Evidence map›Paper›PMID 33843987›Full record

ArticleBlood advances2021

Heme activates platelets and exacerbates rhabdomyolysis-induced acute kidney injury via CLEC-2 and GPVI/FcRγ.

Saori Oishi, Nagaharu Tsukiji, Shimon Otake, Naoki Oishi, Tomoyuki Sasaki, Toshiaki Shirai, Yuri Yoshikawa, Katsuhiro Takano, Hideyuki Shinmori, Takeshi Inukai and 2 more

Abstract read
In one paragraph

Article in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Haemolytic injury and cardiovascular disease.Nature reviews. Cardiology · 2026
    Review
  3. Experimental and therapeutic medicine · 2026
    Review
  4. Receptor-Dependent and -Independent Effects of Hemin on Platelet Plasma Membrane Disintegration.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  5. Platelet Membrane Receptors and Signalling Pathways.Handbook of experimental pharmacology · 2026
    Review
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  17. Inflammation, coagulation, and cellular injury in heat-induced shock.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2023
    Review
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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

12 authors.

Saori OishiDepartment of Clinical and Laboratory Medicine and.
Nagaharu TsukijiDepartment of Clinical and Laboratory Medicine and.
Shimon OtakeDepartment of Clinical and Laboratory Medicine and.
Naoki OishiDepartment of Pathology, Faculty of Medicine, University of Yamanashi, Chuo, Japan.
Tomoyuki SasakiDepartment of Clinical and Laboratory Medicine and.
Toshiaki ShiraiDepartment of Clinical and Laboratory Medicine and.
Yuri YoshikawaDepartment of Clinical and Laboratory Medicine and.
Katsuhiro TakanoDepartment of Clinical and Laboratory Medicine and.
Hideyuki ShinmoriFaculty of Life and Environmental Science, University of Yamanashi, Kofu, Japan; and.
Takeshi InukaiDepartment of Pediatrics, Faculty of Medicine, University of Yamanashi, Chuo, Japan.
Tetsuo KondoDepartment of Pathology, Faculty of Medicine, University of Yamanashi, Chuo, Japan.
Katsue Suzuki-InoueDepartment of Clinical and Laboratory Medicine and.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is increasing evidence that platelets participate in multiple pathophysiological processes other than thrombosis and hemostasis, such as immunity, inflammation, embryonic development, and cancer progression. A recent study revealed that heme (hemin)-activated platelets induce macrophage extracellular traps (METs) and exacerbate rhabdomyolysis-induced acute kidney injury (RAKI); however, how hemin activates platelets remains unclear. Here, we report that both C-type lectin-like receptor-2 (CLEC-2) and glycoprotein VI (GPVI) are platelet hemin receptors and are involved in the exacerbation of RAKI. We investigated hemin-induced platelet aggregation in humans and mice, binding of hemin to CLEC-2 and GPVI, the RAKI-associated phenotype in a mouse model, and in vitro MET formation. Using western blotting and surface plasmon resonance, we showed that hemin activates human platelets by stimulating the phosphorylation of SYK and PLCγ2 and directly binding to both CLEC-2 and GPVI. Furthermore, hemin-induced murine platelet aggregation was partially reduced in CLEC-2-depleted and FcRγ-deficient (equivalent to GPVI-deficient) platelets and almost completely inhibited in CLEC-2-depleted FcRγ-deficient (double-knockout) platelets. In addition, hemin-induced murine platelet aggregation was inhibited by the CLEC-2 inhibitor cobalt hematoporphyrin or GPVI antibody (JAQ-1). Renal dysfunction, tubular injury, and MET formation were attenuated in double-knockout RAKI mice. Furthermore, in vitro MET formation assay showed that the downstream signaling pathway of CLEC-2 and GPVI is involved in MET formation. We propose that both CLEC-2 and GPVI in platelets play an important role in RAKI development.

Indexed as

Acute Kidney InjuryRhabdomyolysisAnimalsBlood PlateletsFemaleHemeLectins, C-TypeMicePlatelet Membrane GlycoproteinsPregnancyCLEC-2 protein, mouseHemeLectins, C-TypePlatelet Membrane Glycoproteins

Identifiers

PMID33843987
PMCPMC8045506

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.