Evidence map›Paper›PMID 33495638›Full record

ArticleNature biomedical engineering2021

Transient blood thinning during extracorporeal blood purification via the inactivation of coagulation factors by hydrogel microspheres.

Xin Song, Haifeng Ji, Yupei Li, Yuqin Xiong, Li Qiu, Rui Zhong, Meng Tian, Jayachandran N Kizhakkedathu, Baihai Su, Qiang Wei and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature biomedical engineering, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
10.7field-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

17 citing papers in PubMed, 113 citations in OpenAlex.

  1. Article
  2. Article
  3. Biomechanical anticoagulation by spherical platelets in extracorporeal systems.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Biomimetic Anticoagulated Porous Particles with Self-Reporting Structural Colors.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Article
  9. Article
  10. Review
  11. Research progress on blood compatibility of hemoperfusion adsorbent materials.Frontiers in bioengineering and biotechnology · 2024
    Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Advances in the Development of Biomaterials for Endotoxin Adsorption in Sepsis.Frontiers in bioengineering and biotechnology · 2021
    Review
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

12 authors at 5 institutions in 5 countries.

Xin Song *College of Polymer Science and Engineering, State Key Laboratory of Polymer Materials Engineering, Sichuan University, Chengdu, China.ORCID http://orcid.org/0000-0003-4017-9685
Haifeng Ji *College of Polymer Science and Engineering, State Key Laboratory of Polymer Materials Engineering, Sichuan University, Chengdu, China.
Yupei Li *Department of Nephrology, West China Hospital, Sichuan University, Chengdu, China.ORCID http://orcid.org/0000-0002-7364-3731
Yuqin XiongDepartment of Nephrology, West China Hospital, Sichuan University, Chengdu, China.
Li QiuDepartment of Ultrasound, West China School of Medicine/West China Hospital, Sichuan University, Chengdu, China.
Rui ZhongInstitute of Blood Transfusion, Chinese Academy of Medical Sciences, Peking Union Medical College, Chengdu, China.
Meng TianDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China.
Jayachandran N KizhakkedathuDepartment of Pathology and Laboratory Medicine, Center for Blood Research and Life Science Institute, University of British Columbia, Vancouver, British Columbia, Canada.ORCID http://orcid.org/0000-0001-7688-7574
Baihai SuDepartment of Nephrology, West China Hospital, Sichuan University, Chengdu, China.ORCID http://orcid.org/0000-0002-2187-8168
Qiang WeiCollege of Polymer Science and Engineering, State Key Laboratory of Polymer Materials Engineering, Sichuan University, Chengdu, China.ORCID http://orcid.org/0000-0001-5194-8262
Weifeng ZhaoCollege of Polymer Science and Engineering, State Key Laboratory of Polymer Materials Engineering, Sichuan University, Chengdu, China. weifeng@scu.edu.cn.ORCID http://orcid.org/0000-0003-2689-0251
Changsheng ZhaoCollege of Polymer Science and Engineering, State Key Laboratory of Polymer Materials Engineering, Sichuan University, Chengdu, China. zhaochsh70@scu.edu.cn.ORCID http://orcid.org/0000-0002-4619-3499
Sichuan University · CNHong Kong Polytechnic University · HKChinese Academy of Medical Sciences & Peking Union Medical College · CNHeidelberg University · DEUniversity of British Columbia · CA

Funding

CIHR
6 · The paper itself

Abstract

During extracorporeal blood purification, anticoagulants are administered to prevent thrombogenesis. However, haemorrhagic complications owing to near-complete inactivation of blood coagulation and delayed recovery of haemostasis pose serious risks to patients. Here, we show in vitro and in beagle dogs that hydrogel microspheres that adsorb the coagulation factors VIII, IX and XI provide transient blood thinning when placed in the extracorporeal circuit before blood purification. The microspheres inhibited the activities of the coagulation factors by levels (~8-30%) similar to those occurring in mild haemophilia. On its reintroduction into the animal, the purified pseudo-haemophilic blood favoured faster recovery of haemostasis. The transient blood-thinning strategy may increase the safety of clinical blood-purification procedures.

Indexed as

Hemophilia AHydrogelsAnimalsBlood Coagulation FactorsDogsFactor VIIIHumansMicrospheresBlood Coagulation FactorsFactor VIIIHydrogels

Identifiers

PMID33495638
OpenAlexW3122629719

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.