Evidence map›Paper›PMID 30803992›Full record

ArticleBlood2019

Eltrombopag maintains human hematopoietic stem and progenitor cells under inflammatory conditions mediated by IFN-γ.

Luigi J Alvarado, Heather D Huntsman, Hai Cheng, Danielle M Townsley, Thomas Winkler, Xingmin Feng, Cynthia E Dunbar, Neal S Young, Andre Larochelle

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 1 pooled it
10.1field-weighted citation impact, top 1% 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

79 citing papers in PubMed, 1 synthesis or guideline pooled it, 115 citations in OpenAlex.

  1. Pooled it
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  13. Macrophages in Hematopoiesis and Related Blood Diseases.Genomics, proteomics & bioinformatics · 2025
    Review
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19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Luigi J AlvaradoNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0002-7448-5384
Heather D HuntsmanNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Hai ChengNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Danielle M TownsleyNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Thomas WinklerNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Xingmin FengNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Cynthia E DunbarNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0002-7645-838X
Neal S YoungNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Andre LarochelleNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
National Institutes of Health · US

Funding

Pathogenesis And Treatment Of Aplastic AnemiaZIAHL002315 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI YOUNG, NEAL S · 2009 to 2025
$60.1M
Regenerative Therapies for Inherited Blood Disorders-Gene therapyZIAHL006172 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI LAROCHELLE, ANDRE · 2013 to 2025
$13.0M
Regenerative Therapies for Inherited Blood Disorders-iPSC differentiationZIAHL006217 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI LAROCHELLE, ANDRE · 2016 to 2025
$8.5M
Investigation of the mechanisms of action of eltrombopagZIAHL006205 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI LAROCHELLE, ANDRE · 2015 to 2025
$6.8M
Novel therapies for bone marrow failure and Diamond-Blackfan AnemiaZIAHL006186 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI DUNBAR, CYNTHIA E · 2014 to 2025
$5.7M
Regenerative Therapies for Inherited Blood Disorders-HSC expansionZIAHL006218 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI LAROCHELLE, ANDRE · 2016 to 2022
$3.2M
6 · The paper itself

Abstract

The proinflammatory cytokine interferon-γ (IFN-γ) has been implicated in human hematopoietic stem and progenitor cell (HSPC) depletion in immune-mediated bone marrow failure syndromes. We show that IFN-γ specifically prevents full engagement of thrombopoietin (TPO), a primary positive regulator of HSPC survival, to its receptor (c-MPL) via steric occlusion of the low-affinity binding site, contributing to perturbation of TPO-induced signaling pathways and decreased survival of human HSPCs. Eltrombopag, a synthetic small molecule mimetic of TPO that interacts with c-MPL at a position distinct from the extracellular binding site of TPO, bypasses this inhibition, providing an explanation for its clinical activity in bone marrow failure, despite already elevated endogenous TPO levels. Thus, IFN-γ-mediated perturbation of TPO:c-MPL complex formation and the resulting inhibition of a critical pathway of growth factor cell signaling may represent a general mechanism by which IFN-γ impairs the function of human HSPCs. This understanding could have broad therapeutic implications for various disorders of chronic inflammation.

Indexed as

AnimalsBenzoatesCell SurvivalFemaleHematopoietic Stem CellsHeterograftsHumansHydrazinesInflammationInterferon-gammaMaleMiceMice, Inbred NODMice, SCIDPyrazolesReceptors, ThrombopoietinBenzoateseltrombopagHydrazinesInterferon-gammaMPL protein, humanPyrazolesReceptors, ThrombopoietinThrombopoietin

Identifiers

PMID30803992
PMCPMC6509545
OpenAlexW2917676089

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.