Evidence map›Paper›PMID 30017246›Full record

ArticleCell2018

Turbulence Activates Platelet Biogenesis to Enable Clinical Scale Ex Vivo Production.

Yukitaka Ito, Sou Nakamura, Naoshi Sugimoto, Tomohiro Shigemori, Yoshikazu Kato, Mikiko Ohno, Shinya Sakuma, Keitaro Ito, Hiroki Kumon, Hidenori Hirose and 18 more

Abstract read
PubMed Publisher
In one paragraph

Article in Cell, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 171 papers.

0numbers the graph read from it
0cells of the map it votes in
171citing 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

171 citing papers in PubMed.

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  8. Laboratory Assessment and Clinical Outlook forAnnals of laboratory medicine · 2026
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  11. Engineering platelets as cancer therapeutics.Nature reviews. Clinical oncology · 2026
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  12. Review
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  14. Intravenous infusion of engineered megakaryocytes to produce oncolytic platelets in vivo for enhanced cancer immunotherapy.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  15. Plasma Proteomic Profile of Chemotherapy-Induced Severe Neutropenia: A Pilot Discovery Phase Study.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  16. Induced pluripotent stem cell-derived platelets kill multidrug-resistantResearch and practice in thrombosis and haemostasis · 2026
    Article
  17. Article
  18. Review
  19. Review
  20. Article

111 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors.

Yukitaka ItoDepartment of Clinical Application, Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto, Japan; Kyoto Development Center, Megakaryon Corporation, Kyoto, Japan.
Sou NakamuraDepartment of Clinical Application, Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto, Japan.
Naoshi SugimotoDepartment of Clinical Application, Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto, Japan.
Tomohiro ShigemoriKyoto Development Center, Megakaryon Corporation, Kyoto, Japan.
Yoshikazu KatoMixing Technology Laboratory, SATAKE Chemical Equipment Manufacturing Ltd., Saitama, Japan.
Mikiko OhnoDepartment of Pharmacology, Shiga University of Medical Science, Otsu, Japan.
Shinya SakumaDepartment of Micro-Nano Systems Engineering, Nagoya University, Nagoya, Japan.
Keitaro ItoDepartment of Micro-Nano Systems Engineering, Nagoya University, Nagoya, Japan.
Hiroki KumonDepartment of Micro-Nano Systems Engineering, Nagoya University, Nagoya, Japan.
Hidenori HiroseKyoto Development Center, Megakaryon Corporation, Kyoto, Japan.
Haruki OkamotoKyoto Development Center, Megakaryon Corporation, Kyoto, Japan.
Masayuki NogawaCenter for Transfusion Medicine and Cell Therapy, Keio University School of Medicine, Tokyo, Japan.
Mio IwasakiDepartment of Life Science Frontiers, Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto, Japan.
Shunsuke KiharaDepartment of Fundamental Cell Technology, Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto, Japan.
Kosuke FujioDepartment of Clinical Application, Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto, Japan.
Takuya MatsumotoDepartment of Clinical Application, Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto, Japan.
Natsumi HigashiDepartment of Clinical Application, Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto, Japan.
Kazuya HashimotoDepartment of Clinical Application, Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto, Japan.
Akira SawaguchiDepartment of Anatomy, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
Ken-Ichi HarimotoDepartment of Clinical Application, Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto, Japan.
Masato NakagawaDepartment of Life Science Frontiers, Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto, Japan.
Takuya YamamotoDepartment of Life Science Frontiers, Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto, Japan; AMED-CREST, AMED, Tokyo, Japan.
Makoto HandaCenter for Transfusion Medicine and Cell Therapy, Keio University School of Medicine, Tokyo, Japan.
Naohide WatanabeCenter for Transfusion Medicine and Cell Therapy, Keio University School of Medicine, Tokyo, Japan.
Eiichiro NishiDepartment of Pharmacology, Shiga University of Medical Science, Otsu, Japan.
Fumihito AraiDepartment of Micro-Nano Systems Engineering, Nagoya University, Nagoya, Japan.
Satoshi NishimuraCenter for Molecular Medicine, Jichi Medical University, Tochigi, Japan.
Koji EtoDepartment of Clinical Application, Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto, Japan; Department of Regenerative Medicine, Chiba University Graduate School of Medicine, Chiba, Japan. Electronic address: kojieto@cira.kyoto-u.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ex vivo generation of platelets from human-induced pluripotent cells (hiPSCs) is expected to compensate donor-dependent transfusion systems. However, manufacturing the clinically required number of platelets remains unachieved due to the low platelet release from hiPSC-derived megakaryocytes (hiPSC-MKs). Here, we report turbulence as a physical regulator in thrombopoiesis in vivo and its application to turbulence-controllable bioreactors. The identification of turbulent energy as a determinant parameter allowed scale-up to 8 L for the generation of 100 billion-order platelets from hiPSC-MKs, which satisfies clinical requirements. Turbulent flow promoted the release from megakaryocytes of IGFBP2, MIF, and Nardilysin to facilitate platelet shedding. hiPSC-platelets showed properties of bona fide human platelets, including circulation and hemostasis capacities upon transfusion in two animal models. This study provides a concept in which a coordinated physico-chemical mechanism promotes platelet biogenesis and an innovative strategy for ex vivo platelet manufacturing.

Indexed as

BioreactorsBlood PlateletsCell Culture TechniquesHumansHydrodynamicsInduced Pluripotent Stem CellsMegakaryocytesThrombopoiesisbioreactorIGFBP2iPSCmegakaryocyteMIFNardilysinplateletregenerative medicineshear stressturbulence

Identifiers

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.