Evidence map›Paper›PMID 34725956›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2022

Defibrotide Inhibits Antiphospholipid Antibody-Mediated Neutrophil Extracellular Trap Formation and Venous Thrombosis.

Ramadan A Ali, Shanea K Estes, Alex A Gandhi, Srilakshmi Yalavarthi, Claire K Hoy, Hui Shi, Yu Zuo, Doruk Erkan, Jason S Knight

Open access · bronzeAbstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2022. 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
2.1field-weighted citation impact, top 12% 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, 36 citations in OpenAlex.

  1. Review
  2. Antiphospholipid Syndrome and the Kidney.Kidney international reports · 2025
    Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Catastrophic antiphospholipid syndrome: a CAPS-tivating hematologic disease.Hematology. American Society of Hematology. Education Program · 2024
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. The ABCs of antiphospholipid syndrome.Archives of rheumatology · 2023
    Review
  18. Review
  19. Review
  20. 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

9 authors at 2 institutions in 1 country.

Ramadan A AliUniversity of Michigan, Ann Arbor.
Shanea K EstesUniversity of Michigan, Ann Arbor.
Alex A GandhiUniversity of Michigan, Ann Arbor.
Srilakshmi YalavarthiUniversity of Michigan, Ann Arbor.
Claire K HoyUniversity of Michigan, Ann Arbor.
Hui ShiUniversity of Michigan, Ann Arbor.
Yu ZuoUniversity of Michigan, Ann Arbor.
Doruk ErkanHospital for Special Surgery, Weill Cornell Medicine, New York, New York.ORCID 0000-0001-7216-677X
Jason S KnightUniversity of Michigan, Ann Arbor.ORCID 0000-0003-0995-9771
University of Michigan · USHospital for Special Surgery · US

Funding

TRAINING OF ARTHRITIS RESEARCH SCIENTISTST32AR007080 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jason Knight · 1986 to 2026
$6.3M
Purinergic modulation of the autoimmune vascular phenotypeR01HL134846 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jason Knight · 2018 to 2026
$4.8M
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
NHLBI NIH HHS R01 HL115138NHLBI NIH HHS R01 HL134846NIAMS NIH HHS T32 AR007080
6 · The paper itself

Abstract

objectiveDefibrotide is a heterogenous mixture of polyanionic oligonucleotides currently approved for treatment of transplant-associated venoocclusive disease. While defibrotide has a known role in limiting endothelial cell activation, some studies have also demonstrated anti-leukocyte properties. In a recent study, we found that neutrophil extracellular traps (NETs) play a role in the thrombotic complications of antiphospholipid syndrome (APS). In the present study, we investigated the hypothesis that defibrotide might act to mitigate APS-relevant NET formation in vitro and in mouse models.

methodsWe used in vitro assays and a mouse model to determine the mechanisms by which defibrotide inhibits NET formation and venous thrombosis in APS.

resultsAt doses ranging from 1 to 10 μg/ml, defibrotide significantly suppressed NET formation from control neutrophils stimulated with IgG isolated from patients with APS. Defibrotide increased levels of intracellular cyclic AMP in neutrophils, and its suppressive effects on NET formation were mitigated by blocking adenosine A

conclusionThis study is the first to demonstrate mechanisms by which defibrotide counteracts neutrophil-mediated thrombotic inflammation inherent to APS.

Indexed as

Antiphospholipid SyndromeExtracellular TrapsThrombosisVenous ThrombosisAnimalsAntibodies, AntiphospholipidCyclic AMPDisease Models, AnimalHumansMiceNeutrophilsPolydeoxyribonucleotidesReceptor, Adenosine A2AAntibodies, AntiphospholipidCyclic AMPdefibrotidePolydeoxyribonucleotidesReceptor, Adenosine A2A

Identifiers

PMID34725956
PMCPMC9050805
OpenAlexW3210627986

What OpenQuestion holds

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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.