Evidence map›Paper›PMID 36074019›Full record

ReviewJournal of thrombosis and haemostasis : JTH2022

Mechanisms of ADAMTS13 regulation.

Veronica DeYoung, Kanwal Singh, Colin A Kretz

Open access · greenAbstract readReview
In one paragraph

Review in Journal of thrombosis and haemostasis : JTH, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.3field-weighted citation impact, top 4% 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

36 citing papers in PubMed, 56 citations in OpenAlex.

  1. Review
  2. A rapid ADAMTS13 activity assay using a portable readout device.Blood vessels, thrombosis & hemostasis · 2026
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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

3 authors at 1 institution in 1 country.

Veronica DeYoungDepartment of Medicine, McMaster University, Thrombosis and Atherosclerosis Research Institute, Hamilton, Ontario, Canada.ORCID 0000-0002-3691-6278
Kanwal SinghDepartment of Medicine, McMaster University, Thrombosis and Atherosclerosis Research Institute, Hamilton, Ontario, Canada.ORCID 0000-0003-3303-5966
Colin A KretzDepartment of Medicine, McMaster University, Thrombosis and Atherosclerosis Research Institute, Hamilton, Ontario, Canada.ORCID 0000-0001-7979-7603
Thrombosis and Atherosclerosis Research Institute · CA

Funding

CIHR PJT-168987
6 · The paper itself

Abstract

Recombinant ADAMTS13 is currently undergoing clinical trials as a treatment for hereditary thrombotic thrombocytopenic purpura, a lethal microvascular condition resulting from ADAMTS13 deficiency. Preclinical studies have also demonstrated its efficacy in treating arterial thrombosis and inflammation without causing bleeding, suggesting that recombinant ADAMTS13 may have broad applicability as an antithrombotic agent. Despite this progress, we currently do not understand the mechanisms that regulate ADAMTS13 activity in vivo. ADAMTS13 evades canonical means of protease regulation because it is secreted as an active enzyme and has a long half-life in circulation, suggesting that it is not inhibited by natural protease inhibitors. Although shear can spatially and temporally activate von Willebrand factor to capture circulating platelets, it is also required for cleavage by ADAMTS13. Therefore, spatial and temporal regulation of ADAMTS13 activity may be required to stabilize von Willebrand factor-platelet strings at sites of vascular injury. This review outlines potential mechanisms that regulate ADAMTS13 in vivo including shear-dependency, local inactivation, and biochemical and structural regulation of substrate binding. Recently published structural data of ADAMTS13 is discussed, which may help to generate novel hypotheses for future research.

Indexed as

Purpura, Thrombotic ThrombocytopenicThrombosisADAM ProteinsADAMTS13 ProteinBlood PlateletsHumansvon Willebrand FactorADAM ProteinsADAMTS13 ProteinADAMTS13 protein, humanvon Willebrand FactorADAMTS13antithromboticprotease regulationthrombosisVWF

Identifiers

PMID36074019
PMCPMC9826392
OpenAlexW4294991796

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.