Evidence map›Paper›PMID 33707237›Full record

ArticleScience (New York, N.Y.)2021

Lipid presentation by the protein C receptor links coagulation with autoimmunity.

Nadine Müller-Calleja, Anne Hollerbach, Jennifer Royce, Svenja Ritter, Denise Pedrosa, Thati Madhusudhan, Sina Teifel, Myriam Meineck, Friederike Häuser, Antje Canisius and 14 more

Open access · greenAbstract read
In one paragraph

Article in Science (New York, N.Y.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 2 pooled it
16.3field-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

58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 115 citations in OpenAlex.

  1. Pooled it
  2. Association of Protein C, but Not Protein S or Antithrombin With Ischemic Stroke: Bidirectional Two-Sample Mendelian Randomization and Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
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  20. New Directions in Infection-Associated Ischemic Stroke.Journal of clinical neurology (Seoul, Korea) · 2024
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 3 institutions in 2 countries.

Nadine Müller-CallejaCenter for Thrombosis and Hemostasis, Johannes Gutenberg University Medical Center, 55131 Mainz, Germany.ORCID https://orcid.org/0000-0002-0409-7474
Anne HollerbachCenter for Thrombosis and Hemostasis, Johannes Gutenberg University Medical Center, 55131 Mainz, Germany.
Jennifer RoyceDepartment of Immunology and Microbiology, Scripps Research, La Jolla, CA 92037, USA.ORCID https://orcid.org/0000-0001-6099-6952
Svenja RitterInstitute of Clinical Chemistry and Laboratory Medicine, Johannes Gutenberg University Medical Center, 55131 Mainz, Germany.ORCID https://orcid.org/0000-0002-8903-843X
Denise PedrosaCenter for Thrombosis and Hemostasis, Johannes Gutenberg University Medical Center, 55131 Mainz, Germany.ORCID https://orcid.org/0000-0003-3324-7088
Thati MadhusudhanCenter for Thrombosis and Hemostasis, Johannes Gutenberg University Medical Center, 55131 Mainz, Germany.
Sina TeifelInstitute of Clinical Chemistry and Laboratory Medicine, Johannes Gutenberg University Medical Center, 55131 Mainz, Germany.ORCID https://orcid.org/0000-0001-9100-9542
Myriam MeineckDepartment of Medicine I, Johannes Gutenberg University Medical Center, 55131 Mainz, Germany.ORCID https://orcid.org/0000-0002-3243-2540
Friederike HäuserInstitute of Clinical Chemistry and Laboratory Medicine, Johannes Gutenberg University Medical Center, 55131 Mainz, Germany.
Antje CanisiusInstitute of Clinical Chemistry and Laboratory Medicine, Johannes Gutenberg University Medical Center, 55131 Mainz, Germany.
T Son NguyenCenter for Thrombosis and Hemostasis, Johannes Gutenberg University Medical Center, 55131 Mainz, Germany.
Johannes BraunCenter for Thrombosis and Hemostasis, Johannes Gutenberg University Medical Center, 55131 Mainz, Germany.
Kai BrunsInstitute of Clinical Chemistry and Laboratory Medicine, Johannes Gutenberg University Medical Center, 55131 Mainz, Germany.
Anna EtzoldInstitute of Human Genetics, Johannes Gutenberg University Medical Center, 55131 Mainz, Germany.ORCID https://orcid.org/0000-0001-9348-3141
Ulrich ZechnerInstitute of Human Genetics, Johannes Gutenberg University Medical Center, 55131 Mainz, Germany.ORCID https://orcid.org/0000-0002-1353-4074
Susanne StrandDepartment of Medicine I, Johannes Gutenberg University Medical Center, 55131 Mainz, Germany.
Markus RadsakDepartment of Medicine III, Johannes Gutenberg University Medical Center, 55131 Mainz, Germany.
Dennis StrandDepartment of Medicine I, Johannes Gutenberg University Medical Center, 55131 Mainz, Germany.
Jian-Ming GuOklahoma Medical Research Foundation, Oklahoma City, OK 73104, USA.ORCID https://orcid.org/0000-0002-7851-3354
Julia Weinmann-MenkeDepartment of Medicine I, Johannes Gutenberg University Medical Center, 55131 Mainz, Germany.ORCID https://orcid.org/0000-0001-7344-8381
Charles T EsmonOklahoma Medical Research Foundation, Oklahoma City, OK 73104, USA.
Luc TeytonDepartment of Immunology and Microbiology, Scripps Research, La Jolla, CA 92037, USA.ORCID https://orcid.org/0000-0002-4049-1583
Karl J LacknerInstitute of Clinical Chemistry and Laboratory Medicine, Johannes Gutenberg University Medical Center, 55131 Mainz, Germany. karl.lackner@unimedizin-mainz.de ruf@uni-mainz.de.ORCID https://orcid.org/0000-0002-1985-7931
Wolfram RufCenter for Thrombosis and Hemostasis, Johannes Gutenberg University Medical Center, 55131 Mainz, Germany. karl.lackner@unimedizin-mainz.de ruf@uni-mainz.de.ORCID https://orcid.org/0000-0002-6064-2166
Johannes Gutenberg University Mainz · DEScripps Institution of Oceanography · USOklahoma Medical Research Foundation · US

Funding

Analysis and Characterization of Trauma-Induced CoagulopathyUM1HL120877 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI MORRISSEY, JAMES H., WISNIEWSKI, STEPHEN R · 2013 to 2019
$26.6M
SIGNALING OF TISSUE FACTOR IN CELL ADHESIONR01HL060742 · NHLBI · SCRIPPS RESEARCH INSTITUTE, THE · PI RUF, WOLFRAM · 1998 to 2017
$6.4M
NHLBI NIH HHS R01 HL060742NHLBI NIH HHS UM1 HL120877
6 · The paper itself

Abstract

Antiphospholipid antibodies (aPLs) cause severe autoimmune disease characterized by vascular pathologies and pregnancy complications. Here, we identify endosomal lysobisphosphatidic acid (LBPA) presented by the CD1d-like endothelial protein C receptor (EPCR) as a pathogenic cell surface antigen recognized by aPLs for induction of thrombosis and endosomal inflammatory signaling. The engagement of aPLs with EPCR-LBPA expressed on innate immune cells sustains interferon- and toll-like receptor 7-dependent B1a cell expansion and autoantibody production. Specific pharmacological interruption of EPCR-LBPA signaling attenuates major aPL-elicited pathologies and the development of autoimmunity in a mouse model of systemic lupus erythematosus. Thus, aPLs recognize a single cell surface lipid-protein receptor complex to perpetuate a self-amplifying autoimmune signaling loop dependent on the cooperation with the innate immune complement and coagulation pathways.

Indexed as

Antigen PresentationAutoimmunityAnimalsAntibodies, AntiphospholipidAutoantibodiesBlood CoagulationDisease Models, AnimalEmbryo LossEndosomesEndothelial Protein C ReceptorHumansImmunity, InnateLupus Erythematosus, SystemicLysophospholipidsMiceMice, Mutant StrainsAntibodies, AntiphospholipidAutoantibodiesbis(monoacylglyceryl)phosphateEndothelial Protein C ReceptorLysophospholipidsMonoglyceridesProcr protein, mouseSphingomyelin PhosphodiesteraseToll-Like Receptor 7

Identifiers

PMID33707237
PMCPMC9014225
OpenAlexW3135876264

What OpenQuestion holds

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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.