Evidence map›Paper›PMID 35266284›Full record

ArticleInternational journal of laboratory hematology2022

SARS-CoV-2 infection induces soluble platelet activation markers and PAI-1 in the early moderate stage of COVID-19.

Abaher O Al-Tamimi, Ayesha M Yusuf, Manju N Jayakumar, Abdul W Ansari, Mona Elhassan, Fatema AbdulKarim, Meganathan Kannan, Rabih Halwani, Firdos Ahmad

Open access · greenAbstract read
In one paragraph

Article in International journal of laboratory hematology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 5% 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, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Endotheliopathy in Acute COVID-19 and Long COVID.International journal of molecular sciences · 2023
    Pooled it
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  8. Plasminogen System in the Pathophysiology of Sepsis: Upcoming Biomarkers.International journal of molecular sciences · 2023
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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 3 institutions in 3 countries.

Abaher O Al-TamimiCardiovascular Research Group, Sharjah Institute for Medical Research, University of Sharjah, Sharjah, UAE.
Ayesha M YusufCardiovascular Research Group, Sharjah Institute for Medical Research, University of Sharjah, Sharjah, UAE.
Manju N JayakumarCardiovascular Research Group, Sharjah Institute for Medical Research, University of Sharjah, Sharjah, UAE.
Abdul W AnsariCardiovascular Research Group, Sharjah Institute for Medical Research, University of Sharjah, Sharjah, UAE.
Mona ElhassanDepartment of Internal Medicine, Rashid Hospital, Dubai, UAE.
Fatema AbdulKarimDepartment of Internal Medicine, Rashid Hospital, Dubai, UAE.
Meganathan KannanBlood and Vascular Biology Research Lab, Department of Life Sciences, Central University of Tamil Nadu, Thiruvarur, India.
Rabih HalwaniDepartment of Clinical Sciences, College of Medicine, University of Sharjah, Sharjah, UAE.ORCID https://orcid.org/0000-0002-6516-7771
Firdos AhmadCardiovascular Research Group, Sharjah Institute for Medical Research, University of Sharjah, Sharjah, UAE.ORCID https://orcid.org/0000-0001-6530-6068
University of Sharjah · AERashid Hospital · AECentral University of Tamil Nadu · IN

Funding

University of Sharjah 1801090144-PUniversity of Sharjah 1901090162-PUniversity of Sharjah CoV-0302
6 · The paper itself

Abstract

introductionCoagulation dysfunction and thromboembolism emerge as strong comorbidity factors in severe COVID-19. However, it is unclear when particularly platelet activation markers and coagulation factors dysregulated during the pathogenesis of COVID-19. Here, we sought to assess the levels of coagulation and platelet activation markers at moderate and severe stages of COVID-19 to understand the pathogenesis.

methodsTo understand this, hospitalized COVID-19 patients with (severe cases that required intensive care) or without pneumonia (moderate cases) were recruited. Phenotypic and molecular characterizations were performed employing basic coagulation tests including prothrombin time (PT), activated partial thromboplastin time (APTT), D-Dimer, and tissue factor pathway inhibitor (TFPI). The flow cytometry-based multiplex assays were performed to assess FXI, anti-thrombin, prothrombin, fibrinogen, FXIII, P-selectin, sCD40L, plasminogen, tissue plasminogen activator (tPA), plasminogen activator inhibitor-1 (PAI-1), and D-Dimer.

resultsThe investigations revealed induction of plasma P-selectin and CD40 ligand (sCD40L) in moderate COVID-19 cases, which were significantly abolished with the progression of COVID-19 severity. Moreover, a profound reduction in plasma tissue factor pathway inhibitor (TFPI) and FXIII were identified particularly in the severe COVID-19. Further analysis revealed fibrinogen induction in both moderate and severe patients. Interestingly, an elevated PAI-1 more prominently in moderate, and tPA particularly in severe COVID-19 cases were observed. Particularly, the levels of fibrinogen and tPA directly correlated with the severity of the disease.

conclusionsIn summary, induction of soluble P-selectin, sCD40L, fibrinogen, and PAI-1 suggests the activation of platelets and coagulation system at the moderate stage before COVID-19 patients require intensive care. These findings would help in designing better thromboprophylaxis to limit the COVID-19 severity.

Indexed as

COVID-19Platelet ActivationBiomarkersFibrinogenHumansPlasminogen Activator Inhibitor 1P-SelectinSARS-CoV-2Tissue Plasminogen ActivatorBiomarkersFibrinogenPlasminogen Activator Inhibitor 1P-SelectinTissue Plasminogen ActivatorcoagulationFXIIIplatelet activationthromboembolismtissue factor pathway inhibitortissue plasminogen activator

Identifiers

PMID35266284
PMCPMC9111479
OpenAlexW4220820124

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.