Evidence map›Paper›PMID 26209661›Full record

ArticleBlood2015

Suppression of in vitro megakaryopoiesis by maternal sera containing anti-HPA-1a antibodies.

Zhi-Jian Liu, James B Bussel, Madhavi Lakkaraja, Francisca Ferrer-Marin, Cedric Ghevaert, Henry A Feldman, Janice G McFarland, Chaitanya Chavda, Martha Sola-Visner

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

4 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Article
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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

9 authors at 4 institutions in 3 countries.

Zhi-Jian LiuDivision of Newborn Medicine, Boston Children's Hospital, Boston, MA;
James B BusselDivision of Pediatric Hematology-Oncology, New York Presbyterian Hospital, New York, NY;
Madhavi LakkarajaDivision of Pediatric Hematology-Oncology, New York Presbyterian Hospital, New York, NY;
Francisca Ferrer-MarinDivision of Newborn Medicine, Boston Children's Hospital, Boston, MA; Hematology and Medical Oncology Unit, Hospital Morales-Meseguer, Centro de Hemodonación, Instituto Murciano de Investigacion Biosanitaria, Murcia, Spain;
Cedric GhevaertDepartment of Haematology, University of Cambridge/National Health Service Blood and Transplant, Cambridge, United Kingdom;
Henry A FeldmanClinical Research Center, Boston Children's Hospital, Boston, MA; and.
Janice G McFarlandPlatelet & Neutrophil Immunology Laboratory, Blood Center of Wisconsin, Milwaukee, WI.
Chaitanya ChavdaDivision of Newborn Medicine, Boston Children's Hospital, Boston, MA;
Martha Sola-VisnerDivision of Newborn Medicine, Boston Children's Hospital, Boston, MA;
Boston Children's Hospital · USNewYork–Presbyterian Hospital · USNational Health Service · GBVersiti Blood Center of Wisconsin · US

Funding

THE RoLE OF NEONATAL ANEMIA IN LEARNING AND MEMORYP01HL046925 · NHLBI · UNIVERSITY OF IOWA · PI JOSEPHSON, CASSANDRA D · 1992 to 2022
$34.3M
Prolonged and Severe Thrombocytopenia in NeonatesR01HL069990 · NHLBI · UNIVERSITY OF FLORIDA · PI SOLA-VISNER, MARTHA C. · 2002 to 2015
$2.8M
British Heart Foundation FS/09/039/27788NHLBI NIH HHS P01 HL046925NHLBI NIH HHS P01HL046925NHLBI NIH HHS R01 HL069990NHLBI NIH HHS R0 HL069990
6 · The paper itself

Abstract

Incompatibility of the human platelet antigen-1 (HPA-1) system is the most common cause of fetal/neonatal alloimmune thrombocytopenia (F/NAIT) and is thought to be mediated by accelerated clearance of antibody-opsonized fetal platelets. We evaluated the effect of maternal sera containing anti-HPA-1a antibodies (F/NAIT sera) on in vitro megakaryopoiesis. Compared with control maternal sera, 14 out of 17 F/NAIT sera significantly reduced megakaryocyte (MK) number. This finding was associated with increased apoptosis and cell death of early MKs/MK progenitors, but normal maturation and differentiation of surviving MKs. An analysis of platelet counts in infants born to mothers following antenatal intravenous immunoglobulin (IVIG) ± prednisone therapy demonstrated a significant and moderately strong correlation between the MK growth in cultures and the infants' platelet counts at birth. These findings suggest that maternal anti-HPA-1a antibodies can suppress fetal megakaryopoiesis by inducing early cell death and that this influences the neonatal platelet count. Thus, the ability of maternal antibodies to suppress MK growth is a potential predictive factor for the fetal response to maternal IVIG therapy.

Indexed as

Antigens, Human PlateletFemaleHematopoiesisHumansIntegrin beta3In Vitro TechniquesMegakaryocytesPregnancyThrombocytopenia, Neonatal AlloimmuneAntigens, Human PlateletIntegrin beta3ITGB3 protein, human

Identifiers

PMID26209661
PMCPMC4559934
OpenAlexW1740616608

What OpenQuestion holds

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Registered trials

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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.