Evidence map›Paper›PMID 24243971›Full record

ArticleBlood2014

A prominent lack of IgG1-Fc fucosylation of platelet alloantibodies in pregnancy.

Rick Kapur, Iwan Kustiawan, Anne Vestrheim, Carolien A M Koeleman, Remco Visser, Helga K Einarsdottir, Leendert Porcelijn, Dave Jackson, Belinda Kumpel, André M Deelder and 9 more

Open access · greenAbstract read
In one paragraph

Article in Blood, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 121 papers.

0numbers the graph read from it
0cells of the map it votes in
121citing papers in PubMed
8.0field-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

121 citing papers in PubMed, 219 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. The glycan fingerprint in immune thrombocytopenia.Research and practice in thrombosis and haemostasis · 2026
    Article
  7. Review
  8. Article
  9. IgG-Fc Glycosylation and a Novel Flowcytometric Assay to Predict Hemolytic Disease of the Fetus and Newborn.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2025
    Article
  10. Observational
  11. Diagnosis and Management of Fetal and Neonatal Alloimmune Thrombocytopenia: An Update 2025.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2025
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Role of Antibody Glycosylation in Health, Disease, and Therapy.Handbook of experimental pharmacology · 2025
    Review
  17. B Cell Responses to the Placenta and Fetus.Annual review of pathology · 2025
    Review
  18. Article
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 5 institutions in 3 countries.

Rick KapurDepartment of Experimental Immunohematology and.
Iwan Kustiawan
Anne Vestrheim
Carolien A M Koeleman
Remco Visser
Helga K Einarsdottir
Leendert Porcelijn
Dave Jackson
Belinda Kumpel
André M Deelder
Dennis Blank
Björn Skogen
Mette Kjaer Killie
Terje E Michaelsen
Masja de Haas
Theo Rispens
C Ellen van der Schoot
Manfred Wuhrer
Gestur Vidarsson
Leiden University Medical Center · NLSanquin · NLNational Health Service · GBUiT The Arctic University of Norway · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunoglobulin G (IgG) formed during pregnancy against human platelet antigens (HPAs) of the fetus mediates fetal or neonatal alloimmune thrombocytopenia (FNAIT). Because antibody titer or isotype does not strictly correlate with disease severity, we investigated by mass spectrometry variations in the glycosylation at Asn297 in the IgG Fc because the composition of this glycan can be highly variable, affecting binding to phagocyte IgG-Fc receptors (FcγR). We found markedly decreased levels of core fucosylation of anti-HPA-1a-specific IgG1 from FNAIT patients (n = 48), but not in total serum IgG1. Antibodies with a low amount of fucose displayed higher binding affinity to FcγRIIIa and FcγRIIIb, but not to FcγRIIa, compared with antibodies with a high amount of Fc fucose. Consequently, these antibodies with a low amount of Fc fucose showed enhanced phagocytosis of platelets using FcγRIIIb(+) polymorphonuclear cells or FcγRIIIa(+) monocytes as effector cells, but not with FcγRIIIa(-) monocytes. In addition, the degree of anti-HPA-1a fucosylation correlated positively with the neonatal platelet counts in FNAIT, and negatively to the clinical disease severity. In contrast to the FNAIT patients, no changes in core fucosylation were observed for anti-HLA antibodies in refractory thrombocytopenia (post platelet transfusion), indicating that the level of fucosylation may be antigen dependent and/or related to the immune milieu defined by pregnancy.

Indexed as

Antibodies, MonoclonalAsparagineBlood PlateletsCohort StudiesFemaleFucoseGlucoseGlycosylationHLA AntigensHumansImmunoglobulin Fc FragmentsImmunoglobulin GIsoantibodiesMass SpectrometryMonocytesPlatelet CountAntibodies, MonoclonalAsparagineFucoseGlucoseHLA AntigensImmunoglobulin Fc FragmentsImmunoglobulin GIsoantibodiesRecombinant Proteins

Identifiers

PMID24243971
PMCPMC3901064
OpenAlexW2065163701

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.