Evidence map›Paper›PMID 38306657›Full record

ArticleBlood2024

Venous and arterial thrombosis in patients with VEXAS syndrome.

Yael Kusne, Atefeh Ghorbanzadeh, Alina Dulau-Florea, Ruba Shalhoub, Pedro E Alcedo, Khanh Nghiem, Marcela A Ferrada, Alexander Hines, Kaitlin A Quinn, Sumith R Panicker and 25 more

Abstract read
In one paragraph

Article in Blood, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

33 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Guideline
  2. Vacuolated Marrow Cytopenias from Copper Deficiency toInternational journal of molecular sciences · 2025
    Pooled it
  3. Pooled it
  4. Article
  5. SomaticBlood neoplasia · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. VEXAS syndrome.Nature reviews. Disease primers · 2026
    Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. [VEXAS syndrome mimicking relapsing polychondritis: A case report].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2025
    Article
  17. Article
  18. [VEXAS syndrome].Zeitschrift fur Rheumatologie · 2025
    Review
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

35 authors.

Yael KusneDepartment of Hematology and Oncology, Mayo Clinic, Phoenix, AZ.ORCID 0000-0002-7325-8454
Atefeh GhorbanzadehDivision of Vascular Medicine, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.ORCID 0000-0002-8673-9783
Alina Dulau-FloreaHematology Section, Department of Laboratory Medicine, Clinical Center, National Institutes of Health, Bethesda, MD.
Ruba ShalhoubOffice of Biostatistics Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Pedro E AlcedoHematology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Khanh NghiemHematology Section, Department of Laboratory Medicine, Clinical Center, National Institutes of Health, Bethesda, MD.
Marcela A FerradaVasculitis Translational Research Program, National Institute of Arthritis and Musculoskeletal, and Skin Diseases, National Institutes of Health, Bethesda, MD.
Alexander HinesDepartment of Dermatology, Mayo Clinic, Rochester, MN.
Kaitlin A QuinnVasculitis Translational Research Program, National Institute of Arthritis and Musculoskeletal, and Skin Diseases, National Institutes of Health, Bethesda, MD.
Sumith R PanickerLaboratory of Vascular Thrombosis and Inflammation, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0001-8550-9436
Amanda K OmbrelloInflammatory Disease Section, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD.
Kaaren ReichardDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
Ivana DardenHematology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Wendy GoodspeedVasculitis Translational Research Program, National Institute of Arthritis and Musculoskeletal, and Skin Diseases, National Institutes of Health, Bethesda, MD.
Jibran DurraniHematology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0001-9172-4706
Lorena WilsonInflammatory Disease Section, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD.
Horatiu OlteanuDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.ORCID 0000-0001-5783-4485
Terra LashoDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN.
Daniel L KastnerInflammatory Disease Section, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD.
Kenneth J WarringtonDivision of Rheumatology, Department of Internal Medicine, Mayo Clinic, Rochester, MN.ORCID 0000-0001-7708-2487
Abhishek MangaonkarDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN.
Ronald S GoDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
Raul C BraylanHematology Section, Department of Laboratory Medicine, Clinical Center, National Institutes of Health, Bethesda, MD.
David B BeckLaboratory of Vascular Thrombosis and Inflammation, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Mrinal M PatnaikDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN.ORCID 0000-0001-6998-662X
Neal S YoungHematology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Katherine R CalvoHematology Section, Department of Laboratory Medicine, Clinical Center, National Institutes of Health, Bethesda, MD.
Ana I CasanegraDivision of Vascular Medicine, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.ORCID 0000-0001-6114-4284
Peter C GraysonVasculitis Translational Research Program, National Institute of Arthritis and Musculoskeletal, and Skin Diseases, National Institutes of Health, Bethesda, MD.
Matthew J KosterDivision of Rheumatology, Department of Internal Medicine, Mayo Clinic, Rochester, MN.
Colin O WuOffice of Biostatistics Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Yogendra KanthiLaboratory of Vascular Thrombosis and Inflammation, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Bhavisha A PatelHematology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Damon E HoughtonDivision of Vascular Medicine, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.ORCID 0000-0002-6065-9523
Emma M GroarkeHematology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0002-4648-5926

Funding

Telomeres DiseasesZIAHL006089 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI YOUNG, NEAL S · 2010 to 2025
$26.2M
Genetic Analysis of Complex Inflammatory DisordersZIAHG200371 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI KASTNER, DANIEL · 2011 to 2024
$18.8M
Human Translational Studies of Vascular Thrombosis and InflammationZIAHL006262 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI KANTHI, YOGENDRA · 2021 to 2025
$4.7M
The Role of microRNA in Hematologic MalignanciesZIACL090025 · CLC · CLINICAL CENTER · PI CALVO, KATHERINE · 2010 to 2025
$0k
6 · The paper itself

Abstract

abstractVEXAS (vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic) syndrome, caused by somatic mutations in UBA1, is an autoinflammatory disorder with diverse systemic manifestations. Thrombosis is a prominent clinical feature of VEXAS syndrome. The risk factors and frequency of thrombosis in VEXAS syndrome are not well described, due to the disease's recent discovery and the paucity of large databases. We evaluated 119 patients with VEXAS syndrome for venous and arterial thrombosis and correlated their presence with clinical outcomes and survival. Thrombosis occurred in 49% of patients, mostly venous thromboembolism (VTE; 41%). Almost two-thirds of VTEs were unprovoked, 41% were recurrent, and 20% occurred despite anticoagulation. The cumulative incidence of VTE was 17% at 1 year from symptom onset and 40% by 5 years. Cardiac and pulmonary inflammatory manifestations were associated with time to VTE. M41L was positively associated specifically with pulmonary embolism by univariate (odds ratio [OR]: 4.58, confidence interval [CI] 1.28-16.21, P = .02) and multivariate (OR: 16.94, CI 1.99-144.3, P = .01) logistic regression. The cumulative incidence of arterial thrombosis was 6% at 1 year and 11% at 5 years. The overall survival of the entire patient cohort at median follow-up time of 4.8 years was 88%, and there was no difference in survival between patients with or without thrombosis (P = .8). Patients with VEXAS syndrome are at high risk of VTE; thromboprophylaxis should administered be in high-risk settings unless strongly contraindicated.

Indexed as

ThrombosisAdolescentAdultAgedChildChild, PreschoolFemaleGenetic Diseases, X-LinkedHumansIncidenceMaleMiddle AgedMutationRisk FactorsUbiquitin-Activating EnzymesVenous ThrombosisUBA1 protein, humanUbiquitin-Activating Enzymes

Identifiers

PMID38306657
PMCPMC11143532

What OpenQuestion holds

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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.