Evidence map›Paper›PMID 30333099›Full record

ArticleBlood advances2018

The platelet NLRP3 inflammasome is upregulated in sickle cell disease via HMGB1/TLR4 and Bruton tyrosine kinase.

Sebastian Vogel, Taruna Arora, Xunde Wang, Laurel Mendelsohn, James Nichols, Darlene Allen, Arun S Shet, Christian A Combs, Zenaide M N Quezado, Swee Lay Thein

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
5.4field-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

62 citing papers in PubMed, 94 citations in OpenAlex.

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  16. Involvement of role of HMGB1-NLRP3 pathway in systemic disorders.Frontiers in cell and developmental biology · 2025
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2 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

10 authors at 2 institutions in 1 country.

Sebastian VogelSickle Cell Branch and.ORCID 0000-0002-3284-0464
Taruna AroraSickle Cell Branch and.
Xunde WangSickle Cell Branch and.
Laurel MendelsohnSickle Cell Branch and.
James NicholsSickle Cell Branch and.
Darlene AllenSickle Cell Branch and.
Arun S ShetSickle Cell Branch and.
Christian A CombsLight Microscopy Core, National Heart, Lung, and Blood Institute, and.
Zenaide M N QuezadoSickle Cell Branch and.
Swee Lay TheinSickle Cell Branch and.ORCID 0000-0002-9835-6501
National Heart Lung and Blood Institute · USNational Institutes of Health Clinical Center · US

Funding

Light Microscopy CoreZICHL006019 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI COMBS, CHRISTIAN · 2009 to 2025
$29.3M
Studies of the Natural History of Sickle Cell DiseaseZIAHL006233 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI THEIN, SWEE LAY · 2017 to 2025
$10.9M
Pathophysiology of Acute Pain in Patients with Sickle Cell DiseaseZIAHL006232 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI THEIN, SWEE LAY · 2017 to 2020
$6.4M
Human Specimen Collection to Support Basic and Clinical ResearchZIAHL006241 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI THEIN, SWEE LAY · 2019 to 2025
$2.8M
Neurobiology of pain and behavior changes associated with rare diseases and developmental disabilitiesZIACL090052 · CLC · CLINICAL CENTER · PI QUEZADO, ZENAIDE · 2017 to 2025
$0k
Pathobiology of pain in sickle cell diseaseZIACL090053 · CLC · CLINICAL CENTER · PI QUEZADO, ZENAIDE · 2017 to 2025
$0k
6 · The paper itself

Abstract

A key inflammatory mechanism recently identified in platelets involves the Nod-like receptor nucleotide-binding domain leucine-rich repeat containing protein 3 (NLRP3) and Bruton tyrosine kinase (BTK), which control activation of caspase-1 within inflammasome complexes. We investigated platelet caspase-1 activity in the context of sickle cell disease (SCD) directly in platelets isolated from SCD patients (n = 24) and indirectly by incubating platelets from healthy subjects with plasma obtained from SCD patients (n = 20), both in steady state and during an acute pain crisis (paired samples). The platelet NLRP3 inflammasome was upregulated in SCD patients under steady state conditions compared with healthy controls, and it was further upregulated when patients experienced an acute pain crisis. The results were consistent with indirect platelet assays, in which SCD plasma increased caspase-1 activity of platelets from healthy subjects in an NLRP3-dependent fashion. The damage-associated molecular pattern molecule high-mobility group box 1 (HMGB1) was elevated in plasma of SCD subjects compared with healthy controls and correlated with caspase-1 activity in platelets. Pharmacological or antibody-mediated inhibition of HMGB1, Toll-like receptor 4, and BTK interfered with sickle plasma-induced platelet caspase-1 activation. In Townes SCD mice, caspase-1 activity and aggregation of circulating platelets were elevated, which was suppressed by IV injection of an NLRP3 inhibitor and the BTK inhibitor ibrutinib. Activation of the platelet NLRP3 inflammasome in SCD may have diagnostic and therapeutic implications.

Indexed as

AdultAgammaglobulinaemia Tyrosine KinaseAnemia, Sickle CellAnimalsFemaleHMGB1 ProteinHumansInflammasomesMaleMiceMiddle AgedNLR Family, Pyrin Domain-Containing 3 ProteinToll-Like Receptor 4Up-RegulationAgammaglobulinaemia Tyrosine KinaseHMGB1 ProteinInflammasomesNLR Family, Pyrin Domain-Containing 3 ProteinTLR4 protein, humanToll-Like Receptor 4

Identifiers

PMID30333099
PMCPMC6199654
OpenAlexW2898081692

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.