Evidence map›Paper›PMID 33351123›Full record

ArticleBlood advances2020

Human milk triggers coagulation via tissue factor-exposing extracellular vesicles.

Yong Hu, Lena Hell, Ruth Anna Kendlbacher, Najat Hajji, Chi Hau, Annemieke van Dam, René J Berckmans, Lukas Wisgrill, Cihan Ay, Ingrid Pabinger and 4 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.9field-weighted citation impact, top 11% 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

23 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
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  8. Milk-Derived Extracellular Vesicles and microRNAs: Potential Modulators of Intestinal Homeostasis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Review
  9. Review
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  12. Review
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  14. Clinical applications and challenges in the field of extracellular vesicles.Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2023
    Article
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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

14 authors at 3 institutions in 3 countries.

Yong HuLaboratory of Experimental Clinical Chemistry.
Lena HellClinical Division of Hematology and Hemostaseology, Department of Medicine I, and.
Ruth Anna KendlbacherClinical Division of Hematology and Hemostaseology, Department of Medicine I, and.
Najat HajjiLaboratory of Experimental Clinical Chemistry.
Chi HauLaboratory of Experimental Clinical Chemistry.
Annemieke van DamBiomedical Engineering & Physics, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
René J BerckmansLaboratory of Experimental Clinical Chemistry.
Lukas WisgrillClinical Division of Neonatology, Paediatric Intensive Care & Neuropaediatrics, Department of Paediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria; and.
Cihan AyClinical Division of Hematology and Hemostaseology, Department of Medicine I, and.
Ingrid PabingerClinical Division of Hematology and Hemostaseology, Department of Medicine I, and.
Alain BrissonUMR-5248-CBMN, Centre National de la Recherche Scientifique (CNRS)-University of Bordeaux-Institut Polytechnique de Bordeaux (IPB), Pessac, France.
Andreas RepaClinical Division of Neonatology, Paediatric Intensive Care & Neuropaediatrics, Department of Paediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria; and.
Rienk NieuwlandLaboratory of Experimental Clinical Chemistry.
Johannes ThalerClinical Division of Hematology and Hemostaseology, Department of Medicine I, and.
Medical University of Vienna · ATUniversity of Amsterdam · NLCentre National de la Recherche Scientifique · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Almost a century ago, it was discovered that human milk activates the coagulation system, but the milk component that triggers coagulation had until now been unidentified. In the present study, we identify this component and demonstrate that extracellular vesicles (EVs) present in normal human milk expose coagulant tissue factor (TF). This coagulant activity withstands digestive conditions, mimicking those of breastfed infants, but is sensitive to pasteurization of pooled donor milk, which is routinely used in neonatal intensive care units. In contrast to human milk, bovine milk, the basis of most infant formulas, lacks coagulant activity. Currently, the physiological function of TF-exposing vesicles in human milk is unknown, but we speculate that these vesicles may be protective for infants. Another explanation could be nipple skin damage, which occurs in most breastfeeding women. Milk-derived TF-exposing EVs may seal the wound and thereby reduce bleeding and breast inflammation.

Indexed as

Extracellular VesiclesThromboplastinAnimalsBlood CoagulationBreast FeedingCattleFemaleHumansInfantMilk, HumanThromboplastin

Identifiers

PMID33351123
PMCPMC7756996
OpenAlexW3111727220

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.