Evidence map›Paper›PMID 38465650›Full record

Observational studyStroke2024

Neutrophil Extracellular Traps and Thrombolysis Resistance: New Insights for Targeting Therapies.

Luca Mengozzi, Ilaria Barison, Martin Malý, Giulia Lorenzoni, Marny Fedrigo, Chiara Castellani, Dario Gregori, Petr Malý, Radoslav Matěj, Petr Toušek and 2 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Stroke, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
5.1field-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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Review
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  4. Haemorrhage, hypercoagulability and ischaemia: Evolution of brain injury after aneurysmal subarachnoid haemorrhage.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Review
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  11. Toward improved thrombolysis in ischemic stroke: targeting nonfibrin components.Research and practice in thrombosis and haemostasis · 2026
    Review
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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

12 authors at 3 institutions in 3 countries.

Luca MengozziCardiac Centre (L.M., P.T., P.W.), Charles University, Czechia.ORCID 0000-0001-6845-3856
Ilaria BarisonCardiovascular Pathology (I.B., M.F., C.C., A.A.), Department of Pathology, Cardiac, Thoracic and Vascular Sciences, Public Health, University of Padua, Italy.ORCID 0000-0001-6745-1605
Martin MalýThird Faculty of Medicine and University Hospital Královské Vinohrady, Military University Hospital in Prague, First Faculty of Medicine (M.M., P.M.), Charles University, Czechia.ORCID 0000-0001-7346-9828
Giulia LorenzoniUnit of Biostatistics, Epidemiology, and Public Health (G.L., D.G.), Department of Pathology, Cardiac, Thoracic and Vascular Sciences, Public Health, University of Padua, Italy.ORCID 0000-0003-1771-4686
Marny FedrigoCardiovascular Pathology (I.B., M.F., C.C., A.A.), Department of Pathology, Cardiac, Thoracic and Vascular Sciences, Public Health, University of Padua, Italy.ORCID 0000-0002-3081-2937
Chiara CastellaniCardiovascular Pathology (I.B., M.F., C.C., A.A.), Department of Pathology, Cardiac, Thoracic and Vascular Sciences, Public Health, University of Padua, Italy.ORCID 0000-0002-0275-4864
Dario GregoriUnit of Biostatistics, Epidemiology, and Public Health (G.L., D.G.), Department of Pathology, Cardiac, Thoracic and Vascular Sciences, Public Health, University of Padua, Italy.ORCID 0000-0001-7906-0580
Petr MalýThird Faculty of Medicine and University Hospital Královské Vinohrady, Military University Hospital in Prague, First Faculty of Medicine (M.M., P.M.), Charles University, Czechia.ORCID 0009-0009-0104-2572
Radoslav MatějDepartment of Pathology (R.M.), Charles University, Czechia.
Petr ToušekCardiac Centre (L.M., P.T., P.W.), Charles University, Czechia.ORCID 0000-0002-2598-3635
Petr WidimskýCardiac Centre (L.M., P.T., P.W.), Charles University, Czechia.
Annalisa AngeliniCardiovascular Pathology (I.B., M.F., C.C., A.A.), Department of Pathology, Cardiac, Thoracic and Vascular Sciences, Public Health, University of Padua, Italy.ORCID 0000-0002-3578-4488
Charles University · CZUniversity of Padua · ITFaculty of Public Health · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThrombosis is linked to neutrophil release of neutrophil extracellular traps (NETs). NETs are proposed as a mechanism of resistance to thrombolysis. This study intends to analyze the composition of thrombi retrieved after mechanical thrombectomy, estimate the age and organization of thrombi, and evaluate associations with the use of thrombolysis, antiplatelets, and heparin.

methodsThis retrospective observational study involved 72 samples (44 from cerebral and 28 coronary arteries), which were stained with hematoxylin and eosin, anti-NE (neutrophil elastase) antibody, and anti-histone H2B (histone H2B) antibody, representing different components in NET formation, all detectable during the later stages of NETosis, for histochemical and digital quantification of NET content. The histological and morphological evaluations of the specimens were correlated, through univariate and mediation analyses, with clinical information and therapy administered before intervention.

resultsThe results demonstrated that the composition of cerebral and coronary thrombi differs, and there were significantly more lytic cerebral thrombi than coronary thrombi (66% versus 14%;

conclusionsThe age of the thrombus is the driving force for NET content, which correlates with impaired clinical outcomes. The therapy that is currently administered does not modify NET content. This study supports the need to investigate new pharmacological approaches added to thrombolysis to prevent NET formation or enhance their disruption, such as recombinant human DNase I (deoxyribonuclease I).

Indexed as

Extracellular TrapsThrombosisHeparinHistonesHumansNeutrophilsThrombolytic TherapyHeparinHistonesextracellular trapsimmunohistochemistryischemic strokemyocardial infarctionpathology

Identifiers

PMID38465650
PMCPMC10962437
OpenAlexW4392649027

What OpenQuestion holds

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LicenceCC BY
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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.