Evidence map›Paper›PMID 27515246›Full record

ArticleHaematologica2016

Revealing eltrombopag's promotion of human megakaryopoiesis through AKT/ERK-dependent pathway activation.

Christian A Di Buduo, Manuela Currao, Alessandro Pecci, David L Kaplan, Carlo L Balduini, Alessandra Balduini

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 3% 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

58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 111 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Chemotherapy-induced thrombocytopenia: from "platelet counting" to ecological repair of the bone marrow.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  16. Natural killer cell granule protein 7 contributes to CD8Research and practice in thrombosis and haemostasis · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Christian A Di BuduoDepartment of Molecular Medicine, University of Pavia, Italy.
Manuela CurraoDepartment of Molecular Medicine, University of Pavia, Italy.
Alessandro PecciDepartment of Internal Medicine, IRCCS Policlinico San Matteo Foundation and University of Pavia, Italy.
David L KaplanDepartment of Biomedical Engineering, Tufts University, Medford, MA, USA.
Carlo L BalduiniDepartment of Internal Medicine, IRCCS Policlinico San Matteo Foundation and University of Pavia, Italy.
Alessandra BalduiniDepartment of Molecular Medicine, University of Pavia, Italy alessandra.balduini@unipv.it.
University of Pavia · ITTufts University · USIstituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

In vitro bioreactor system for platelet formationR01EB016041 · NIBIB · TUFTS UNIVERSITY MEDFORD · PI BALDUINI, ALESSANDRA, KAPLAN, DAVID L. · 2012 to 2020
$2.7M
NIBIB NIH HHS R01 EB016041
6 · The paper itself

Abstract

Eltrombopag is a small, non-peptide thrombopoietin mimetic that has been approved for increasing platelet count not only in immune thrombocytopenia and Hepatitis C virus-related thrombocytopenia, but also in aplastic anemia. Moreover, this drug is under investigation for increasing platelet counts in myelodysplastic syndromes. Despite current clinical practice, the mechanisms governing eltrombopag's impact on human hematopoiesis are largely unknown, in part due to the impossibility of using traditional in vivo models. To investigate eltrombopag's impact on megakaryocyte functions, we employed our established in vitro model for studying hematopoietic stem cell differentiation combined with our latest 3-dimensional silk-based bone marrow tissue model. Results demonstrated that eltrombopag favors human megakaryocyte differentiation and platelet production in a dose-dependent manner. These effects are accompanied by increased phosphorylation of AKT and ERK1/2 signaling molecules, which have been proven to be crucial in regulating physiologic thrombopoiesis. These data further clarify the different mechanisms of action of eltrombopag when compared to romiplostim, which, as we have shown, induces the proliferation of immature megakaryocytes rather than platelet production, due to the unbalanced activation of AKT and ERK1/2 signaling molecules. In conclusion, our research clarifies the underlying mechanisms that govern the action of eltrombopag on megakaryocyte functions and its relevance in clinical practice.

Indexed as

BenzoatesBiomarkersBlood PlateletsCell DifferentiationExtracellular Signal-Regulated MAP KinasesHematopoietic Stem CellsHumansHydrazinesMAP Kinase Signaling SystemMegakaryocytesPhenotypeProto-Oncogene Proteins c-aktPyrazolesReceptors, ThrombopoietinSignal TransductionThrombopoiesisBenzoatesBiomarkerseltrombopagExtracellular Signal-Regulated MAP KinasesHydrazinesMPL protein, humanProto-Oncogene Proteins c-aktPyrazolesReceptors, Thrombopoietin

Identifiers

PMID27515246
PMCPMC5479602
OpenAlexW2514684873

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.