Evidence map›Paper›PMID 42041535›Full record

ArticleCells2026

Inflammatory Signaling and Endothelial Activation Drive Thrombosis in Hodgkin and Non-Hodgkin Lymphoma.

Emilija Živković, Olivera Mitrović-Ajtić, Jelena Ivanović, Dragoslava Djikić, Tijana Subotički, Miloš Diklić, Milica Vukotić, Teodora Dragojević, Darko Antić, Vladan P Čokić

Abstract read
In one paragraph

Article in Cells, 2026. 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. Review
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

10 authors.

Emilija ŽivkovićInstitute for Medical Research, University of Belgrade, Dr Subotica 4, 11129 Belgrade, Serbia.ORCID 0000-0002-6305-8205
Olivera Mitrović-AjtićInstitute for Medical Research, University of Belgrade, Dr Subotica 4, 11129 Belgrade, Serbia.ORCID 0000-0003-3977-2780
Jelena IvanovićLymphoma Center, Clinic for Hematology, University Clinical Center of Serbia, Dr Koste Todorovića 2, 11000 Belgrade, Serbia.ORCID 0009-0009-2251-3011
Dragoslava DjikićInstitute for Medical Research, University of Belgrade, Dr Subotica 4, 11129 Belgrade, Serbia.
Tijana SubotičkiInstitute for Medical Research, University of Belgrade, Dr Subotica 4, 11129 Belgrade, Serbia.ORCID 0000-0002-5132-8319
Miloš DiklićInstitute for Medical Research, University of Belgrade, Dr Subotica 4, 11129 Belgrade, Serbia.ORCID 0000-0003-1171-5186
Milica VukotićInstitute for Medical Research, University of Belgrade, Dr Subotica 4, 11129 Belgrade, Serbia.ORCID 0000-0002-0232-5322
Teodora DragojevićInstitute for Medical Research, University of Belgrade, Dr Subotica 4, 11129 Belgrade, Serbia.ORCID 0000-0001-9015-8351
Darko AntićLymphoma Center, Clinic for Hematology, University Clinical Center of Serbia, Dr Koste Todorovića 2, 11000 Belgrade, Serbia.
Vladan P ČokićInstitute for Medical Research, University of Belgrade, Dr Subotica 4, 11129 Belgrade, Serbia.ORCID 0000-0002-0362-1449

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The high incidence of thrombosis in lymphoma is largely due to chronic inflammation and endothelial dysfunction. To elucidate the mechanisms underlying thrombus formation and fibrinolysis, we investigated interactions between circulating endothelial cells and peripheral blood mononuclear cells (MNCs), along with inflammatory signaling pathways, in patients with follicular lymphoma (FL), Hodgkin lymphoma (HL), and diffuse large B-cell lymphoma (DLBCL), independent of the presence of thrombosis, compared to healthy controls by flow cytometry, immunoblotting, and fluorometric assays. We observed increased tissue factor (TF) expression on CD31+ endothelial cells in DLBCL and FL. In DLBCL, inducible nitric oxide synthase expression was elevated in MNCs, while reduced nitrite levels correlated with an advanced clinical stage in patients with thrombosis. In lymphoma, nuclear factor kappa B (NFκB) signaling was activated in MNCs, while signal transducer and activator of transcription 3 (STAT3) activation was increased in DLBCL with thrombosis. Trans-endothelial migration of MNC was enhanced in HL, FL and DLBCL with thrombosis and reduced by inflammatory cytokine tumor necrosis factor alpha (TNF-α) that promoted platelet aggregation like interleukin-6 (IL-6) in HL and FL. Fibrinolytic analyses showed reduced tissue type plasminogen activator in lymphoma, whereas increased urokinase-type plasminogen activator (uPA) was linked to poorer total survival in DLBCL with thrombosis, suggesting a compensatory role in early thrombus resolution. These findings indicate that chronic inflammation promotes endothelial activation, dysregulated fibrinolysis, and increased vascular permeability, contributing to heightened thrombotic risk. This study provides mechanistic insight into lymphoma-associated thrombosis and identifies TF, uPA, and the inflammatory signaling pathways as potential biomarkers and therapeutic targets.

Indexed as

Endothelial CellsHodgkin DiseaseInflammationLymphoma, Non-HodgkinSignal TransductionThrombosisFemaleHumansLeukocytes, MononuclearMaleMiddle AgedThromboplastinThromboplastinendothelial cellsinflammationlymphomanitric oxidethrombosis

Identifiers

PMID42041535
PMCPMC13114949

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Registered trials

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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.