Evidence map›Paper›PMID 36701760›Full record

ArticleBlood2023

C1 inhibitor deficiency enhances contact pathway-mediated activation of coagulation and venous thrombosis.

Steven P Grover, Tomohiro Kawano, Jun Wan, Pansakorn Tanratana, Zsofia Polai, Young J Shim, Omri Snir, Sigrid Brækkan, Sophia Dhrolia, Rohan R Kasthuri and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
8.9field-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

26 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Therapeutic Potential of C1-Inhibitor in Vascular Diseases and Beyond.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. The Basic Principles of Pathophysiology of Venous Thrombosis.International journal of molecular sciences · 2024
    Review
  18. Factor XII Structure-Function Relationships.Seminars in thrombosis and hemostasis · 2024
    Review
  19. Article
  20. Illustrated State-of-the-Art Capsules of the ISTH 2024 Congress.Research and practice in thrombosis and haemostasis · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 5 institutions in 4 countries.

Steven P GroverUNC Blood Research Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC.ORCID 0000-0001-8709-8394
Tomohiro KawanoUNC Blood Research Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC.ORCID 0000-0002-6282-4991
Jun WanUNC Blood Research Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC.ORCID 0000-0002-0948-8191
Pansakorn TanratanaUNC Blood Research Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC.ORCID 0000-0002-9434-2719
Zsofia PolaiDepartment of Internal Medicine and Haematology, Hungarian Angioedema Center of Reference and Excellence, Semmelweis University, Budapest, Hungary.ORCID 0000-0003-3745-026X
Young J ShimTaussig Cancer Institute and Department of Cellular and Molecular Medicine, Cleveland Clinic, Cleveland, OH.
Omri SnirDepartment of Clinical Medicine, Thrombosis Research Center, UiT - The Arctic University of Norway, Tromsø, Norway.
Sigrid BrækkanDepartment of Clinical Medicine, Thrombosis Research Center, UiT - The Arctic University of Norway, Tromsø, Norway.ORCID 0000-0002-9678-9696
Sophia DhroliaUNC Blood Research Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC.
Rohan R KasthuriUNC Blood Research Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC.
Pavan K BendapudiDivision of Hemostasis and Thrombosis, Beth Israel Deaconess Medical Center, Boston, MA.ORCID 0000-0002-0754-7688
Keith R McCraeTaussig Cancer Institute and Department of Cellular and Molecular Medicine, Cleveland Clinic, Cleveland, OH.ORCID 0000-0001-7340-475X
Alisa S WolbergUNC Blood Research Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC.ORCID 0000-0002-2845-2303
John-Bjarne HansenDepartment of Clinical Medicine, Thrombosis Research Center, UiT - The Arctic University of Norway, Tromsø, Norway.
Henriette FarkasDepartment of Internal Medicine and Haematology, Hungarian Angioedema Center of Reference and Excellence, Semmelweis University, Budapest, Hungary.ORCID 0000-0003-2929-1721
Nigel MackmanUNC Blood Research Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC.
University of North Carolina at Chapel Hill · USCleveland Clinic · USSemmelweis University · HUUiT The Arctic University of Norway · NOBeth Israel Deaconess Medical Center · US

Funding

Research Training in Hematology at UNC Chapel HillT32HL007149 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Nigel S. Key · 1985 to 2026
$8.6M
Tissue factor-dependent coagulation in thrombosis and immune responsesR35HL155657 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Nigel Mackman · 2021 to 2026
$5.5M
Fibrinogen and Factor XIII in Venous ThrombosisR01HL126974 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Alisa S. Wolberg · 2016 to 2026
$4.4M
NHLBI NIH HHS R01 HL126974NHLBI NIH HHS R35 HL155657NHLBI NIH HHS T32 HL007149
6 · The paper itself

Abstract

C1 inhibitor (C1INH) is a multifunctional serine protease inhibitor that functions as a major negative regulator of several biological pathways, including the contact pathway of blood coagulation. In humans, congenital C1INH deficiency results in a rare episodic bradykinin-mediated swelling disorder called hereditary angioedema (HAE). Patients with C1INH deficiency-associated HAE (C1INH-HAE) have increased circulating markers of activation of coagulation. Furthermore, we recently reported that patients with C1INH-HAE had a moderate but significant increased risk of venous thromboembolism. To further investigate the impact of C1INH deficiency on activation of coagulation and thrombosis, we conducted studies using patient samples and mouse models. Plasmas from patients with C1INH-HAE had significantly increased contact pathway-mediated thrombin generation. C1INH-deficient mice, which have been used as a model of C1INH-HAE, had significantly increased baseline circulating levels of prothrombin fragment 1+2 and thrombin-antithrombin complexes. In addition, whole blood from C1INH-deficient mice supported significantly increased contact pathway-mediated thrombin generation. Importantly, C1INH-deficient mice exhibited significantly enhanced venous, but not arterial, thrombus formation. Furthermore, purified human C1INH normalized contact pathway-mediated thrombin generation and venous thrombosis in C1INH-deficient mice. These findings highlight a key role for endogenous C1INH as a negative regulator of contact pathway-mediated coagulation in humans and mice. Further, this work identifies endogenous C1INH as an important negative regulator of venous thrombus formation in mice, complementing the phenotype associated with C1INH-HAE.

Indexed as

Angioedemas, HereditaryThrombosisVenous ThrombosisAnimalsBlood CoagulationComplement C1 Inhibitor ProteinHumansMiceThrombinComplement C1 Inhibitor ProteinThrombin

Identifiers

PMID36701760
PMCPMC10273165
OpenAlexW4318156776

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.