Evidence map›Paper›PMID 26571395›Full record

ArticleThe Journal of clinical investigation2015

Inflammation drives thrombosis after Salmonella infection via CLEC-2 on platelets.

Jessica R Hitchcock, Charlotte N Cook, Saeeda Bobat, Ewan A Ross, Adriana Flores-Langarica, Kate L Lowe, Mahmood Khan, C Coral Dominguez-Medina, Sian Lax, Manuela Carvalho-Gaspar and 13 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed
4.7field-weighted citation impact, top 4% 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

95 citing papers in PubMed, 169 citations in OpenAlex.

  1. Article
  2. Article
  3. Proximal lower-limb septic deep vein thrombosis contiguous with salmonella arteritis: a case report.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  4. Article
  5. Platelet Membrane Receptors and Signalling Pathways.Handbook of experimental pharmacology · 2026
    Review
  6. Review
  7. Article
  8. Beyond hemostasis, the immunomodulatory nature of platelets.Research and practice in thrombosis and haemostasis · 2025
    Review
  9. Article
  10. Article
  11. Influence of homocysteine on regulating immunothrombosis: mechanisms and therapeutic potential in management of infections.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Review
  12. Review
  13. Article
  14. Article
  15. Podoplanin and microthrombi in lung injury.Blood vessels, thrombosis & hemostasis · 2025
    Article
  16. The C3/C3aR pathway exacerbates acetaminophen-induced mouse liver injury via upregulating podoplanin on the macrophage.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Article

35 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

23 authors at 4 institutions in 4 countries.

Jessica R Hitchcock
Charlotte N Cook
Saeeda Bobat
Ewan A Ross
Adriana Flores-Langarica
Kate L Lowe
Mahmood Khan
C Coral Dominguez-Medina
Sian Lax
Manuela Carvalho-Gaspar
Stefan Hubscher
G Ed Rainger
Mark Cobbold
Christopher D Buckley
Tim J Mitchell
Andrea Mitchell
Nick D Jones
N Van Rooijen
Daniel Kirchhofer
Ian R Henderson
David H Adams
Steve P Watson
Adam F Cunningham
Immune Regulation (United Kingdom) · GBInstitute of Immunology · HRCardiovascular Institute Hospital · JPUniversity of Birmingham · GB

Funding

Biotechnology and Biological Sciences Research Council BB/F022778/1Biotechnology and Biological Sciences Research Council BB/L009986/1British Heart Foundation CH/03/003British Heart Foundation PG/13/40/30297British Heart Foundation RG/12/7/29693British Heart Foundation RG/13/18/30563Medical Research Council G0701275Versus Arthritis 19791Wellcome TrustWellcome Trust 088410Wellcome Trust 090244
6 · The paper itself

Abstract

Thrombosis is a common, life-threatening consequence of systemic infection; however, the underlying mechanisms that drive the formation of infection-associated thrombi are poorly understood. Here, using a mouse model of systemic Salmonella Typhimurium infection, we determined that inflammation in tissues triggers thrombosis within vessels via ligation of C-type lectin-like receptor-2 (CLEC-2) on platelets by podoplanin exposed to the vasculature following breaching of the vessel wall. During infection, mice developed thrombi that persisted for weeks within the liver. Bacteria triggered but did not maintain this process, as thrombosis peaked at times when bacteremia was absent and bacteria in tissues were reduced by more than 90% from their peak levels. Thrombus development was triggered by an innate, TLR4-dependent inflammatory cascade that was independent of classical glycoprotein VI-mediated (GPVI-mediated) platelet activation. After infection, IFN-γ release enhanced the number of podoplanin-expressing monocytes and Kupffer cells in the hepatic parenchyma and perivascular sites and absence of TLR4, IFN-γ, or depletion of monocytic-lineage cells or CLEC-2 on platelets markedly inhibited the process. Together, our data indicate that infection-driven thrombosis follows local inflammation and upregulation of podoplanin and platelet activation. The identification of this pathway offers potential therapeutic opportunities to control the devastating consequences of infection-driven thrombosis without increasing the risk of bleeding.

Indexed as

AnimalsBlood PlateletsInterferon-gammaKupffer CellsLectins, C-TypeMiceMice, Inbred BALB CMice, KnockoutPlatelet Membrane GlycoproteinsSalmonella InfectionsSalmonella typhimuriumThrombosisToll-Like Receptor 4CLEC-2 protein, mouseInterferon-gammaLectins, C-TypePlatelet Membrane Glycoproteinsplatelet membrane glycoprotein VITlr4 protein, mouseToll-Like Receptor 4

Identifiers

PMID26571395
PMCPMC4665792
OpenAlexW2177802181

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.