Evidence map›Paper›PMID 21177435›Full record

ArticleBlood2011

HIF1alpha synergizes with glucocorticoids to promote BFU-E progenitor self-renewal.

Johan Flygare, Violeta Rayon Estrada, Chanseok Shin, Sumeet Gupta, Harvey F Lodish

Registry-linked trialAbstract read
In one paragraph

Article in Blood, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07476183 (A Phase 1, Open-label, Single-arm Study of APR 2020 in Transfusion Dependent, Steroid Resistant Pediatric and Adolescent Subjects With RPS19 Deficient Diamond Blackfan Anemia by Transplantation of Autologous CD34+ Stem Cells Transduced With CLIN LV EFS coRPS19 PRE*), which is not on this map. Cited by 115 papers.

0numbers the graph read from it
0cells of the map it votes in
115citing papers in PubMed
3.6field-weighted citation impact, top 7% 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.

NCT07476183 phase1recruitingnot on this mapstarted 2026, after this paper: background citation

A Phase 1, Open-label, Single-arm Study of APR 2020 in Transfusion Dependent, Steroid Resistant Pediatric and Adolescent Subjects With RPS19 Deficient Diamond Blackfan Anemia by Transplantation of Autologous CD34+ Stem Cells Transduced With CLIN LV EFS coRPS19 PRE* (APR-2020)

TypeinterventionalSponsorApriligen, Inc.Ran2026 to 2028Enrolled4ConditionsRPS19 Deficient Diamond-Blackfan AnemiaArmsAPR-2020
3 · Its place in the literature

Who cites it

115 citing papers in PubMed, 165 citations in OpenAlex.

  1. CD163Biomarker research · 2026
    Article
  2. Review
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  14. Immunoregulation role of the erythroid cells.Frontiers in immunology · 2024
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

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

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

5 authors at 2 institutions in 2 countries.

Johan FlygareWhitehead Institute for Biomedical Research, Cambridge, MA 02142, USA.
Violeta Rayon Estrada
Chanseok Shin
Sumeet Gupta
Harvey F Lodish
Whitehead Institute for Biomedical Research · USSeoul National University · KR

Funding

TRANSCRIPTION FACTOR GATA-1 IN TERMINAL ERYTHROID DEVELOPMENTP01HL032262 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI ORKIN, STUART H · 1985 to 2021
$38.9M
NHLBI NIH HHS P01 HL032262NHLBI NIH HHS P01 HL 32262
6 · The paper itself

Abstract

With the aim of finding small molecules that stimulate erythropoiesis earlier than erythropoietin and that enhance erythroid colony-forming unit (CFU-E) production, we studied the mechanism by which glucocorticoids increase CFU-E formation. Using erythroid burst-forming unit (BFU-E) and CFU-E progenitors purified by a new technique, we demonstrate that glucocorticoids stimulate the earliest (BFU-E) progenitors to undergo limited self-renewal, which increases formation of CFU-E cells > 20-fold. Interestingly, glucocorticoids induce expression of genes in BFU-E cells that contain promoter regions highly enriched for hypoxia-induced factor 1α (HIF1α) binding sites. This suggests activation of HIF1α may enhance or replace the effect of glucocorticoids on BFU-E self-renewal. Indeed, HIF1α activation by a prolyl hydroxylase inhibitor (PHI) synergizes with glucocorticoids and enhances production of CFU-Es 170-fold. Because PHIs are able to increase erythroblast production at very low concentrations of glucocorticoids, PHI-induced stimulation of BFU-E progenitors thus represents a conceptually new therapeutic window for treating erythropoietin-resistant anemia.

Indexed as

Amino Acids, DicarboxylicAnimalsBinding SitesCell DifferentiationCell ProliferationCells, CulturedCell SeparationDrug Evaluation, PreclinicalDrug SynergismEmbryo, MammalianEnzyme InhibitorsErythroid Precursor CellsFetusFlow CytometryGlucocorticoidsHypoxia-Inducible Factor 1, alpha SubunitAmino Acids, DicarboxylicEnzyme InhibitorsGlucocorticoidsHif1a protein, mouseHypoxia-Inducible Factor 1, alpha SubunitoxalylglycineProcollagen-Proline Dioxygenase

Identifiers

PMID21177435
PMCPMC3069680
OpenAlexW2169057883

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.