Evidence map›Paper›PMID 18488037›Full record

ArticleNature medicine2008

The Ashwell receptor mitigates the lethal coagulopathy of sepsis.

Prabhjit K Grewal, Satoshi Uchiyama, David Ditto, Nissi Varki, Dzung T Le, Victor Nizet, Jamey D Marth

Open access · greenAbstract read
In one paragraph

Article in Nature medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 175 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
175citing papers in PubMed, 1 pooled it
8.3field-weighted citation impact, top 2% 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

175 citing papers in PubMed, 1 synthesis or guideline pooled it, 365 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  7. High-MannoseJournal of proteome research · 2026
    Article
  8. Review
  9. Kupffer cells are essential for platelet-mediated thrombopoietin generation in the liver.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  10. [Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Review
  11. Article
  12. Compositional and topological determinants of a physiological Ashwell-Morell receptor ligand.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  13. Review
  14. Article
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115 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Prabhjit K GrewalThe Howard Hughes Medical Institute and Department of Cellular and Molecular Medicine University of California, San Diego, La Jolla, California 92093, USA.
Satoshi Uchiyama
David Ditto
Nissi Varki
Dzung T Le
Victor Nizet
Jamey D Marth
University of California, San Diego · USHoward Hughes Medical Institute · US

Funding

Siglec Modulation of Inflammation in Humans and MiceP01HL057345 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI VARKI, NISSI MARY · 1997 to 2012
$24.1M
Howard Hughes Medical InstituteNHLBI NIH HHS HL-57345NHLBI NIH HHS P01 HL057345NIAID NIH HHS AI-051796
6 · The paper itself

Abstract

The Ashwell receptor, the major lectin of hepatocytes, rapidly clears from blood circulation glycoproteins bearing glycan ligands that include galactose and N-acetylgalactosamine. This asialoglycoprotein receptor activity remains a key factor in the development and administration of glycoprotein pharmaceuticals, yet a biological purpose of the Ashwell receptor has remained elusive. We have identified endogenous ligands of the Ashwell receptor as glycoproteins and regulatory components in blood coagulation and thrombosis that include von Willebrand factor (vWF) and platelets. The Ashwell receptor normally modulates vWF homeostasis and is responsible for thrombocytopenia during systemic Streptococcus pneumoniae infection by eliminating platelets desialylated by the bacterium's neuraminidase. Hemostatic adaptation by the Ashwell receptor moderates the onset and severity of disseminated intravascular coagulation during sepsis and improves the probability of host survival.

Indexed as

AnimalsAsialoglycoprotein ReceptorAsialoglycoproteinsBlood Coagulation DisordersBlood PlateletsDisease Models, AnimalFluorescent Antibody Technique, IndirectHemostasisHepatocytesHomozygoteHumansLigandsMetabolic Clearance RateMiceMice, Inbred C57BLMice, KnockoutAsialoglycoprotein ReceptorAsialoglycoproteinsLigandsvon Willebrand Factor

Identifiers

PMID18488037
PMCPMC2853759
OpenAlexW2098643925

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.