Evidence map›Paper›PMID 27760197›Full record

ArticlePloS one2016

Pleomorphic Structures in Human Blood Are Red Blood Cell-Derived Microparticles, Not Bacteria.

Adam J Mitchell, Warren D Gray, Max Schroeder, Hong Yi, Jeannette V Taylor, Rebecca S Dillard, Zunlong Ke, Elizabeth R Wright, David Stephens, John D Roback and 1 more

Abstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Human circulating bacteria and dysbiosis in non-infectious diseases.Frontiers in cellular and infection microbiology · 2022
    Review
  3. Article
  4. Article
  5. Is There a Brain Microbiome?Neuroscience insights · 2021
    Review
  6. The Healthy Human Blood Microbiome: Fact or Fiction?Frontiers in cellular and infection microbiology · 2019
    Review
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

11 authors.

Adam J MitchellDivision of Cardiology, Department of Medicine, Emory University, Atlanta, Georgia, United States of America.
Warren D GrayDivision of Cardiology, Department of Medicine, Emory University, Atlanta, Georgia, United States of America.
Max SchroederDivision of Infectious Disease, Department of Medicine, Emory University, Atlanta, Georgia, United States of America.
Hong YiRobert P. Apkarian Integrated Electron Microscopy Core, Emory University, Atlanta, Georgia, United States of America.
Jeannette V TaylorRobert P. Apkarian Integrated Electron Microscopy Core, Emory University, Atlanta, Georgia, United States of America.
Rebecca S DillardDivision of Infectious Disease, Department of Pediatrics, Emory University, Atlanta, Georgia, United States of America.
Zunlong KeSchool of Biology, Georgia Institute of Technology, Atlanta, Georgia, United States of America.
Elizabeth R WrightRobert P. Apkarian Integrated Electron Microscopy Core, Emory University, Atlanta, Georgia, United States of America.
David StephensDivision of Infectious Disease, Department of Medicine, Emory University, Atlanta, Georgia, United States of America.
John D RobackCenter for Transfusion and Cellular Therapy, Department of Pathology and Laboratory Medicine, Emory University, Atlanta, Georgia, United States of America.
Charles D SearlesDivision of Cardiology, Department of Medicine, Emory University, Atlanta, Georgia, United States of America.

Funding

Serious Hazards of Transfusion & Cellular Therapies: Mechanisms and InterventionP01HL086773 · NHLBI · EMORY UNIVERSITY · PI ROBACK, JOHN D · 2008 to 2019
$17.9M
Research Trainng in Academic CardiologyT32HL007745 · NHLBI · EMORY UNIVERSITY · PI TAYLOR, WILLIAM ROBERT · 1994 to 2023
$10.6M
Adverse effects of RBC transfusions: A unifying hypothesisR01HL095479 · NHLBI · EMORY UNIVERSITY · PI ROBACK, JOHN D · 2009 to 2017
$5.2M
Image-based analysis of miRNA deliveryR01HL124879 · NHLBI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI FERRARA, KATHERINE W, JO, HANJOONG · 2014 to 2017
$3.1M
Training Grant in Transfusion Medicine (T32)T32HL069769 · NHLBI · EMORY UNIVERSITY · PI Una T O'Doherty, John D Roback · 2004 to 2026
$2.6M
Structure and Function of Prokaryotic Appendages by Cryo-Electron TomographyR01GM104540 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI WRIGHT, ELIZABETH R · 2013 to 2017
$1.4M
Modulation of Endothelial Cell Function by the Shear Stress-Responsive miR-155R01HL109559 · NHLBI · EMORY UNIVERSITY · PI SEARLES, CHARLES D · 2011 to 2014
$1.3M
FEI Transmission Electron Microscope with Tomography CapabilityS10RR025679 · NCRR · EMORY UNIVERSITY · PI SPEARMAN, PAUL W. · 2009 to 2009
$500k
BLRD VA I01 BX000704NCRR NIH HHS S10 RR025679NHLBI NIH HHS P01 HL086773NHLBI NIH HHS R01 HL095479NHLBI NIH HHS R01 HL109559NHLBI NIH HHS R01 HL124879NHLBI NIH HHS T32 HL007745NHLBI NIH HHS T32 HL069769NIGMS NIH HHS R01 GM104540
6 · The paper itself

Abstract

backgroundRed blood cell (RBC) transfusions are a common, life-saving therapy for many patients, but they have also been associated with poor clinical outcomes. We identified unusual, pleomorphic structures in human RBC transfusion units by negative-stain electron microscopy that appeared identical to those previously reported to be bacteria in healthy human blood samples. The presence of viable, replicating bacteria in stored blood could explain poor outcomes in transfusion recipients and have major implications for transfusion medicine. Here, we investigated the possibility that these structures were bacteria.

resultsFlow cytometry, miRNA analysis, protein analysis, and additional electron microscopy studies strongly indicated that the pleomorphic structures in the supernatant of stored RBCs were RBC-derived microparticles (RMPs). Bacterial 16S rDNA PCR amplified from these samples were sequenced and was found to be highly similar to species that are known to commonly contaminate laboratory reagents.

conclusionsThese studies suggest that pleomorphic structures identified in human blood are RMPs and not bacteria, and they provide an example in which laboratory contaminants may can mislead investigators.

Indexed as

Cell-Derived MicroparticlesBacteriaBlood ProteinsCell ShapeCell SizeDNA, BacterialErythrocytesHumansMicroRNAsMicroscopy, ElectronTime FactorsBlood ProteinsDNA, BacterialMicroRNAs

Identifiers

PMID27760197
PMCPMC5070825

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.