Evidence map›Paper›PMID 40708974›Full record

ArticleBioengineering & translational medicine2025

Micrometer-scale tPA beads amplify plasmin generation for enhanced thrombolytic therapy.

Matthew J Osmond, Fabrice Dabertrand, Nidia Quillinan, Enming J Su, Daniel A Lawrence, David W M Marr, Keith B Neeves

Abstract read
In one paragraph

Article in Bioengineering & translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Matthew J OsmondDepartment of Bioengineering University of Colorado Denver, Anschutz Medical Campus Denver Colorado USA.
Fabrice DabertrandDepartment of Anesthesiology University of Colorado Anschutz Medical Campus Denver Colorado USA.
Nidia QuillinanDepartment of Anesthesiology University of Colorado Anschutz Medical Campus Denver Colorado USA.
Enming J SuDepartment of Internal Medicine, Division of Cardiovascular Medicine University of Michigan Ann Arbor Colorado USA.
Daniel A LawrenceDepartment of Internal Medicine, Division of Cardiovascular Medicine University of Michigan Ann Arbor Colorado USA.
David W M MarrDepartment of Chemical and Biological Engineering Colorado School of Mines Golden Colorado USA.
Keith B NeevesDepartment of Bioengineering University of Colorado Denver, Anschutz Medical Campus Denver Colorado USA.ORCID https://orcid.org/0000-0001-7546-4588

Funding

Unraveling the role of tPA in the neurovascular unitR01HL055374 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI David Antonetti, Daniel A Lawrence · 1995 to 2026
$8.6M
Capillary control of cerebral blood flow, and its disruption in small vessel diseaseR01HL136636 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI Fabrice Dabertrand · 2017 to 2026
$3.8M
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
Brain capillary endothelial cell energetics and neurovascular uncoupling in dementiaRF1NS140137 · NINDS · UNIVERSITY OF COLORADO DENVER · PI DABERTRAND, FABRICE, GARCIA, ANASTACIA M · 2024 to 2024
$2.4M
Novel neurosteroid anesthetics and perioperative analgesiaR01GM123746 · NIGMS · UNIVERSITY OF COLORADO DENVER · PI JEVTOVIC-TODOROVIC, VESNA · 2017 to 2025
$2.2M
Rescuing neurovascular coupling to protect neuronal plasticity and cognitionRF1NS129022 · NINDS · UNIVERSITY OF COLORADO DENVER · PI DABERTRAND, FABRICE, DELL'ACQUA, MARK L · 2022 to 2022
$1.8M
NHLBI NIH HHS R01 HL055374NHLBI NIH HHS R01 HL136636NIGMS NIH HHS R01 GM123746NINDS NIH HHS R01 NS102465NINDS NIH HHS RF1 NS129022NINDS NIH HHS RF1 NS140137
6 · The paper itself

Abstract

Rapid restoration of blood flow is critical in treating acute ischemic stroke. Current thrombolytic therapies using tissue plasminogen activator (tPA) are limited by low recanalization rates and risks of off-target bleeding. Here, we demonstrate that a remarkably simple adjustment-using micrometer-scale rather than sub-micrometer particles to immobilize tPA-fundamentally improves thrombolysis. By merely increasing the particle diameter from 0.1 to 1.0 μm, we achieve a dramatic shift in lysis dynamics: 1.0 μm tPA-beads generate higher plasmin flux, readily overcome antiplasmin inhibition, and trigger a self-propagating cascade of fibrinolysis. This leads to near-complete clot dissolution at tPA doses nearly 100-fold lower than standard free tPA, both in vitro and in a murine model of acute ischemic stroke. Within minutes, low-dose 1.0 μm tPA beads fully restore blood flow, outperforming conventional therapies. Our results show that simply scaling up particle size can resolve kinetic and transport barriers in thrombolysis, offering a promising advancement in stroke treatment with potential applications in other thrombotic disorders.

Indexed as

fibrinfibrinolysismicroparticlesplasminplasminogen activatorsstrokethrombolysis

Identifiers

PMID40708974
PMCPMC12284430

What Socratic holds

Textmetadata
LicenceCC BY
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.