Evidence map›Paper›PMID 32708334›Full record

ReviewInternational journal of molecular sciences2020

Covid-19: The Rollercoaster of Fibrin(Ogen), D-Dimer, Von Willebrand Factor, P-Selectin and Their Interactions with Endothelial Cells, Platelets and Erythrocytes.

Corlia Grobler, Siphosethu C Maphumulo, L Mireille Grobbelaar, Jhade C Bredenkamp, Gert J Laubscher, Petrus J Lourens, Janami Steenkamp, Douglas B Kell, Etheresia Pretorius

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 106 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 4% 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

106 citing papers in PubMed, 2 syntheses or guidelines pooled it, 201 citations in OpenAlex.

  1. Endotheliopathy marked by high von Willebrand factor (vWF) antigen in COVID-19 is associated with poor outcome: a systematic review and meta-analysis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Pooled it
  2. The Role of P-Selectin in COVID-19 Coagulopathy: An Updated Review.International journal of molecular sciences · 2021
    Pooled it
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Utility of Protein Markers in COVID-19 Patients.International journal of molecular sciences · 2025
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Review
  20. Review

46 more citing papers are in PubMed but not listed here.

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

9 authors at 3 institutions in 3 countries.

Corlia GroblerDepartment of Physiological Sciences, Faculty of Science, Stellenbosch University, Stellenbosch 7602, South Africa.
Siphosethu C MaphumuloDepartment of Physiological Sciences, Faculty of Science, Stellenbosch University, Stellenbosch 7602, South Africa.ORCID 0000-0002-2549-9763
L Mireille GrobbelaarDepartment of Physiological Sciences, Faculty of Science, Stellenbosch University, Stellenbosch 7602, South Africa.
Jhade C BredenkampDepartment of Physiological Sciences, Faculty of Science, Stellenbosch University, Stellenbosch 7602, South Africa.
Gert J LaubscherElsie du Toit Street, Stellenbosch MediClinic, Stellenbosch 7600, South Africa.
Petrus J LourensElsie du Toit Street, Stellenbosch MediClinic, Stellenbosch 7600, South Africa.
Janami SteenkampPathCare Laboratories, PathCare Business Centre, Neels Bothma Street, N1 City, Cape Town 7460, South Africa.ORCID 0000-0001-5838-7963
Douglas B KellDepartment of Physiological Sciences, Faculty of Science, Stellenbosch University, Stellenbosch 7602, South Africa.ORCID 0000-0002-9108-2384
Etheresia PretoriusDepartment of Physiological Sciences, Faculty of Science, Stellenbosch University, Stellenbosch 7602, South Africa.
Stellenbosch University · ZARight to Care · ZAUniversity of Liverpool · GB

Funding

Medical Research Council of South Africa (MRC) A0X331Novo Nordisk Foundation for funding grant NNF10CC1016517
6 · The paper itself

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2), also known as coronavirus disease 2019 (COVID-19)-induced infection, is strongly associated with various coagulopathies that may result in either bleeding and thrombocytopenia or hypercoagulation and thrombosis. Thrombotic and bleeding or thrombotic pathologies are significant accompaniments to acute respiratory syndrome and lung complications in COVID-19. Thrombotic events and bleeding often occur in subjects with weak constitutions, multiple risk factors and comorbidities. Of particular interest are the various circulating inflammatory coagulation biomarkers involved directly in clotting, with specific focus on fibrin(ogen), D-dimer, P-selectin and von Willebrand Factor (VWF). Central to the activity of these biomarkers are their receptors and signalling pathways on endothelial cells, platelets and erythrocytes. In this review, we discuss vascular implications of COVID-19 and relate this to circulating biomarker, endothelial, erythrocyte and platelet dysfunction. During the progression of the disease, these markers may either be within healthy levels, upregulated or eventually depleted. Most significant is that patients need to be treated early in the disease progression, when high levels of VWF, P-selectin and fibrinogen are present, with normal or slightly increased levels of D-dimer (however, D-dimer levels will rapidly increase as the disease progresses). Progression to VWF and fibrinogen depletion with high D-dimer levels and even higher P-selectin levels, followed by the cytokine storm, will be indicative of a poor prognosis. We conclude by looking at point-of-care devices and methodologies in COVID-19 management and suggest that a personalized medicine approach should be considered in the treatment of patients.

Indexed as

BetacoronavirusBlood PlateletsCoronavirus InfectionsCOVID-19Cytokine Release SyndromeEndothelial CellsErythrocytesFibrin Fibrinogen Degradation ProductsHumansPandemicsPneumonia, ViralPoint-of-Care SystemsPrecision MedicineP-SelectinSARS-CoV-2ThrombocytopeniaFibrin Fibrinogen Degradation Productsfibrin fragment DP-SelectinSELP protein, humanvon Willebrand FactorbleedingCOVID-19fibrin(ogen)thrombosis

Identifiers

PMID32708334
PMCPMC7403995
OpenAlexW3040890594

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.