The vision of TREC is to diminish the suffering and burden of venous thrombosis by discovering novel risk factors and disease mechanisms to facilitate personalized prevention and treatment.
TREC is a translational research center which fosters the multidirectional integration of laboratory-, patient-oriented-, and population-based research.
Clinical epidemiology and risk factors of venous thromboembolism, Diagnostic and predictive biomarkers of venous thromboembolism, Pathophysiology of venous thromboembolism
Current positions:
Head of Thrombosis Research Group (TREC)
Head of Thrombosis Research Center (TREC), University Hospital of North Norway
Publications
>300 original full papers in peer-reviewed journals listed in PubMed and 22 review articles and 12 book chapters. Contributed to >370 abstracts presented at and published in conjunction with scientific international meetings/conferences. H-index: 51.
Supervision of PhD-students and postdoctors
Completed PhDs: Main supervisor: 35; Co-supervisor: 5
Ongoing PhDs: 7 as main supervisor and 6 as co-supervisor
Mentor for 13 previous and 3 present postdoctors
Other relevant professional experiences
2016-21 Chair of the Subcommittee Diagnostic and predictive variables, ISTH
2015-20 Member of the scientific program committee of the European Haematology Association (EHA)
2015- Member of the organization committee of the European Congress of Thrombosis and Haemostasis (ECTH)
2015 - Associate investigator Centre for Molecular Medicine Norway (NCMM)
2014 -20 Associate editor Journal of Thrombosis and Haemostasis
My main research interest is the epidemiology and pathogenesis of venous thromboembolism (VTE). In order to optimize prevention and treatment of the disease, it is crucial to better understand the mechanisms of venous thrombus formation and how risk factors contribute to or interplay in this process.
I have trained as an epidemiologist within the field of thrombosis and hemostasis, and worked with studies on the relationship between arterial and venous thrombosis, life-style factors and VTE, biomarkers for future VTE, cancer-related VTE, as well as complications after VTE.
Affiliated with TREC in 20% Professor II position, employed by UNN. Full-time Professor at Department of Clinical Medicine, UiO (Research Group: Inflammatory biomarkers in cardiovascular and metabolic disease)
I am a medical doctor and approved specialist in Internal Medicine and Hematology in Brazil. I obtained my first PhD (Hematology) in Brazil in 2000. Given my growing interest in research on the epidemiology of venous thromboembolism (VTE), I moved to the Netherlands in 2014 and started a second PhD at the Department of Clinical Epidemiology (Leiden University Medical Center - LUMC). After obtaining my PhD at LUMC in 2017, I joined the Thrombosis Research Group (TREC) at UiT – The Arctic University of Norway as a researcher.
My main research interest is the epidemiology and pathophysiology of VTE, with a special focus on the investigation of novel VTE biomarkers that could serve as potential targets for VTE prevention and treatment. I have contributed to >65 original full papers in peer-reviewed journals in PUBMED (about 60% of which published from 2019 onwards). I have supervised 3 PhD-students as main supervisor and 4 as co-supervisor to completion of PhD. I am currently main supervisor for 2 and co-supervisor for 4 PhD-students. Since 2022, I have served as Associate Editor in Research and Practice in Thrombosis and Haemostasis (RPTH), the Open Access journal of the International Society on Thrombosis and Haemostasis (ISTH). In 2021 and 2022, I received awards for Outstanding Editorial Board Performance in RPTH.
Improved survival in cancer patients with venous thrombosis
05.01.2025
Proteome wide study reveals novel biomarkers for VTE
23.01.2024
New finding: MicroRNA associated with lower risk of VTE!
Improved survival in cancer patients with venous thrombosis
The formation of venous blood clots in the deep veins of the body or in the blood vessels of the lungs, also known as venous thromboembolism (VTE), is a common and potentially fatal condition in cancer. Our recent research data show improved survival in cancer patients with VTE.
Treatment of cancer and VTE has improved in recent decades, but to what extent these improvements have been accompanied by improved survival for cancer patients with VTE remains unclear. Nikolai H. Eide, an MD/PhD student at the Thrombosis Research Group (TREC), and his colleagues at UiT and UNN sought to answer this question by investigating the changes in mortality over the last three decades for cancer patients with VTE.
MD/PhD-student Nikolai Eide in TREC Photo: Private
The researchers analyzed data from two large Norwegian population-based studies, the Tromsø Study and the Trøndelag Health Study (HUNT). A total of 111,119 participants were followed from 1994 to 2019 to explore changes in mortality rates among cancer patients with VTE.
We found that the proportion of patients who died within 1 year after the diagnosis of cancer-related VTE decreased from 62% to 45% in the period 1994 to 2019. The improved survival over time was particularly seen for cancer patients without metastasis, that is, without spread of the cancer cells in the body at the time of cancer diagnosis.
While the study did not pinpoint the exact reasons for the improved survival of cancer-related VTE, several factors might have contributed, especially those related to the major advances in cancer treatment that have been achieved in recent decades. The findings from Eide and colleagues give hope for the future of cancer patients, their families and doctors, and form the basis for further research dedicated to improve the survival in cancer patients with VTE.
Reference: Eide NH, Langholm C, Rinde FB, Van Es N, Hveem K, Brækkan SK, Hansen JB, Morelli VM. Mortality risk after cancer-related venous thromboembolism has decreased over the last three decades: the HUNT and Tromsø studies. Haematologica 2025. Link: https://pubmed.ncbi.nlm.nih.gov/39945012/
Illustration: Cancer patient receiving therapy. Photo: www.mostphotos.com Published: 01.04.2025
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Proteome wide study reveals novel biomarkers for VTE
In a large proteome-wide analysis of over 7000 proteins, we have discovered five new protein candidates associated with venous thromboembolism (VTE)
Illustration: Blood clot in lungs (www.Mostphotos.com)
A systematic profiling of the plasma proteome can provide new insight into molecular pathways involved in the pathogenesis of venous thromboembolism (VTE) and reveal potential predictive biomarkers or drug targets. Previous proteomic studies on VTE were restricted to up to 500 proteins. Therefore, we performed a large proteome-wide discovery case-cohort study of individuals who developed VTE within the five years after baseline blood sampling (n=294) and a randomly sampled subcohort (n=1066) derived from the Trøndelag Health Study. We screened plasma samples for >7000 proteins using the SomaScan aptamer-based proteomics platform. In the proteome wide analyses, 7 proteins were significantly associated with future VTE after correction for multiple testing. Of these, 5 proteins were novel candidates associated with VTE. Protein pathway analyses of the top-ranked 200 proteins associated with VTE revealed significant enrichment of 9 proteins in the complement and coagulation pathways, particularly the lectin pathway of the complement system and the intrinsic coagulation pathway.
New finding: MicroRNA associated with lower risk of VTE!
Recent findings suggest that miR-145 may be protective against thrombosis.
MicroRNAs (miRs) are small non-coding RNAs that downregulate gene expression. Interestingly, miR-145 has been reported to downregulate the expression of important factors in the coagulation system (tissue factor and factor XI) in vitro. Furthermore, miR-145 has be shown to decrease venous thrombus formation in a mouse model.
In a recent paper, published in Blood, we investigated the association between plasma levels of miR-145 and risk of future VTE. We found that plasma levels of miR-145 were inversely associated with VTE risk. Participants with miR-145 levels in the highest quartile had a 49% lower risk of VTE compared with those with miR-145 in the lowest quartile, and this association remained after adjustment for several potential confounders. Our observation of a protective role of miR-145 for VTE, implies that miR-145 could be a potential target for VTE prevention in the future.
Department of Clinical Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, 9037 Norway
Pharmacy Building, 4th Floor (F4.210), Universitetsvegen 57, 9019 Tromsø john-bjarne.hansen@uit.no Show map