured levels of circulating EVTF activity, fibrinogen, activated partial prothrombin time, D-dimer, tissue plasminogen activator (tPA), plasminogen activator inhibitor 1 (PAI-1), and platelets.

resultsPlasma EVTF activity was transiently increased during HFRS. Levels of EVTF activity were significantly associated with plasma tPA and PAI-1, suggesting that endothelial cells could be a potential source. Patients with intravascular coagulation had significantly higher peak EVTF activity levels compared with those who did not, even after adjustment for sex and age. The peak EVTF activity value predicting intravascular coagulation was 0.51 ng/L with 63% sensitivity and 61% specificity with area under the curve = 0.63 (95% confidence interval, 0.51-0.76) and P = .046.

conclusionsPlasma EVTF activity during HFRS is associated with intravascular coagulation.

Indexed as

AdultBiomarkersBlood CoagulationDisseminated Intravascular CoagulationExtracellular VesiclesFemaleFibrinolysisHemorrhagic Fever with Renal SyndromeHumansKineticsMaleMiddle AgedPlasminogen Activator Inhibitor 1Puumala virusSensitivity and SpecificityThromboplastinBiomarkersPlasminogen Activator Inhibitor 1PLAT protein, humanSERPINE1 protein, humanThromboplastinTissue Plasminogen Activatordisseminated intravascular coagulationhemorrhagic fever with renal syndromeorthohantavirusthrombosistissue factor

Identifiers

PMID31722433
PMCPMC7488197
OpenAlexW2989278926

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.