Evidence map›Paper›PMID 33151461›Full record

ArticleJournal of thrombosis and thrombolysis2021

Neutrophil extracellular traps and thrombosis in COVID-19.

Yu Zuo, Melanie Zuo, Srilakshmi Yalavarthi, Kelsey Gockman, Jacqueline A Madison, Hui Shi, Wrenn Woodard, Sean P Lezak, Njira L Lugogo, Jason S Knight and 1 more

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of thrombosis and thrombolysis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 183 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
183citing papers in PubMed, 3 pooled it
19.3field-weighted citation impact, top 1% 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

183 citing papers in PubMed, 3 syntheses or guidelines pooled it, 278 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Metoprolol in Critically Ill Patients With COVID-19.Journal of the American College of Cardiology · 2021
    Trial
  5. Article
  6. Article
  7. Article
  8. Endotheliopathy within the thromboinflammatory network of sepsis-induced coagulopathy.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Endotheliitis and cytokine storm as a mechanism of clot formation in COVID-19 ischemic stroke patients: A histopathologic study of retrieved clots.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  15. Article
  16. Review
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  18. Article
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  20. Article

123 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

11 authors at 3 institutions in 2 countries.

Yu ZuoDivision of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Melanie ZuoDivision of Geriatric and Palliative Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Srilakshmi YalavarthiDivision of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Kelsey GockmanDivision of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Jacqueline A MadisonDivision of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Hui ShiDivision of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Wrenn WoodardMichigan Clinical Research Unit, University of Michigan, Ann Arbor, MI, USA.
Sean P LezakMichigan Clinical Research Unit, University of Michigan, Ann Arbor, MI, USA.
Njira L LugogoDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Jason S KnightDivision of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA. jsknight@umich.edu.
Yogendra KanthiLaboratory of Vascular Thrombosis and Inflammation, National Heart, Lung, and Blood Institute, NIH, Bethesda, MD, USA. yogen.kanthi@nih.gov.ORCID http://orcid.org/0000-0002-5660-5194
University of Michigan · USNational Heart Lung and Blood Institute · USShanghai Jiao Tong University · CN

Funding

Purinergic modulation of the autoimmune vascular phenotypeR01HL134846 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jason Knight · 2018 to 2026
$4.8M
Human Translational Studies of Vascular Thrombosis and InflammationZIAHL006262 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI KANTHI, YOGENDRA · 2021 to 2025
$4.7M
Unraveling Cytotoxic and Thrombotic Signals in Host-defense ResponsesZIAHL006263 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI KANTHI, YOGENDRA · 2021 to 2025
$3.5M
Purinergic regulation of Innate Immunity to promote Venous HomeostasisR01HL150392 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PINSKY, DAVID J. · 2020 to 2024
$2.2M
Role of carrier plasma protein corona in their vascular wall localizationR01HL115138 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ENIOLA-ADEFESO, OMOLOLA · 2012 to 2016
$1.9M
CD39 in Vein Graft ArterializationK08HL131993 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KANTHI, YOGENDRA · 2016 to 2020
$837k
American Venous Forum (US) JOBST-AVFF AwardAPS ACTION Career Development AwardDr. Ralph and Marian Falk Medical Research Trust Catalyst AwardMedical School, University of Michigan COVID-19 Cardiovascular Impact Research Ignitor GrantMedical School, University of Michigan (US) COVID-19 Cardiovascular Impact Research Ignitor GrantNational Heart, Lung, and Blood Institute (US) R01HL115138National Heart, Lung, and Blood Institute (US) R01HL150392NHLBI NIH HHS Intramural Research ProgramNHLBI NIH HHS K08 HL131993NHLBI NIH HHS K08HL131993NHLBI NIH HHS R01 HL115138NHLBI NIH HHS R01 HL134846NHLBI NIH HHS R01 HL150392Rheumatology Research Foundation Career Development Award
6 · The paper itself

Abstract

Studies of patients with COVID-19 have demonstrated markedly dysregulated coagulation and a high risk of morbid arterial and venous thrombotic events. Elevated levels of blood neutrophils and neutrophil extracellular traps (NETs) have recently been described in patients with COVID-19. However, their potential role in COVID-19-associated thrombosis remains incompletely understood. In order to elucidate the potential role of hyperactive neutrophils and NET release in COVID-19-associated thrombosis, we conducted a case-control study of patients hospitalized with COVID-19 who developed thrombosis, as compared with gender- and age-matched COVID-19 patients without clinical thrombosis. We found that remnants of NETs (cell-free DNA, myeloperoxidase-DNA complexes, and citrullinated histone H3) and neutrophil-derived S100A8/A9 (calprotectin) in patient sera were associated with higher risk of morbid thrombotic events in spite of prophylactic anticoagulation. These observations underscore the need for urgent investigation into the potential relationship between NETs and unrelenting thrombosis in COVID-19, as well as novel approaches for thrombosis prevention.

Indexed as

AdultAgedAged, 80 and overCase-Control StudiesCOVID-19Extracellular TrapsFemaleHistonesHumansLeukocyte L1 Antigen ComplexMaleMiddle AgedNeutrophilsSARS-CoV-2ThrombosisHistonesLeukocyte L1 Antigen ComplexBlood coagulationCalprotectinCOVID-19Extracellular trapsNeutrophilsVenous thrombosis

Identifiers

PMID33151461
PMCPMC7642240
OpenAlexW3097755753

What OpenQuestion holds

Textmetadata
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.