Evidence map›Paper›PMID 34201864›Full record

Observational studyInternational journal of molecular sciences2021

Placental Complement Activation in Fetal and Neonatal Alloimmune Thrombocytopenia: An Observational Study.

Thijs W de Vos, Dian Winkelhorst, Hans J Baelde, Kyra L Dijkstra, Rianne D M van Bergen, Lotte E van der Meeren, Peter G J Nikkels, Leendert Porcelijn, C Ellen van der Schoot, Gestur Vidarsson and 9 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Diagnosis and Management of Fetal and Neonatal Alloimmune Thrombocytopenia: An Update 2025.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2025
    Review
  5. B Cell Responses to the Placenta and Fetus.Annual review of pathology · 2025
    Review
  6. Review
  7. Article
  8. Article
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

19 authors at 3 institutions in 1 country.

Thijs W de VosDivision of Neonatology, Department of Pediatrics, Willem-Alexander Children's Hospital, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.ORCID 0000-0002-3653-3234
Dian WinkelhorstDepartment of Experimental Immunohematology, Sanquin Research, 1066 CX Amsterdam, The Netherlands.
Hans J BaeldeDepartment of Pathology, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.ORCID 0000-0002-1214-500X
Kyra L DijkstraDepartment of Pathology, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.ORCID 0000-0002-6181-3983
Rianne D M van BergenDepartment of Pathology, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.
Lotte E van der MeerenDepartment of Pathology, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.
Peter G J NikkelsDepartment of Pathology, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands.
Leendert PorcelijnDepartment Immunohematology Diagnostics, Sanquin Diagnostic Services, 1066 CX Amsterdam, The Netherlands.
C Ellen van der SchootDepartment of Experimental Immunohematology, Sanquin Research, 1066 CX Amsterdam, The Netherlands.
Gestur VidarssonDepartment of Experimental Immunohematology, Sanquin Research, 1066 CX Amsterdam, The Netherlands.ORCID 0000-0001-5621-003X
Michael EikmansDepartment of Immunology, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.ORCID 0000-0002-9648-4227
Rick KapurDepartment of Experimental Immunohematology, Sanquin Research, 1066 CX Amsterdam, The Netherlands.
Carin van der KeurDepartment of Immunology, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.
Leendert A TrouwDepartment of Immunology, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.ORCID 0000-0001-5186-2290
Dick OepkesDepartment of Obstetrics and Gynecology, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.
Enrico LoprioreDivision of Neonatology, Department of Pediatrics, Willem-Alexander Children's Hospital, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.
Marie-Louise P van der HoornDepartment of Obstetrics and Gynecology, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.ORCID 0000-0002-7781-7815
Manon BosDepartment of Obstetrics and Gynecology, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.ORCID 0000-0002-8636-888X
Masja de HaasCenter of Clinical Transfusion Research, Sanquin Research, 1066 CX Amsterdam, The Netherlands.
Leiden University Medical Center · NLSanquin · NLUniversity Medical Center Utrecht · NL

Funding

Fonds Gezond Geboren E50-03-LUMCProcess and Product Development Diagnostic Services, Sanquin SQI/00034
6 · The paper itself

Abstract

Fetal and neonatal alloimmune thrombocytopenia (FNAIT) is a disease that causes thrombocytopenia and a risk of bleeding in the (unborn) child that result from maternal alloantibodies directed against fetal, paternally inherited, human platelet antigens (HPA). It is hypothesized that these alloantibodies can also bind to the placenta, causing placental damage. This study aims to explore signs of antibody-mediated placental damage in FNAIT. We performed a retrospective study that included pregnant women, their newborns, and placentas. It comprised 23 FNAIT cases, of which nine were newly diagnosed (14 samples) and 14 were antenatally treated with intravenous immune globulins (IVIg) (21 samples), and 20 controls, of which 10 had anti-HLA-class I antibodies. Clinical information was collected from medical records. Placental samples were stained for complement activation markers (C1q, C4d, SC5b-9, and mannose-binding lectin) using immunohistochemistry. Histopathology was examined according to the Amsterdam criteria. A higher degree of C4d deposition was present in the newly diagnosed FNAIT cases (10/14 samples), as compared to the IVIg-treated FNAIT cases (2/21 samples,

Indexed as

AdultAntibodiesCase-Control StudiesComplement ActivationFemaleFetusHistocompatibility Antigens Class IHumansImmunoglobulins, IntravenousInfant, NewbornMalePlacentaPregnancyRetrospective StudiesThrombocytopenia, Neonatal AlloimmuneAntibodiesHistocompatibility Antigens Class IImmunoglobulins, Intravenousalloimmunization during pregnancyclassical pathway complement activationfetal growth restrictionfetal neonatal alloimmune thrombocytopeniahistopathology placentaplacental dysfunction

Identifiers

PMID34201864
PMCPMC8267834
OpenAlexW3176706983

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.