Evidence map›Paper›PMID 40009491›Full record

ArticleBlood2025

Histo-blood group ABO system transferase plasma levels and risk of future venous thromboembolism: the HUNT study.

Asbjørn L Onsaker, Anna Y Arntzen, David-Alexandre Trégouët, Therese H Nøst, Weihong Tang, Weihua Guan, Christian Jonasson, Pierre-Emmanuel Morange, Kristian D Hindberg, Aaron R Folsom and 3 more

Abstract read
In one paragraph

Article in Blood, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Pulmonary Embolism and ABO Blood Type: A Systematic Review.Diagnostics (Basel, Switzerland) · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Asbjørn L OnsakerThrombosis Research Group, Department of Clinical Medicine, UiT-the Arctic University of Norway, Tromsø, Norway.ORCID 0009-0002-3250-8207
Anna Y ArntzenThrombosis Research Group, Department of Clinical Medicine, UiT-the Arctic University of Norway, Tromsø, Norway.
David-Alexandre TrégouëtUniversity of Bordeaux, INSERM, Bordeaux Population Health Research Center, Unité Mixte de Recherche 1219, ELEANOR, Bordeaux, France.
Therese H NøstHUNT Center for Molecular and Clinical Epidemiology, Norwegian University of Science and Technology, Trondheim, Norway.ORCID 0000-0001-6805-3094
Weihong TangDivision of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN.
Weihua GuanDivision of Biostatistics and Health Data Science, University of Minnesota School of Public Health, Minneapolis, MN.
Christian JonassonHUNT Center for Molecular and Clinical Epidemiology, Norwegian University of Science and Technology, Trondheim, Norway.ORCID 0000-0002-7694-6025
Pierre-Emmanuel MorangeAix-Marseille Univ, INSERM, Institut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement, Centre de Recherche en CardioVasculaire et Nutrition, Laboratory of Haematology, Centre de Ressources Biologiques Assistance Publique-Hôpitaux de Marseille, HemoVasc, Marseille, France.
Kristian D HindbergThrombosis Research Center, Division of Internal Medicine, University Hospital of North Norway, Tromsø, Norway.ORCID 0000-0002-8194-6679
Aaron R FolsomDivision of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN.
Kristian HveemHUNT Center for Molecular and Clinical Epidemiology, Norwegian University of Science and Technology, Trondheim, Norway.
Vânia M MorelliThrombosis Research Group, Department of Clinical Medicine, UiT-the Arctic University of Norway, Tromsø, Norway.ORCID 0000-0002-0872-6645
John-Bjarne HansenThrombosis Research Group, Department of Clinical Medicine, UiT-the Arctic University of Norway, Tromsø, Norway.ORCID 0000-0003-4854-3162

Funding

Epidemiology of Venous Thrombosis & Pulmonary EmbolismR01HL059367 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI TANG, WEIHONG · 1998 to 2024
$11.8M
Identifying Proteomics Risk Markers for Abdominal Aortic AneurysmR01HL155209 · NHLBI · UNIVERSITY OF MINNESOTA · PI TANG, WEIHONG · 2021 to 2024
$3.1M
NHLBI NIH HHS R01 HL059367NHLBI NIH HHS R01 HL155209
6 · The paper itself

Abstract

abstractThe non-O blood group is a well-established risk factor for venous thromboembolism (VTE). However, the association between plasma levels of the histo-blood group ABO system transferase (BGAT), the gene product of the ABO locus, and VTE risk remains unclear. We aimed to investigate the association between plasma BGAT levels and risk of future VTE, and whether this relationship was mediated by plasma von Willebrand factor (VWF) or coagulation factor VIII (FVIII), as VWF is glycosylated by BGAT. Incident VTE-cases (n = 294) and a randomly sampled age- and-sex-weighted subcohort (n = 1066) were derived from the third survey of the Trøndelag Health Study. Baseline plasma samples (2006-2008) were subjected to the SomaScan aptamer-based-7K platform for protein measurements. Weighted Cox regression was used to estimate hazard ratios (HRs) with 95% confidence intervals (CIs) across BGAT quartiles. We found that ABO haplotypes (A1/A2/B/O1/O2) explained ≈80% of the BGAT plasma variability. Participants with BGAT levels in the highest quartile had 2-fold higher VTE risk (HR, 2.12; 95% CI, 1.39-3.22) compared with those with BGAT in the lowest quartile in age-, sex-, and sample batch-adjusted models. The associations were particularly pronounced for unprovoked VTE (HR, 3.71; 95% CI, 1.79-7.67) and deep vein thrombosis (HR, 3.28; 95% CI, 1.63-6.59). The HRs were similar after further adjustment for body mass index, C-reactive protein, and estimated glomerular filtration rate, and moderately attenuated when adding VWF or FVIII plasma levels to the models. Our findings indicate that elevated BGAT plasma levels are associated with increased risk of future VTE beyond what is explained by VWF and FVIII.

Indexed as

ABO Blood-Group SystemVenous ThromboembolismAdultAgedFactor VIIIFemaleHumansMaleMiddle AgedRisk Factorsvon Willebrand FactorABO Blood-Group SystemFactor VIIIvon Willebrand Factor

Identifiers

PMID40009491
PMCPMC12163907

What OpenQuestion holds

Textmetadata
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.