Evidence map›Paper›PMID 38667729›Full record

ArticleJournal of cardiovascular development and disease2024

Ex Vivo Antiplatelet Effects of Oral Anticoagulants.

Giulia Renda, Valentina Bucciarelli, Giulia Barbieri, Paola Lanuti, Martina Berteotti, Gelsomina Malatesta, Francesca Cesari, Tanya Salvatore, Betti Giusti, Anna Maria Gori and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of cardiovascular development and disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Antiplatelet therapy on top of anticoagulation in atrial fibrillation: when less may be more.International journal of cardiology. Heart & vasculature · 2026
    Article
  3. Thrombaxane-B2 as a predictor marker of atrial fibrillation.International journal of cardiology. Cardiovascular risk and prevention · 2026
    Article
  4. Article
  5. Article
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 5 institutions in 2 countries.

Giulia RendaDepartment of Neuroscience, Imaging and Clinical Sciences and Center for Advanced Studies and Technology, G. d'Annunzio University Chieti-Pescara, 66100 Chieti, Italy.ORCID 0000-0002-4770-8386
Valentina BucciarelliCardiovascular Sciences Department, Azienda Ospedaliero-Universitaria delle Marche, 60121 Ancona, Italy.ORCID 0000-0002-7003-6194
Giulia BarbieriDepartment of Experimental and Clinical Medicine, University of Florence, 50121 Florence, Italy.
Paola LanutiDepartment of Medicine and Aging Sciences and Center for Advanced Studies and Technology, G. d'Annunzio University Chieti-Pescara, 66100 Chieti, Italy.ORCID 0000-0003-4197-9780
Martina BerteottiDepartment of Experimental and Clinical Medicine, University of Florence, 50121 Florence, Italy.ORCID 0000-0001-8281-4734
Gelsomina MalatestaCardiology Unit, National Institute of Health and Science on Aging (INRCA), 64125 Ancona, Italy.
Francesca CesariDepartment of Experimental and Clinical Medicine, University of Florence, 50121 Florence, Italy.
Tanya SalvatoreDepartment of Neuroscience, Imaging and Clinical Sciences and Center for Advanced Studies and Technology, G. d'Annunzio University Chieti-Pescara, 66100 Chieti, Italy.
Betti GiustiDepartment of Experimental and Clinical Medicine, University of Florence, 50121 Florence, Italy.ORCID 0000-0002-8708-9444
Anna Maria GoriDepartment of Experimental and Clinical Medicine, University of Florence, 50121 Florence, Italy.
Rossella MarcucciDepartment of Experimental and Clinical Medicine, University of Florence, 50121 Florence, Italy.
Raffaele De CaterinaCardiology Division 1-Pisa University Hospital, University of Pisa, 56124 Pisa, Italy.ORCID 0000-0003-1637-574X
University of Florence · ITUniversity of Chieti-Pescara · ITAzienda Ospedaliero Universitaria Ospedali Riuniti · ITInstitute on Aging · USUniversity of Pisa · IT

Funding

Boehringer Ingelheim, Bayer, BMS-Pfizer and Daiichi Sankyo Europe n.a.
6 · The paper itself

Abstract

backgroundThe impact of non-vitamin K antagonist oral anticoagulants (NOACs) on platelet function is still unclear. We conducted a comprehensive ex vivo study aimed at assessing the effect of the four currently marketed NOACs on platelet function.

methodsWe incubated blood samples from healthy donors with concentrations of NOACs (50, 150 and 250 ng/mL), in the range of those achieved in the plasma of patients during therapy. We evaluated generation of thrombin; light transmittance platelet aggregation (LTA) in response to adenosine diphosphate (ADP), thrombin receptor-activating peptide (TRAP), human γ-thrombin (THR) and tissue factor (TF); generation of thromboxane (TX)B

resultsAll NOACs concentration-dependently reduced thrombin generation compared with control. THR-induced LTA was suppressed by the addition of dabigatran at any concentration, while TF-induced LTA was reduced by factor-Xa inhibitors. ADP- and TRAP-induced LTA was not modified by NOACs. TXB

conclusionsTreatment with the NOACs is associated with measurable ex vivo changes in platelet function, arguing for antiplatelet effects beyond the well-known anticoagulant activities of these drugs. There are differences, however, among the NOACs, especially between dabigatran and the FXa inhibitors.

Indexed as

antiplatelet effectsdirect oral anticoagulantsDOACsNOACsnon-vitamin K antagonist oral anticoagulantsoral anticoagulantsplatelets

Identifiers

PMID38667729
PMCPMC11049965
OpenAlexW4393357090

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.