Evidence map›Paper›PMID 21123944›Full record

ArticleThe Journal of clinical investigation2011

Antiphospholipid antibodies promote leukocyte-endothelial cell adhesion and thrombosis in mice by antagonizing eNOS via β2GPI and apoER2.

Sangeetha Ramesh, Craig N Morrell, Cristina Tarango, Gail D Thomas, Ivan S Yuhanna, Guillermina Girardi, Joachim Herz, Rolf T Urbanus, Philip G de Groot, Philip E Thorpe and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed
7.6field-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

97 citing papers in PubMed, 192 citations in OpenAlex.

  1. Animal models of antiphospholipid syndrome.Frontiers in immunology · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review

37 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 3 countries.

Sangeetha RameshDivision of Pulmonary and Vascular Biology, Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Craig N Morrell
Cristina Tarango
Gail D Thomas
Ivan S Yuhanna
Guillermina Girardi
Joachim Herz
Rolf T Urbanus
Philip G de Groot
Philip E Thorpe
Jane E Salmon
Philip W Shaul
Chieko Mineo
The University of Texas Southwestern Medical Center · USCornell University · USUniversity Medical Center Utrecht · NLPediatrics and Genetics · USUniversity of Rochester · US

Funding

TRANSCRIPTIONAL REGULATION OF LDL RECEPTOR PROMOTERP01HL020948 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI RUSSELL, DAVID W. · 1985 to 2021
$103.1M
Metabolism of the VLDL receptor and ApoE receptor 2R37HL063762 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI HERZ, JOACHIM J · 2010 to 2019
$4.0M
METABOLISM OF THE VLDL RECEPTOR AND APOE RECEPTOR 2R01HL063762 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI HERZ, JOACHIM J · 2000 to 2009
$3.1M
CRP, eNOS and Endothelial DysfunctionR01HL075473 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI SHAUL, PHILIP W · 2004 to 2010
$2.5M
Mechanisms of aPL antibody-induced pregnancy lossR01AR038889 · NIAMS · HOSPITAL FOR SPECIAL SURGERY · PI SALMON, JANE E · 1989 to 2010
$2.3M
The Role of Platelets in Alloantibody Mediated Transplant RejectionR01HL093179 · NHLBI · UNIVERSITY OF ROCHESTER · PI MORRELL, CRAIG N · 2008 to 2012
$2.2M
Glutamate Mediates Platelet Activation through an Ionotropic Glutamate ReceptorR01HL094547 · NHLBI · UNIVERSITY OF ROCHESTER · PI MORRELL, CRAIG N · 2009 to 2012
$1.6M
Mechanisms of aPL antibody-induced pregnancy lossR55AR038889 · NIAMS · HOSPITAL FOR SPECIAL SURGERY · PI SALMON, JANE E · 2005 to 2005
$100k
NHLBI NIH HHS HL075473NHLBI NIH HHS HL093179NHLBI NIH HHS HL20948NHLBI NIH HHS HL63762NHLBI NIH HHS P01 HL020948NHLBI NIH HHS R01 HL063762NHLBI NIH HHS R01 HL075473NHLBI NIH HHS R01 HL093179NHLBI NIH HHS R01 HL094547NHLBI NIH HHS R37 HL063762NIAMS NIH HHS AR38889NIAMS NIH HHS R01 AR038889NIAMS NIH HHS R55 AR038889
6 · The paper itself

Abstract

In antiphospholipid syndrome (APS), antiphospholipid antibodies (aPL) binding to β2 glycoprotein I (β2GPI) induce endothelial cell-leukocyte adhesion and thrombus formation via unknown mechanisms. Here we show that in mice both of these processes are caused by the inhibition of eNOS. In studies of cultured human, bovine, and mouse endothelial cells, the promotion of monocyte adhesion by aPL entailed decreased bioavailable NO, and aPL fully antagonized eNOS activation by diverse agonists. Similarly, NO-dependent, acetylcholine-induced increases in carotid vascular conductance were impaired in aPL-treated mice. The inhibition of eNOS was caused by antibody recognition of domain I of β2GPI and β2GPI dimerization, and it was due to attenuated eNOS S1179 phosphorylation mediated by protein phosphatase 2A (PP2A). Furthermore, LDL receptor family member antagonism with receptor-associated protein (RAP) prevented aPL inhibition of eNOS in cell culture, and ApoER2-/- mice were protected from aPL inhibition of eNOS in vivo. Moreover, both aPL-induced increases in leukocyte-endothelial cell adhesion and thrombus formation were absent in eNOS-/- and in ApoER2-/- mice. Thus, aPL-induced leukocyte-endothelial cell adhesion and thrombosis are caused by eNOS antagonism, which is due to impaired S1179 phosphorylation mediated by β2GPI, apoER2, and PP2A. Our results suggest that novel therapies for APS can now be developed targeting these mechanisms.

Indexed as

AnimalsAntibodies, Antiphospholipidbeta 2-Glycoprotein ICattleCell AdhesionDimerizationEndothelial CellsHumansIn Vitro TechniquesLDL-Receptor Related ProteinsLeukocytesMaleMiceMice, Inbred C57BLMice, KnockoutModels, BiologicalAntibodies, Antiphospholipidbeta 2-Glycoprotein ILDL-Receptor Related Proteinslow density lipoprotein receptor-related protein 8Nitric OxideNitric Oxide Synthase Type IIINos3 protein, mouseProtein Phosphatase 2RNA, Small Interfering

Identifiers

PMID21123944
PMCPMC3007129
OpenAlexW2114076955

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.