Evidence map›Paper›PMID 33298665›Full record

ArticleJournal of atherosclerosis and thrombosis2022

Activated Factor XI is Increased in Plasma in Response to Surgical Trauma but not to Recombinant Activated FVII-Induced Thrombin Formation.

Heiko Rühl, Anne M Friemann, Sara Reda, Nadine Schwarz, Franziska I Winterhagen, Christina Berens, Jens Müller, Johannes Oldenburg, Bernd Pötzsch

Open access · diamondAbstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

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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

9 authors at 2 institutions in 2 countries.

Heiko RühlInstitute of Experimental Hematology and Transfusion Medicine, University Hospital Bonn.
Anne M FriemannInstitute of Experimental Hematology and Transfusion Medicine, University Hospital Bonn.
Sara RedaInstitute of Experimental Hematology and Transfusion Medicine, University Hospital Bonn.
Nadine SchwarzInstitute of Experimental Hematology and Transfusion Medicine, University Hospital Bonn.
Franziska I WinterhagenInstitute of Experimental Hematology and Transfusion Medicine, University Hospital Bonn.
Christina BerensInstitute of Experimental Hematology and Transfusion Medicine, University Hospital Bonn.
Jens MüllerInstitute of Experimental Hematology and Transfusion Medicine, University Hospital Bonn.
Johannes OldenburgInstitute of Experimental Hematology and Transfusion Medicine, University Hospital Bonn.
Bernd PötzschInstitute of Experimental Hematology and Transfusion Medicine, University Hospital Bonn.
University Hospital Bonn · DEInstitute for Transfusion Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimFeedback activation of factor XI (FXI) by thrombin is believed to play a critical role in the amplification phase of thrombin generation and to contribute to thrombosis development and hemostasis. However, the activation of FXI by thrombin has been shown in vitro to require a cofactor. In this study, the role of thrombin in activated FXI (FXIa) formation in vivo is investigated.

methodsThe study population comprised probands in whom coagulation activation was triggered by low-dose (15 µg/kg) recombinant activated factor VII (rFVIIa, n=89), of whom 34 with (VTE+) and 45 without a history of venous thromboembolism (VTE-), and patients undergoing major orthopedic surgeries (n=45). FXIa was quantified via an enzyme capture assay using a monoclonal FXI-specific antibody. Thrombin formation was monitored using an oligonucleotide-based enzyme capture assay and the thrombin activation markers prothrombin fragment 1+2 (F1+2) and thrombin-antithrombin complex (TAT).

resultsIn the rFVIIa cohort, FXIa and thrombin remained below their lower limit of quantification of 3.48 and 1.06 pmol/L, respectively. By contrast, during the surgeries, median FXIa levels increased from 3.69 pmol/L pre-operatively to 9.41 pmol/L mid-operatively (P=4·10

conclusionsUnder in vivo conditions, the activation of FXI requires specific local features that are present at the wounded site including potential cofactors of thrombin.

Indexed as

AdultAgedAntithrombin IIICase-Control StudiesCohort StudiesFactor VIIaFactor XIaFemaleHumansMaleMiddle AgedOrthopedic ProceduresPeptide FragmentsPeptide HydrolasesProthrombinRecombinant ProteinsAntithrombin IIIantithrombin III-protease complexFactor VIIaFactor XIaPeptide FragmentsPeptide HydrolasesProthrombinprothrombin fragment 1.2recombinant FVIIaRecombinant ProteinsThrombinFactor XIHypercoagulabilitySurgical hemostasisThrombophilia

Identifiers

PMID33298665
PMCPMC8737067
OpenAlexW3112655970

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.