Evidence map›Paper›PMID 36044595›Full record

ArticleScience translational medicine2022

A targetable pathway in neutrophils mitigates both arterial and venous thrombosis.

Lalitha Nayak, David R Sweet, Asha Thomas, Stephanie D Lapping, Kenneth Kalikasingh, Annmarie Madera, Vinesh Vinayachandran, Roshan Padmanabhan, Neelakantan T Vasudevan, Jay T Myers and 6 more

Open access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
7.2field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. The roles of neutrophils in cardiovascular diseases.Frontiers in cardiovascular medicine · 2025
    Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Mapping Thrombosis Serum Markers byMolecules (Basel, Switzerland) · 2024
    Article
  16. Article
  17. Reflections on Targeting Neutrophil Extracellular Traps in Deep Vein Thrombosis.Arteriosclerosis, thrombosis, and vascular biology · 2024
    Article
  18. Platelets and Thrombotic Antiphospholipid Syndrome.Journal of clinical medicine · 2024
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 1 country.

Lalitha NayakDivision of Hematology and Oncology, University Hospitals Cleveland Medical Center, Cleveland, OH 44106, USA.ORCID 0000-0002-9534-3502
David R SweetCase Cardiovascular Research Institute, Case Western Reserve University, Cleveland, OH 44106, USA.
Asha ThomasDivision of Hematology and Oncology, University Hospitals Cleveland Medical Center, Cleveland, OH 44106, USA.ORCID 0000-0002-0293-5403
Stephanie D LappingCase Cardiovascular Research Institute, Case Western Reserve University, Cleveland, OH 44106, USA.ORCID 0000-0002-3354-945X
Kenneth KalikasinghDivision of Hematology and Oncology, University Hospitals Cleveland Medical Center, Cleveland, OH 44106, USA.
Annmarie MaderaCase Cardiovascular Research Institute, Case Western Reserve University, Cleveland, OH 44106, USA.ORCID 0000-0001-7214-8395
Vinesh VinayachandranCase Cardiovascular Research Institute, Case Western Reserve University, Cleveland, OH 44106, USA.ORCID 0000-0002-2045-6086
Roshan PadmanabhanCase Cardiovascular Research Institute, Case Western Reserve University, Cleveland, OH 44106, USA.
Neelakantan T VasudevanCase Cardiovascular Research Institute, Case Western Reserve University, Cleveland, OH 44106, USA.ORCID 0000-0002-3526-8598
Jay T MyersDepartment of Pediatrics, Case Western Reserve University, Cleveland, OH 44106, USA.ORCID 0000-0003-2574-0438
Alex Y HuangDepartment of Pediatrics, Case Western Reserve University, Cleveland, OH 44106, USA.ORCID 0000-0002-5701-4521
Alvin SchmaierDivision of Hematology and Oncology, University Hospitals Cleveland Medical Center, Cleveland, OH 44106, USA.ORCID 0000-0002-3884-6234
Nigel MackmanDivision of Hematology, University of North Carolina, Chapel Hill, NC 27599, USA.
Xudong LiaoCase Cardiovascular Research Institute, Case Western Reserve University, Cleveland, OH 44106, USA.ORCID 0000-0001-8864-0755
Andrei MaiseyeuCase Cardiovascular Research Institute, Case Western Reserve University, Cleveland, OH 44106, USA.ORCID 0000-0001-8830-1809
Mukesh K JainWarren Alpert Medical School of Brown University, Providence, R1 02903.ORCID 0000-0002-1301-292X
University Hospitals of Cleveland · USCase Western Reserve University · USBrown University · USUniversity of North Carolina at Chapel Hill · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007250 · NIGMS · CASE WESTERN RESERVE UNIVERSITY · PI HUANG, ALEX YEE-CHEN · 1985 to 2023
$33.4M
KLF control of aging and age-associated cardiovascular diseaseR35HL135789 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI JAIN, MUKESH KUMAR · 2017 to 2023
$6.7M
KLF2, monocyte activation and vascular inflammationR01HL086548 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI JAIN, MUKESH KUMAR · 2007 to 2016
$3.5M
Probing Cardiovascular Actions of GLP-1 Using NanoparticlesR01HL130516 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI MAISEYEU, ANDREI · 2016 to 2020
$1.9M
Role of myeloid KLF2 in antiphospholipid antibody-mediated thrombosisR01HL142647 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI NAYAK, LALITHA · 2018 to 2021
$1.9M
Non-racemic metabolic biomaterials for HFpEFR01HL155450 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI MAISEYEU, ANDREI · 2021 to 2024
$1.6M
Role of Myeloid Kruppel-like Factor 2 in Vascular ThrombosisK08HL121131 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI NAYAK, LALITHA · 2014 to 2018
$754k
Myeloid KLF2 mediates S-nitrosylation-driven vascular response to ischemic injuryF30HL139014 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI SWEET, DAVID RYAN · 2017 to 2020
$197k
NHLBI NIH HHS F30 HL139014NHLBI NIH HHS K08 HL121131NHLBI NIH HHS R01 HL086548NHLBI NIH HHS R01 HL130516NHLBI NIH HHS R01 HL142647NHLBI NIH HHS R01 HL155450NHLBI NIH HHS R35 HL135789NIGMS NIH HHS T32 GM007250
6 · The paper itself

Abstract

Arterial and venous thrombosis constitutes a major source of morbidity and mortality worldwide. Long considered as distinct entities, accumulating evidence indicates that arterial and venous thrombosis can occur in the same populations, suggesting that common mechanisms are likely operative. Although hyperactivation of the immune system is a common forerunner to the genesis of thrombotic events in both vascular systems, the key molecular control points remain poorly understood. Consequently, antithrombotic therapies targeting the immune system for therapeutics gain are lacking. Here, we show that neutrophils are key effectors of both arterial and venous thrombosis and can be targeted through immunoregulatory nanoparticles. Using antiphospholipid antibody syndrome (APS) as a model for arterial and venous thrombosis, we identified the transcription factor Krüppel-like factor 2 (KLF2) as a key regulator of neutrophil activation. Upon activation through genetic loss of KLF2 or administration of antiphospholipid antibodies, neutrophils clustered P-selectin glycoprotein ligand 1 (PSGL-1) by cortical actin remodeling, thereby increasing adhesion potential at sites of thrombosis. Targeting clustered PSGL-1 using nanoparticles attenuated neutrophil-mediated thrombosis in APS and KLF2 knockout models, illustrating the importance and feasibility of targeting activated neutrophils to prevent pathological thrombosis. Together, our results demonstrate a role for activated neutrophils in both arterial and venous thrombosis and identify key molecular events that serve as potential targets for therapeutics against diverse causes of immunothrombosis.

Indexed as

Antiphospholipid SyndromeThrombosisVenous ThrombosisAntibodies, AntiphospholipidHumansNeutrophilsAntibodies, Antiphospholipid

Identifiers

PMID36044595
PMCPMC10318551
OpenAlexW4293784402

What OpenQuestion holds

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Registered trials

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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.