Evidence map›Paper›PMID 39496251›Full record

ArticleJournal of vascular research2025

Rivaroxaban as a Protector of Oxidative Stress-Induced Vascular Endothelial Glycocalyx Damage via the IQGAP1/PAR1-2/PI3K/Akt Pathway.

Lisa Kitasato, Minako Yamaoka-Tojo, Toshiyuki Iwaya, Yusuke Murayama, Yuki Ikeda, Takehiro Hashikata, Jun Oikawa, Machika Suzuki, Nonoka Misawa, Rei Kawashima and 2 more

Abstract read
In one paragraph

Article in Journal of vascular research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Targeting Arterial Dysfunction in Cardiovascular Disease Using Stem Cell-Based Therapies.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Review
  3. Endothelial Surface Glycocalyx in Vascular Functions and Diseases.Advances in experimental medicine and biology · 2026
    Review
  4. Article
  5. 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

12 authors.

Lisa KitasatoDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Sagamihara, Japan.
Minako Yamaoka-TojoDepartment of Rehabilitation, Kitasato University School of Allied Health Sciences, Sagamihara, Japan.
Toshiyuki IwayaDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Sagamihara, Japan.
Yusuke MurayamaDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Sagamihara, Japan.
Yuki IkedaDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Sagamihara, Japan.
Takehiro HashikataDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Sagamihara, Japan.
Jun OikawaDepartment of Kitasato Clinical Research Center, Kitasato University School of Medicine, Sagamihara, Japan.
Machika SuzukiDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Sagamihara, Japan.
Nonoka MisawaDepartment of Regulation Biochemistry, Kitasato University School of Allied Health Sciences, Sagamihara, Japan.
Rei KawashimaDepartment of Regulation Biochemistry, Kitasato University School of Allied Health Sciences, Sagamihara, Japan.
Fumihiro OgawaDepartment of Emergency Medicine, School of Medicine, Yokohama City University, Yokohama, Japan.
Junya AkoDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Sagamihara, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe vascular endothelial glycocalyx, crucial for blood vessel integrity and homeostasis, is vulnerable to oxidative stress, leading to endothelial dysfunction, which strongly correlates with cardiovascular disease (CVD). This study investigates the protective effects of rivaroxaban, a factor X inhibitor, on the glycocalyx under oxidative stress condition.

methodsWe examined the impact of rivaroxaban on human umbilical vein endothelial cells exposed to acute and chronic H2O2-induced oxidative stress.

resultsRivaroxaban dose-dependently suppressed syndecan-1, a key component of the glycocalyx, shedding from cell surface, and enhanced protease-activated receptor (PAR)1-PAR2/phosphatidylinositol-3-kinase (PI3K)-dependent cell viability after acute induction of H2O2. This protective effect was linked to the translocation of IQGAP1, a scaffold protein that modulates the actin cytoskeleton, to the perinucleus from the cell membrane. Under chronic H2O2 treatments, rivaroxaban improves cell viability accompanied by an increase in hyaluronidase activities, aiding the turnover and remodeling of hyaluronic acid within the glycocalyx.

conclusionWe identify that rivaroxaban protects against oxidative stress-induced endothelial glycocalyx damage and cell viability through IQGAP1/PAR1-2/PI3K/Akt pathway, offering a potential to be a therapeutic target for CVD prevention.

introductionThe vascular endothelial glycocalyx, crucial for blood vessel integrity and homeostasis, is vulnerable to oxidative stress, leading to endothelial dysfunction, which strongly correlates with cardiovascular disease (CVD). This study investigates the protective effects of rivaroxaban, a factor X inhibitor, on the glycocalyx under oxidative stress condition.

methodsWe examined the impact of rivaroxaban on human umbilical vein endothelial cells exposed to acute and chronic H2O2-induced oxidative stress.

resultsRivaroxaban dose-dependently suppressed syndecan-1, a key component of the glycocalyx, shedding from cell surface, and enhanced protease-activated receptor (PAR)1-PAR2/phosphatidylinositol-3-kinase (PI3K)-dependent cell viability after acute induction of H2O2. This protective effect was linked to the translocation of IQGAP1, a scaffold protein that modulates the actin cytoskeleton, to the perinucleus from the cell membrane. Under chronic H2O2 treatments, rivaroxaban improves cell viability accompanied by an increase in hyaluronidase activities, aiding the turnover and remodeling of hyaluronic acid within the glycocalyx.

conclusionWe identify that rivaroxaban protects against oxidative stress-induced endothelial glycocalyx damage and cell viability through IQGAP1/PAR1-2/PI3K/Akt pathway, offering a potential to be a therapeutic target for CVD prevention.

Indexed as

AntioxidantsFactor Xa InhibitorsGlycocalyxHuman Umbilical Vein Endothelial CellsOxidative StressPhosphatidylinositol 3-KinaseProto-Oncogene Proteins c-aktras GTPase-Activating ProteinsRivaroxabanCells, CulturedCell SurvivalCytoprotectionHumansHydrogen PeroxideSignal TransductionSyndecan-1AntioxidantsFactor Xa InhibitorsHydrogen PeroxideIQ motif containing GTPase activating protein 1Phosphatidylinositol 3-KinaseProto-Oncogene Proteins c-aktras GTPase-Activating ProteinsRivaroxabanSDC1 protein, humanSyndecan-1Endothelial cellsIQGAP1Oxidative stressPI3K/Akt pathwayRivaroxabanVascular endothelial glycocalyx

Identifiers

PMID39496251
PMCPMC11797952

What Socratic holds

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LicenceCC BY-NC
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.