Evidence map›Paper›PMID 23071157›Full record

ArticleCirculation research2013

Engagement of platelet toll-like receptor 9 by novel endogenous ligands promotes platelet hyperreactivity and thrombosis.

Soumya Panigrahi, Yi Ma, Li Hong, Detao Gao, Xiaoxia Z West, Robert G Salomon, Tatiana V Byzova, Eugene A Podrez

Open access · bronzeAbstract read
In one paragraph

Article in Circulation research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

100 citing papers in PubMed, 164 citations in OpenAlex.

  1. Trial
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  5. Beyond Hemostasis: Platelet Biomarkers and Vascular-Immune Crosstalk in Dengue.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Review
  6. Induced pluripotent stem cell-derived platelets kill multidrug-resistantResearch and practice in thrombosis and haemostasis · 2026
    Article
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40 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

8 authors at 1 institution in 1 country.

Soumya PanigrahiDepartment of Molecular Cardiology, Lerner Research Institute, Cleveland Clinic, 9500 Euclid Ave, NB-5, Cleveland, OH 44195, USA.
Yi Ma
Li Hong
Detao Gao
Xiaoxia Z West
Robert G Salomon
Tatiana V Byzova
Eugene A Podrez
Case Western Reserve University · US

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Structure Basis for Talin-mediated Integrin ActivationP01HL073311 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI BYZOVA, TATIANA V · 2004 to 2019
$27.4M
Regulation of Integrins in Neovasculature DevelopmentR01HL071625 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI BYZOVA, TATIANA V · 2003 to 2021
$7.3M
Preprostaglandin Endoperoxides (supplement)R01GM021249 · NIGMS · CASE WESTERN RESERVE UNIVERSITY · PI SALOMON, ROBERT GERD · 1985 to 2014
$5.2M
Pathophysiological Activities of Oxidized PhospholipidsR01HL077213 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI PODREZ, EUGENE A · 2005 to 2018
$4.5M
REACTIVE INTERMEDIATES OF OXIDATIVE LIPID FRAGMENTATIONR01EY016813 · NEI · CASE WESTERN RESERVE UNIVERSITY · PI SALOMON, ROBERT GERD · 2006 to 2018
$3.9M
MOLECULAR BASIS OF OXIDATIVE MODIFICATION OF LDLR01HL053315 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI SALOMON, ROBERT GERD · 1996 to 2010
$3.4M
Purchase of BIAcore 3000 InstrumentS10RR016789 · NCRR · CLEVELAND CLINIC FOUNDATION · PI YADAV, SATYA P. · 2003 to 2003
$275k
NCATS NIH HHS UL1 TR000439NCRR NIH HHS SIG-RR016789-01-A1NEI NIH HHS R01 EY016813NHLBI NIH HHS 2P01HL073311-06NHLBI NIH HHS 3R01HL077213-05S1NHLBI NIH HHS HL053315NHLBI NIH HHS HL071625NHLBI NIH HHS HL073311NHLBI NIH HHS HL077213NHLBI NIH HHS P01 HL073311NHLBI NIH HHS R01 HL053315NHLBI NIH HHS R01 HL071625NHLBI NIH HHS R01 HL077213NIGMS NIH HHS GM021249NIGMS NIH HHS R01 GM021249
6 · The paper itself

Abstract

rationaleA prothrombotic state and increased platelet reactivity are common in pathophysiological conditions associated with oxidative stress and infections. Such conditions are associated with an appearance of altered-self ligands in circulation that can be recognized by Toll-like receptors (TLRs). Platelets express a number of TLRs, including TLR9; however, the role of TLR in platelet function and thrombosis is poorly understood.

objectiveTo investigate the biological activities of carboxy(alkylpyrrole) protein adducts, an altered-self ligand generated in oxidative stress, on platelet function and thrombosis. METHODS AND

resultsIn this study we show that carboxy(alkylpyrrole) protein adducts represent novel unconventional ligands for TLR9. Furthermore, using human and murine platelets, we demonstrate that carboxy(alkylpyrrole) protein adducts promote platelet activation, granule secretion, and aggregation in vitro and thrombosis in vivo via the TLR9/MyD88 pathway. Platelet activation by TLR9 ligands induces IRAK1 and AKT phosphorylation, and it is Src kinase-dependent. Physiological platelet agonists act synergistically with TLR9 ligands by inducing TLR9 expression on the platelet surface.

conclusionsOur study demonstrates that platelet TLR9 is a functional platelet receptor that links oxidative stress, innate immunity, and thrombosis.

Indexed as

Platelet ActivationAnimalsBlood PlateletsCD36 AntigensCell LineDisease Models, AnimalGenes, ReporterHumansImmunity, InnateInterleukin-1 Receptor-Associated KinasesLigandsMiceMice, Inbred C57BLMice, KnockoutMyeloid Differentiation Factor 88Oxidative StressCD36 AntigensInterleukin-1 Receptor-Associated KinasesLigandsMyd88 protein, mouseMyeloid Differentiation Factor 88Phosphatidylinositol 3-KinaseProto-Oncogene Proteins c-aktScarb1 protein, mouseScavenger Receptors, Class BSerum Albuminsrc-Family KinasesTlr2 protein, mouseTlr6 protein, mouseTLR9 protein, humanTlr9 protein, mouseToll-Like Receptor 2Toll-Like Receptor 6Toll-Like Receptor 9

Identifiers

PMID23071157
PMCPMC3537845
OpenAlexW2109420700

What OpenQuestion holds

Textmetadata
LicenceTDM
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.