Evidence map›Paper›PMID 32560665›Full record

ArticleCritical care (London, England)2020

"War to the knife" against thromboinflammation to protect endothelial function of COVID-19 patients.

Gabriele Guglielmetti, Marco Quaglia, Pier Paolo Sainaghi, Luigi Mario Castello, Rosanna Vaschetto, Mario Pirisi, Francesco Della Corte, Gian Carlo Avanzi, Piero Stratta, Vincenzo Cantaluppi

Abstract read
In one paragraph

Article in Critical care (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
–field-weighted citation impact
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

38 citing papers in PubMed.

  1. Article
  2. COVID-19: a vascular nightmare unfolding.Frontiers in immunology · 2025
    Review
  3. Article
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  5. Article
  6. Observational
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  13. Review
  14. Article
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  17. Observational
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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.

Gabriele GuglielmettiDepartment of Translational Medicine, School of Medicine of the University of Piemonte Orientale (UPO), Novara, Italy. gabrigug88@gmail.com.ORCID 0000-0003-2531-499X
Marco QuagliaDepartment of Translational Medicine, School of Medicine of the University of Piemonte Orientale (UPO), Novara, Italy.
Pier Paolo SainaghiDepartment of Translational Medicine, School of Medicine of the University of Piemonte Orientale (UPO), Novara, Italy.
Luigi Mario CastelloDepartment of Translational Medicine, School of Medicine of the University of Piemonte Orientale (UPO), Novara, Italy.
Rosanna VaschettoDepartment of Translational Medicine, School of Medicine of the University of Piemonte Orientale (UPO), Novara, Italy.
Mario PirisiDepartment of Translational Medicine, School of Medicine of the University of Piemonte Orientale (UPO), Novara, Italy.
Francesco Della CorteDepartment of Translational Medicine, School of Medicine of the University of Piemonte Orientale (UPO), Novara, Italy.
Gian Carlo AvanziDepartment of Translational Medicine, School of Medicine of the University of Piemonte Orientale (UPO), Novara, Italy.
Piero StrattaDepartment of Translational Medicine, School of Medicine of the University of Piemonte Orientale (UPO), Novara, Italy.
Vincenzo CantaluppiDepartment of Translational Medicine, School of Medicine of the University of Piemonte Orientale (UPO), Novara, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this viewpoint, we summarize the relevance of thromboinflammation in COVID-19 and discuss potential mechanisms of endothelial injury as a key point for the development of lung and distant organ dysfunction, with a focus on direct viral infection and cytokine-mediated injury. Entanglement between inflammation and coagulation and resistance to heparin provide a rationale to consider other therapeutic approaches in order to preserve endothelial function and limit microthrombosis, especially in severe forms. These strategies include nebulized heparin, N-acetylcysteine, plasma exchange and/or fresh frozen plasma, plasma derivatives to increase the level of endogenous anticoagulants (tissue factor pathway inhibitor, activated protein C, thrombomodulin, antithrombin), dipyridamole, complement blockers, different types of stem cells, and extracellular vesicles. An integrated therapy including these drugs has the potential to improve outcomes in COVID-19.

Indexed as

Coronavirus InfectionsCOVID-19Endothelial CellsHumansInflammationPandemicsPneumonia, ViralThrombosisAnticoagulationComplementCOVID-19Endothelial dysfunctionExtracellular vesiclesHeparinPlasmaThromboinflammationThrombosis

Identifiers

PMID32560665
PMCPMC7303575

What OpenQuestion holds

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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.