Evidence map›Paper›PMID 32609845›Full record

ArticleBlood advances2020

Influenza-induced thrombocytopenia is dependent on the subtype and sialoglycan receptor and increases with virus pathogenicity.

A J Gerard Jansen, Thom Spaan, Hui Zhi Low, Daniele Di Iorio, Judith van den Brand, Malte Tieke, Arjan Barendrecht, Kerstin Rohn, Geert van Amerongen, Koert Stittelaar and 8 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
8.3field-weighted citation impact, top 2% 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

40 citing papers in PubMed, 74 citations in OpenAlex.

  1. Article
  2. Update on the Efficacy of Vaccination on Host Immunity to Influenza Virus Infection.International archives of allergy and immunology · 2026
    Review
  3. The glycan fingerprint in immune thrombocytopenia.Research and practice in thrombosis and haemostasis · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Platelets as central hubs of inflammation.Frontiers in immunology · 2025
    Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review on the Biogenesis of Platelets in Lungs and Its Alterations in SARS-CoV-2 Infection Patients.Journal of the renin-angiotensin-aldosterone system : JRAAS · 2023
    Review
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

18 authors at 6 institutions in 2 countries.

A J Gerard JansenDepartment of Plasma Proteins, Sanquin, Amsterdam, The Netherlands.
Thom SpaanDepartment of Clinical Chemistry and Hematology, University Medical Center Utrecht, Utrecht, The Netherlands.
Hui Zhi LowResearch Center for Emerging Infections and Zoonoses (RIZ), University of Veterinary Medicine, Hannover, Germany.
Daniele Di IorioMolecular Nanofabrication Group, MESA+ Institute for Nanotechnology, Faculty of Science and Technology, University of Twente, Enschede, The Netherlands.
Judith van den BrandDepartment of Viroscience, Erasmus Medical Center, Rotterdam, The Netherlands.
Malte TiekeDepartment of Infectious Diseases and Immunology, University of Utrecht, Utrecht, The Netherlands.
Arjan BarendrechtDepartment of Clinical Chemistry and Hematology, University Medical Center Utrecht, Utrecht, The Netherlands.
Kerstin RohnDepartment of Pathology, University of Veterinary Medicine, Hannover, Germany.
Geert van AmerongenViroclinics Biosciences BV, Rotterdam, The Netherlands.
Koert StittelaarViroclinics Biosciences BV, Rotterdam, The Netherlands.
Wolfgang BaumgärtnerDepartment of Pathology, University of Veterinary Medicine, Hannover, Germany.
Albert OsterhausResearch Center for Emerging Infections and Zoonoses (RIZ), University of Veterinary Medicine, Hannover, Germany.
Thijs KuikenDepartment of Viroscience, Erasmus Medical Center, Rotterdam, The Netherlands.
Geert-Jan BoonsDepartment of Pharmacy, University of Utrecht, Utrecht, The Netherlands; and.
Jurriaan HuskensMolecular Nanofabrication Group, MESA+ Institute for Nanotechnology, Faculty of Science and Technology, University of Twente, Enschede, The Netherlands.
Marianne BoesCenter for Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.
Coen MaasDepartment of Clinical Chemistry and Hematology, University Medical Center Utrecht, Utrecht, The Netherlands.
Erhard van der VriesDepartment of Clinical Chemistry and Hematology, University Medical Center Utrecht, Utrecht, The Netherlands.
University of Veterinary Medicine Hannover, Foundation · DEUniversity Medical Center Utrecht · NLUtrecht University · NLUniversity of Twente · NLViroclinics Biosciences (Netherlands) · NLSanquin · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thrombocytopenia is a common complication of influenza virus infection, and its severity predicts the clinical outcome of critically ill patients. The underlying cause(s) remain incompletely understood. In this study, in patients with an influenza A/H1N1 virus infection, viral load and platelet count correlated inversely during the acute infection phase. We confirmed this finding in a ferret model of influenza virus infection. In these animals, platelet count decreased with the degree of virus pathogenicity varying from 0% in animals infected with the influenza A/H3N2 virus, to 22% in those with the pandemic influenza A/H1N1 virus, up to 62% in animals with a highly pathogenic A/H5N1 virus infection. This thrombocytopenia is associated with virus-containing platelets that circulate in the blood. Uptake of influenza virus particles by platelets requires binding to sialoglycans and results in the removal of sialic acids by the virus neuraminidase, a trigger for hepatic clearance of platelets. We propose the clearance of influenza virus by platelets as a paradigm. These insights clarify the pathophysiology of influenza virus infection and show how severe respiratory infections, including COVID-19, may propagate thrombocytopenia and/or thromboembolic complications.

Indexed as

AnimalsBlood PlateletsDisease Models, AnimalFerretsHost-Pathogen InteractionsHumansInfluenza A virusInfluenza A Virus, H1N1 SubtypeInfluenza A Virus, H3N2 SubtypeInfluenza A Virus, H5N1 SubtypeInfluenza, HumanN-Acetylneuraminic AcidOrthomyxoviridae InfectionsPolysaccharidesThrombocytopeniaVirus InternalizationN-Acetylneuraminic AcidPolysaccharides

Identifiers

PMID32609845
PMCPMC7362372
OpenAlexW3038638697

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.