Evidence map›Paper›PMID 39337591›Full record

ArticleInternational journal of molecular sciences2024

Influence of Anticoagulants and Heparin Contaminants on the Suitability of MMP-9 as a Blood-Derived Biomarker.

Daniela Küper, Josefin Klos, Friederike Kühl, Rozan Attili, Korbinian Brand, Karin Weissenborn, Ralf Lichtinghagen, René Huber

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Daniela KüperInstitute of Clinical Chemistry and Laboratory Medicine, Hannover Medical School, 30625 Hannover, Germany.
Josefin KlosInstitute of Clinical Chemistry and Laboratory Medicine, Hannover Medical School, 30625 Hannover, Germany.
Friederike KühlInstitute of Clinical Chemistry and Laboratory Medicine, Hannover Medical School, 30625 Hannover, Germany.
Rozan AttiliInstitute of Clinical Chemistry and Laboratory Medicine, Hannover Medical School, 30625 Hannover, Germany.ORCID 0000-0003-4555-3074
Korbinian BrandInstitute of Clinical Chemistry and Laboratory Medicine, Hannover Medical School, 30625 Hannover, Germany.
Karin WeissenbornDepartment of Neurology, Hannover Medical School, 30625 Hannover, Germany.
Ralf LichtinghagenInstitute of Clinical Chemistry and Laboratory Medicine, Hannover Medical School, 30625 Hannover, Germany.
René HuberInstitute of Clinical Chemistry and Laboratory Medicine, Hannover Medical School, 30625 Hannover, Germany.ORCID 0000-0002-1041-9935

Funding

Doktor Robert Pfleger Stiftung Bamberg RDR/chu (to R.L. and R.H.)Foundation for Pathobiochemistry and Molecular Diagnostics M.D. scholarship (to J.K.)Hannover Biomedical Research School (HBRS) Ph.D. scholarship (to F.K.)
6 · The paper itself

Abstract

In contrast to other common anticoagulants such as citrate and low-molecular-weight heparin (LMWH), high-molecular-weight heparin (HMWH) induces the expression of matrix metalloproteinase (MMP)-9, which is also measured as a biomarker for stroke in blood samples. Mechanistically, HMWH-stimulated T cells produce cytokines that induce monocytic MMP-9 expression. Here, the influence of further anticoagulants (Fondaparinux, Hirudin, and Alteplase) and the heparin-contaminating glycosaminoglycans (GAG) hyaluronic acid (HA), dermatan sulfate (DS), chondroitin sulfate (CS), and over-sulfated CS (OSCS) on MMP-9 was analyzed to assess its suitability as a biomarker under various conditions. Therefore, starved Jurkat T cells were stimulated with anticoagulants/contaminants. Subsequently, starved monocytic THP-1 cells were incubated with the conditioned Jurkat supernatant, and MMP-9 mRNA levels were monitored (quantitative (q)PCR). Jurkat-derived mediators secreted in response to anticoagulants/contaminants were also assessed (proteome profiler array). The supernatants of HMWH-, Hirudin-, CS-, and OSCS-treated Jurkat cells comprised combinations of activating mediators and led to a significant (in the case of OSCS, dramatic) MMP-9 induction in THP-1. HA induced MMP-9 only in high concentrations, while LMWH, Fondaparinux, Alteplase, and DS had no effect. This indicates that depending on molecular weight and charge (but independent of anticoagulant activity), anticoagulants/contaminants provoke the expression of T-cell-derived cytokines/chemokines that induce monocytic MMP-9 expression, thus potentially impairing the diagnostic validity of MMP-9.

Indexed as

AnticoagulantsBiomarkersHeparinMatrix Metalloproteinase 9Chondroitin SulfatesDrug ContaminationFondaparinuxHirudinsHumansHyaluronic AcidJurkat CellsMonocytesTHP-1 CellsAnticoagulantsBiomarkersChondroitin SulfatesFondaparinuxHeparinHirudinsHyaluronic AcidMatrix Metalloproteinase 9MMP9 protein, humananticoagulantsblood samplingcontaminantsheparinMMP-9over-sulfated chondroitin sulfate

Identifiers

PMID39337591
PMCPMC11432500

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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.