Evidence map›Paper›PMID 28134622›Full record

ArticleThe Journal of clinical investigation2017

Mutations in tropomyosin 4 underlie a rare form of human macrothrombocytopenia.

Irina Pleines, Joanne Woods, Stephane Chappaz, Verity Kew, Nicola Foad, José Ballester-Beltrán, Katja Aurbach, Chiara Lincetto, Rachael M Lane, Galina Schevzov and 20 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
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

41 citing papers in PubMed, 78 citations in OpenAlex.

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  19. Inherited Platelet Disorders: An Updated Overview.International journal of molecular sciences · 2021
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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

30 authors at 9 institutions in 4 countries.

Irina Pleines
Joanne Woods
Stephane Chappaz
Verity Kew
Nicola Foad
José Ballester-Beltrán
Katja Aurbach
Chiara Lincetto
Rachael M Lane
Galina Schevzov
Warren S Alexander
Douglas J Hilton
William J Astle
Kate Downes
Paquita Nurden
Sarah K Westbury
Andrew D Mumford
Samya G Obaji
Peter W Collins
Fabien Delerue
Lars M Ittner
Nicole S Bryce
Mira Holliday
Christine A Lucas
Edna C Hardeman
Willem H Ouwehand
Peter W Gunning
Ernest Turro
Marloes R Tijssen
Benjamin T Kile
NHS Blood and Transplant · GBUNSW Sydney · AUThe University of Melbourne · AUCardiff University · GBNew South Wales Department of Primary Industries · AUUniversity of Bristol · GBElectrophysiology and Heart Modeling Institute · FRUniversitätsklinikum Würzburg · DEWalter and Eliza Hall Institute of Medical Research · AU

Funding

British Heart Foundation FS/16/20/32005British Heart Foundation PG/13/77/30375British Heart Foundation RG/08/014/24067British Heart Foundation RG/09/012/28096Department of Health RP-PG-0310-1002Medical Research Council MC_UP_0801/1Medical Research Council MR/K023489/1Medical Research Council MR/L003120/1Wellcome Trust
6 · The paper itself

Abstract

Platelets are anuclear cells that are essential for blood clotting. They are produced by large polyploid precursor cells called megakaryocytes. Previous genome-wide association studies in nearly 70,000 individuals indicated that single nucleotide variants (SNVs) in the gene encoding the actin cytoskeletal regulator tropomyosin 4 (TPM4) exert an effect on the count and volume of platelets. Platelet number and volume are independent risk factors for heart attack and stroke. Here, we have identified 2 unrelated families in the BRIDGE Bleeding and Platelet Disorders (BPD) collection who carry a TPM4 variant that causes truncation of the TPM4 protein and segregates with macrothrombocytopenia, a disorder characterized by low platelet count. N-Ethyl-N-nitrosourea-induced (ENU-induced) missense mutations in Tpm4 or targeted inactivation of the Tpm4 locus led to gene dosage-dependent macrothrombocytopenia in mice. All other blood cell counts in Tpm4-deficient mice were normal. Insufficient TPM4 expression in human and mouse megakaryocytes resulted in a defect in the terminal stages of platelet production and had a mild effect on platelet function. Together, our findings demonstrate a nonredundant role for TPM4 in platelet biogenesis in humans and mice and reveal that truncating variants in TPM4 cause a previously undescribed dominant Mendelian platelet disorder.

Indexed as

Genes, DominantGenetic Diseases, InbornMutation, MissenseThrombocytopeniaTropomyosinAnimalsBlood PlateletsGenome-Wide Association StudyHumansMaleMiceMice, Inbred BALB CMice, Mutant StrainsTPM4 protein, humanTropomyosintropomyosin 4 protein, mouse

Identifiers

PMID28134622
PMCPMC5330761
OpenAlexW2583069492

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.