Evidence map›Paper›PMID 40860352›Full record

ArticleFrontiers in cardiovascular medicine2025

Untensed fibronectin fibers: a novel hallmark of microthrombi.

Arnaud Miéville, Petra Wolint, Nikola Cesarovic, Volkmar Falk, Viola Vogel

Abstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Arnaud MiévilleLaboratory of Applied Mechanobiology, Department of Health Sciences and Technology, Institute of Translational Medicine, ETH Zürich, Zürich, Switzerland.
Petra WolintDepartment of Health Sciences and Technology, ETH Zürich, Zürich, Switzerland.
Nikola CesarovicDepartment of Health Sciences and Technology, ETH Zürich, Zürich, Switzerland.
Volkmar FalkDepartment of Health Sciences and Technology, ETH Zürich, Zürich, Switzerland.
Viola VogelLaboratory of Applied Mechanobiology, Department of Health Sciences and Technology, Institute of Translational Medicine, ETH Zürich, Zürich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) accounts for up to 15% of acute Myocardial Infarction (MI) cases and presents significant diagnostic and therapeutic challenges. The specific targeting of microthrombi involved in microthrombi-induced MINOCA with molecule-specific precision has been challenging due to their omnipresence in the bloodstream, highlighting the need for novel biomarkers and imaging strategies. Fibronectin, one of these omnipresent extracellular matrix (ECM) proteins, exists in distinct physical states in healthy versus diseased tissues, presenting stretched versus untensed fibers, which may serve as potential diagnostic and therapeutic targets. Methods: The peptide FnBPA5, a highly specific probe that binds selectively to untensed fibronectin fibers, as its multivalent binding motif is destroyed upon fiber stretching, was employed here to assess fibronectin's fiber tension in microthrombi before and after the onset of MINOCA in a pig model of autologous microthrombi-induced MINOCA. Results: Loss of fibronectin fiber tension was identified here as a novel key feature of microthrombi in a pig model of autologous microthrombi-induced MINOCA, whereas fibronectin fibers in the surrounding healthy myocardium remained highly stretched. FnBPA5 can thus effectively visualizes fibronectin's physical signature, thereby distinguishing microthrombi from the surrounding healthy tissue. Conclusion: These findings underscore FnBPA5's unique capacity to discriminate not merely the presence of an abundant ECM molecule within a thrombus, but its distinct physical conformation. FnBPA5 enables the selective detection of microthrombi in coronary arteries by targeting untensed fibronectin fibers, a novel mechanical biomarker of microthrombi. Targeting a protein's physical state with high specificity makes FnBPA5 a promising tool for advanced microthrombi detection and for mechano-therapeutic strategies involving the targeted delivery of therapeutic agents.

Indexed as

extracellular matrix (ECM)fibronectinmechanobiologyMINOCAmyocardial infarction

Identifiers

PMID40860352
PMCPMC12370774

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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.