Evidence map›Paper›PMID 31043596›Full record

ArticleNature communications2019

CXCL4 assembles DNA into liquid crystalline complexes to amplify TLR9-mediated interferon-α production in systemic sclerosis.

Roberto Lande, Ernest Y Lee, Raffaella Palazzo, Barbara Marinari, Immacolata Pietraforte, Giancarlo Santiago Santos, Yves Mattenberger, Francesca Spadaro, Katia Stefanantoni, Nicoletta Iannace and 11 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 1 pooled it
10.8field-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

85 citing papers in PubMed, 1 synthesis or guideline pooled it, 137 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. CAR-T cells in systemic sclerosis.Clinical rheumatology · 2026
    Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Stem cell therapy in systemic sclerosis.Clinical rheumatology · 2025
    Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. The Role of CXCL4 in Systemic Sclerosis: DAMP, Auto-Antigen and Biomarker.International journal of molecular sciences · 2025
    Review

25 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

21 authors at 6 institutions in 3 countries.

Roberto LandeNational Center for Drug Research and Evaluation, Pharmacological research and experimental therapy UNIT, Istituto Superiore di Sanità (ISS), 00161, Rome, Italy. roberto.lande@iss.it.
Ernest Y LeeDepartment of Bioengineering, Department of Chemistry & Biochemistry, and California NanoSystems Institute, University of California, Los Angeles, CA, 90095, USA.ORCID http://orcid.org/0000-0001-5144-2552
Raffaella PalazzoNational Center for Drug Research and Evaluation, Pharmacological research and experimental therapy UNIT, Istituto Superiore di Sanità (ISS), 00161, Rome, Italy.
Barbara MarinariDermatology Unit, Department of Systems Medicine, University of Tor Vergata, Rome, 00133, Italy.
Immacolata PietraforteDepartment of Oncology and Molecular Medicine, Istituto Superiore di Sanità, 00161, Rome, Italy.
Giancarlo Santiago SantosDepartment of Bioengineering, Department of Chemistry & Biochemistry, and California NanoSystems Institute, University of California, Los Angeles, CA, 90095, USA.
Yves MattenbergerDepartment of Microbiol and Molecular Medicine, University of Geneva, CH-1211, Geneva, Switzerland.
Francesca SpadaroIstituto Superiore di Sanità, Confocal Microscopy Unit, Core Facilities, Rome, 00161, Italy.
Katia StefanantoniDivision of Rheumatology, Internal Medicine and Medical Specialties, University La Sapienza, 00161, Rome, Italy.
Nicoletta IannaceDivision of Rheumatology, Internal Medicine and Medical Specialties, University La Sapienza, 00161, Rome, Italy.
Aleksandra Maria DufourImmunology & Allergy and Immunology & Pathology, University Hospital and School of Medicine, CH-1211, Geneva, Switzerland.
Mario FalchiIstituto Superiore di Sanità, National AIDS Center, Rome, 00161, Italy.
Manuela BiancoNational Center for Drug Research and Evaluation, Pharmacological research and experimental therapy UNIT, Istituto Superiore di Sanità (ISS), 00161, Rome, Italy.
Elisabetta BottiDermatology Unit, Department of Systems Medicine, University of Tor Vergata, Rome, 00133, Italy.
Luca BianchiDermatology Unit, Department of Systems Medicine, University of Tor Vergata, Rome, 00133, Italy.
Montserrat AlvarezImmunology & Allergy and Immunology & Pathology, University Hospital and School of Medicine, CH-1211, Geneva, Switzerland.
Valeria RiccieriDivision of Rheumatology, Internal Medicine and Medical Specialties, University La Sapienza, 00161, Rome, Italy.
Marie-Elise TruchetetDivision of Rheumatology and immunoConcept, University Hospital, Bordeaux, 33076, France.
Gerard C L WongDepartment of Bioengineering, Department of Chemistry & Biochemistry, and California NanoSystems Institute, University of California, Los Angeles, CA, 90095, USA. gclwong@seas.ucla.edu.
Carlo ChizzoliniImmunology & Allergy and Immunology & Pathology, University Hospital and School of Medicine, CH-1211, Geneva, Switzerland.
Loredana FrascaNational Center for Drug Research and Evaluation, Pharmacological research and experimental therapy UNIT, Istituto Superiore di Sanità (ISS), 00161, Rome, Italy.
Istituto Superiore di Sanità · ITCalifornia NanoSystems Institute · USSapienza University of Rome · ITUniversity Hospital of Geneva · CHUniversity of Rome Tor Vergata · ITUniversity of Geneva · CH

Funding

UCLA-Caltech Medical Scientist Training ProgramT32GM008042 · NIGMS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI AJIJOLA, OLUJIMI A, DAWSON, DAVID WAYNE · 1985 to 2023
$29.9M
Systems in Integrative BiologyT32GM008185 · NIGMS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CHOU, TOM · 1987 to 2022
$4.6M
Dermatology Scientist Training ProgramT32AR071307 · NIAMS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MODLIN, ROBERT L · 2017 to 2021
$1.1M
Bacterial amyloids: interactions with DNA and pathogenicityR56AI125429 · NIAID · TEMPLE UNIV OF THE COMMONWEALTH · PI TUKEL, CAGLA · 2017 to 2017
$557k
NIAID NIH HHS R56 AI125429NIAMS NIH HHS T32 AR071307NIGMS NIH HHS T32 GM008042NIGMS NIH HHS T32 GM008185
6 · The paper itself

Abstract

Systemic sclerosis (SSc) is a chronic autoimmune disease characterized by fibrosis and vasculopathy. CXCL4 represents an early serum biomarker of severe SSc and likely contributes to inflammation via chemokine signaling pathways, but the exact role of CXCL4 in SSc pathogenesis is unclear. Here, we elucidate an unanticipated mechanism for CXCL4-mediated immune amplification in SSc, in which CXCL4 organizes "self" and microbial DNA into liquid crystalline immune complexes that amplify TLR9-mediated plasmacytoid dendritic cell (pDC)-hyperactivation and interferon-α production. Surprisingly, this activity does not require CXCR3, the CXCL4 receptor. Importantly, we find that CXCL4-DNA complexes are present in vivo and correlate with type I interferon (IFN-I) in SSc blood, and that CXCL4-positive skin pDCs coexpress IFN-I-related genes. Thus, we establish a direct link between CXCL4 overexpression and the IFN-I-gene signature in SSc and outline a paradigm in which chemokines can drastically modulate innate immune receptors without being direct agonists.

Indexed as

AdultAgedBiopsyCase-Control StudiesDendritic CellsDNA, BacterialFemaleHealthy VolunteersHumansInterferon-alphaLiquid CrystalsMaleMiddle AgedPlatelet Factor 4Receptors, CXCR3Scleroderma, SystemicCXCR3 protein, humanDNA, BacterialInterferon-alphaPF4 protein, humanPlatelet Factor 4Receptors, CXCR3TLR9 protein, humanToll-Like Receptor 9

Identifiers

PMID31043596
PMCPMC6494823
OpenAlexW2943341793

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.