Evidence map›Paper›PMID 32079699›Full record

ArticleHaematologica2021

Iron deficiency-induced thrombocytosis increases thrombotic tendency in rats.

Kristine Jimenez, Florentina Leitner, Aran Leitner, Gisela Scharbert, Philipp Schwabl, Anne-Margarethe Kramer, Anita Krnjic, Joachim Friske, Thomas Helbich, Rayko Evstatiev and 2 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
2.7field-weighted citation impact, top 8% 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

40 citing papers in PubMed, 50 citations in OpenAlex.

  1. Trial
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  8. KDIGO 2026 Clinical Practice Guideline for Anemia in Chronic Kidney Disease (CKD): a commentary from the European Renal Best Practice (ERBP).Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    Article
  9. Article
  10. Review
  11. Article
  12. Sex Differences in Cancer-Associated Thrombosis.International journal of molecular sciences · 2026
    Review
  13. Article
  14. Article
  15. Prediction model for leaflet thrombosis in patients undergoing transcatheter aortic valve implantation: the EFFORT study.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    Observational
  16. Article
  17. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 2 countries.

Kristine JimenezDiv. of Gastroenterology and Hepatology,Dept. of Internal Medicine III, Medical University of Vienna.
Florentina LeitnerDiv. of Gastroenterology and Hepatology,Dept. of Internal Medicine III, Medical University of Vienna.
Aran LeitnerDiv. of Gastroenterology and Hepatology,Dept. of Internal Medicine III, Medical University of Vienna.
Gisela ScharbertDepartment of Special Anaesthesiology and Pain Management, General Intensive Care and Pain Control.
Philipp SchwablDiv. of Gastroenterology and Hepatology,Dept. of Internal Medicine III, Medical University of Vienna.
Anne-Margarethe KramerDepartment of Biomedical Research, Medical University of Vienna.
Anita KrnjicDiv. of Gastroenterology and Hepatology,Dept. of Internal Medicine III, Medical University of Vienna.
Joachim FriskeDepartment of Biomedical Imaging and Image-guided Therapy, Division of Gender and Molecular Imaging.
Thomas HelbichDepartment of Biomedical Imaging and Image-guided Therapy, Division of Gender and Molecular Imaging.
Rayko EvstatievDiv. of Gastroenterology and Hepatology,Dept. of Internal Medicine III, Medical University of Vienna.
Vineeta KhareDiv. of Gastroenterology and Hepatology,Dept. of Internal Medicine III, Medical University of Vienna.
Christoph GascheDiv. of Gastroenterology and Hepatology,Dept. of Internal Medicine III, Medical University of Vienna.
Medical University of Vienna · ATPain and Rehabilitation Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Iron deficiency (ID) is globally prevalent, and apart from anemia is associated with thrombocytosis. While considered benign, studies linking thrombotic events with prior ID anemia suggest otherwise. Herein we used animal models to assess the influence of ID on thrombotic tendency. Sprague-Dawley rats were fed control or iron deficient diets and ferric carboxymaltose was used to reverse ID. Thrombosis was induced via stenosis of the inferior vena cava or damage to the right carotid artery using ferric chloride. Thrombi were evaluated histologically and via high frequency ultrasound in the venous model. ID consistently induced thrombocytosis alongside anemia. Venous thrombus growth and final dimensions in both arterial and venous thrombi were largest in ID. In both models, platelet numbers correlated with the final thrombus size, with ID thrombi having the largest platelet areas. Platelet function was also evaluated in surgically naive rats. Coagulability on thromboelastography and hemostasis on tail transection were augmented in ID. Platelet and plasma P-selectin expression were both higher in ID. Platelet adhesion and aggregation in ID was impaired under shear flow but was intact on static assays. Iron replacement therapy reversed all ID-related changes in hematological parameters, thrombus dimensions, and platelet assays. In summary, ID alone increases thrombotic tendency. Iron replacement therapy reverses these changes, making it a viable strategy for prevention of ID-related thrombotic disease. This may be of importance in patients with chronic illnesses which may already be at increased risk for thrombosis such as inflammatory bowel disease, chronic kidney disease, or cancer.

Indexed as

Anemia, Iron-DeficiencyThrombocytosisThrombosisAnimalsBlood PlateletsHumansRatsRats, Sprague-Dawley

Identifiers

PMID32079699
PMCPMC7928018
OpenAlexW3007850211

What OpenQuestion holds

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LicenceCC BY-NC
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.