Evidence map›Paper›PMID 39851501›Full record

ArticleCells2025

Flow Cytometry Evaluation of Blood-Cell-Bound Surface FVIII in Hemophilia A and Thrombosis.

Anjud Al-Mohannadi, Reem Mohammed Yahia, Hani Bibawi, Che-Ann Lachica, Watfa Ahmed, Igor Pavlovski, Giusy Gentilcore, Elkhansa Elbukhari Elgaali, Anila Ejaz, Areeg Ahmed and 7 more

Abstract read
In one paragraph

Article in Cells, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Anjud Al-MohannadiResearch Department, Sidra Medicine, Doha P.O. Box 26999, Qatar.
Reem Mohammed YahiaResearch Department, Sidra Medicine, Doha P.O. Box 26999, Qatar.
Hani BibawiPathology Department, Sidra Medicine, Doha P.O. Box 26999, Qatar.
Che-Ann LachicaResearch Department, Sidra Medicine, Doha P.O. Box 26999, Qatar.
Watfa AhmedResearch Department, Sidra Medicine, Doha P.O. Box 26999, Qatar.
Igor PavlovskiResearch Department, Sidra Medicine, Doha P.O. Box 26999, Qatar.ORCID 0000-0003-0595-5730
Giusy GentilcoreResearch Department, Sidra Medicine, Doha P.O. Box 26999, Qatar.ORCID 0000-0003-3546-8642
Elkhansa Elbukhari ElgaaliHematology-Oncology Clinic, Sidra Medicine, Doha P.O. Box 26999, Qatar.
Anila EjazHematology-Oncology Clinic, Sidra Medicine, Doha P.O. Box 26999, Qatar.
Areeg AhmedHematology-Oncology Clinic, Sidra Medicine, Doha P.O. Box 26999, Qatar.ORCID 0000-0002-2320-989X
Mohammed ElanbariResearch Department, Sidra Medicine, Doha P.O. Box 26999, Qatar.
Zainab AwadaResearch Department, Sidra Medicine, Doha P.O. Box 26999, Qatar.
Mohammed J Al-KubaisiResearch Department, Sidra Medicine, Doha P.O. Box 26999, Qatar.
Muhammad ElnaggarResearch Department, Sidra Medicine, Doha P.O. Box 26999, Qatar.
Ayman SalehHematology-Oncology Clinic, Sidra Medicine, Doha P.O. Box 26999, Qatar.
Chiara CugnoResearch Department, Sidra Medicine, Doha P.O. Box 26999, Qatar.ORCID 0000-0002-1664-3030
Sara DeolaResearch Department, Sidra Medicine, Doha P.O. Box 26999, Qatar.ORCID 0000-0002-3178-1271

Funding

Sidra Medicine research internal funding N/A
6 · The paper itself

Abstract

Hemophilia A (HA) is associated with FVIII coagulation insufficiency or inactivity leading to excessive bleeding. Elevated FVIII, on the contrary, is associated with thrombophilia, thrombosis, myocardial infarctions, and stroke. Active FVIII (aFVIII) uses its C2 domain to bind to blood cells' membranes, consequently carrying out its coagulative function. We developed a reliable flow cytometry (FC) method for FVIII detection that can be utilized for assessing surface-bound FVIII on leukocytes in different coagulation/clinical states; we analyzed 49 pediatric subjects, encompassing patients with HA, other coagulopathies, venous thrombosis, and normal coagulation. Interestingly, the total leukocyte surface FVIII showed a declining trend across thrombosis, normal, and hypo-coagulation states. As expected, the leukocytes of HA patients displayed significantly lower levels of cellular-surface FVIII in comparison to patients with thrombosis. However, no significant correlation was observed between circulating levels of FVIII in plasma and the levels of FVIII bound to leukocytes, indicating that the differences in FVIII surface binding are not directly proportional to the availability of FVIII in the circulation and suggesting a specific binding mechanism governing the interaction between FVIII and leukocytes. Intriguingly, when analyzing the distinct blood subpopulations, we observed that surface FVIII levels were significantly elevated in classical monocytes of thrombosis patients compared to HA patients, healthy controls, and patients with other coagulopathies. Our study highlights the reliability of our FC platform in assessing FVIII abundance on leukocytes' membranes across coagulation states. Monocytes, particularly in cases of thrombosis, exhibit active binding of FVIII on their surface, suggesting a potential role in the pathophysiology of thrombosis that requires further investigation.

Indexed as

Factor VIIIFlow CytometryHemophilia AThrombosisAdolescentChildChild, PreschoolFemaleHumansInfantLeukocytesMaleProtein BindingFactor VIIIcoagulationfactor VIIIflow cytometryhemophilia Aleukocytesmonocytes

Identifiers

PMID39851501
PMCPMC11764290

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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.