Evidence map›Paper›PMID 34882946›Full record

ArticleJournal of thrombosis and haemostasis : JTH2022

Breaking the fibrinolytic speed limit with microwheel co-delivery of tissue plasminogen activator and plasminogen.

Dante Disharoon, Brian G Trewyn, Paco S Herson, David W M Marr, Keith B Neeves

Open access · greenAbstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.3field-weighted citation impact, top 10% of its field
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

16 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Magnetically powered microwheel thrombolysis of occlusive thrombi in zebrafish.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  9. Review
  10. Coupling magnetic torque and force for colloidal microbot assembly and manipulation.Advanced intelligent systems (Weinheim an der Bergstrasse, Germany) · 2023
    Article
  11. Article
  12. Fibrinolytic system and COVID-19: From an innovative view of epithelial ion transport.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2023
    Review
  13. Article
  14. Fibrinolysis: an illustrated review.Research and practice in thrombosis and haemostasis · 2023
    Review
  15. Article
  16. "Going with the flow" in modeling fibrinolysis.Frontiers in cardiovascular medicine · 2022
    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

5 authors at 2 institutions in 1 country.

Dante DisharoonDepartment of Chemical and Biological Engineering, Colorado School of Mines, Golden, Colorado, USA.ORCID 0000-0002-4896-674X
Brian G TrewynDepartment of Chemistry, Colorado School of Mines, Golden, Colorado, USA.
Paco S HersonDepartment of Anesthesiology, University of Colorado Denver, Anschutz Medical Campus, Aurora, Colorado, USA.
David W M MarrDepartment of Chemical and Biological Engineering, Colorado School of Mines, Golden, Colorado, USA.
Keith B NeevesDepartments of Bioengineering and Pediatrics, Hemophilia and Thrombosis Center, University of Colorado Denver, Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0000-0001-7546-4588
Colorado School of Mines · USUniversity of Colorado Anschutz Medical Campus · US

Funding

Magnetically propelled microwheels for rapid thrombolysis in small arteriesR01NS102465 · NINDS · COLORADO SCHOOL OF MINES · PI MARR, DAVID WM, NEEVES, KEITH B · 2018 to 2022
$2.6M
Airborne delivery of microbots for chemical and mechanical attack of pulmonary biofilmsR21AI138214 · NIAID · COLORADO SCHOOL OF MINES · PI MARR, DAVID WM, NEEVES, KEITH B · 2019 to 2020
$419k
American Heart Association-American Stroke Association 18PRE34070076NIAID NIH HHS R21 AI138214NINDS NIH HHS R01 NS102465
6 · The paper itself

Abstract

backgroundTo reestablish blood flow in vessels occluded by clots, tissue plasminogen activator (tPA) can be used; however, its efficacy is limited by transport to and into a clot and by the depletion of its substrate, plasminogen.

objectivesTo overcome these rate limitations, a platform was designed to co-deliver tPA and plasminogen based on microwheels (µwheels), wheel-like assemblies of superparamagnetic colloidal beads that roll along surfaces at high speeds.

methodsThe biochemical speed limit was determined by measuring fibrinolysis of plasma clots at varying concentrations of tPA (10-800 nM) and plasminogen (1-6 µM). Biotinylated magnetic mesoporous silica nanoparticles were synthesized and bound to streptavidin-coated superparamagnetic beads to make studded beads. Studded beads were loaded with plasminogen and tPA was immobilized on their surface. Plasminogen release and tPA activity were measured on the studded beads. Studded beads were assembled into µwheels with rotating magnetic fields and fibrinolysis of plasma clots was measured in a microfluidic device.

resultsThe biochemical speed limit for plasma clots was ~15 µm/min. Plasminogen-loaded, tPA-immobilized µwheels lyse plasma clots at rates comparableto the biochemical speed limit. With the addition of a corkscrew motion, µwheels penetrate clots, thereby exceeding the biochemical speed limit (~20 µm/min) and achieving lysis rates 40-fold higher than 50 nM tPA.

conclusionsCo-delivery of an immobilized enzyme and its substrate via a microbot capable of mechanical work has the potential to target and rapidly lyse clots that are inaccessible by mechanical thrombectomy devices or recalcitrant to systemic tPA delivery.

Indexed as

Drug Delivery SystemsPlasminogenThrombosisTissue Plasminogen ActivatorFibrin Clot Lysis TimeFibrinolysisHumansMagnetic Iron Oxide NanoparticlesPlasminogenTissue Plasminogen Activatorcolloidsfibrinfibrinolysisplasminogentissue plasminogen activator

Identifiers

PMID34882946
PMCPMC8792280
OpenAlexW4200138061

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.