Evidence map›Paper›PMID 40662421›Full record

ReviewCurrent opinion in hematology2025

Targeting hemostatic enzymes: from mechanistic insights to therapeutic frontiers.

Rida Zakar, Matthew D Neal, Susan M Shea

Abstract readReview
In one paragraph

Review in Current opinion in hematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

3 authors.

Rida ZakarTrauma and Transfusion Medicine Research Center, Department of Surgery.
Matthew D NealTrauma and Transfusion Medicine Research Center, Department of Surgery.
Susan M SheaTrauma and Transfusion Medicine Research Center, Department of Surgery.

Funding

Mechanistic Elucidation and Targeted Therapy of Platelet Dysfunction After TraumaR35GM119526 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI NEAL, MATTHEW D · 2016 to 2025
$3.9M
Using Microfluidics to Identify Mechanisms of Platelet Dysfunction and Assess Therapeutic Efficacy in Traumatic HemorrhageK25HL161401 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Susan Marguerite Shea · 2022 to 2026
$643k
NHLBI NIH HHS K25 HL161401NIGMS NIH HHS R35 GM119526
6 · The paper itself

Abstract

purpose of reviewThis review examines the enzymatic regulation of coagulation and fibrinolysis, focusing on key players such as thrombin, plasmin, and ADAMTS13. We highlight how dysregulation of these enzymes contributes to thrombotic and hemorrhagic disorders and review emerging diagnostic biomarkers and therapeutic strategies. RECENT

findingsRecent studies demonstrate the prognostic utility of biomarkers such as thrombin-antithrombin (TAT) and plasmin-α2-antiplasmin (PAP) complexes across critical illnesses including trauma, sepsis, and stroke. Advances in plasmin and thrombin generation assays, enzyme-specific assays, and enzyme-modulating therapies (e.g., factor XI inhibitors and recombinant ADAMTS13) are reshaping approaches to hemostatic balance. SUMMARY: Understanding hemostatic enzymatic regulation offers new avenues for risk stratification, diagnosis, and treatment of coagulation disorders. Although significant progress has been made, challenges remain in translating laboratory findings to clinical practice, necessitating further large-scale validation. Precision-guided enzymatic therapies hold promise for improving outcomes in acute care settings.

Indexed as

Blood Coagulation DisordersHemostasisThrombinADAMTS13 ProteinAnimalsBiomarkersBlood CoagulationFibrinolysinFibrinolysisHumansADAMTS13 ProteinBiomarkersFibrinolysinThrombinbiomarkerscoagulationfibrinolysishemostasishemostatic enzymesplasmintargeted therapythrombin

Identifiers

PMID40662421
PMCPMC12270332

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.