Evidence map›Paper›PMID 34210000›Full record

ArticleInternational journal of molecular sciences2021

Thrombopoietin Contributes to Enhanced Platelet Activation in Patients with Type 1 Diabetes Mellitus.

Ornella Bosco, Barbara Vizio, Gabriella Gruden, Martina Schiavello, Bartolomeo Lorenzati, Paolo Cavallo-Perin, Isabella Russo, Giuseppe Montrucchio, Enrico Lupia

Open access · goldAbstract read
In one paragraph

Article 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Associations Between Mean Platelet Volume and Various Factors in Type 2 Diabetes Patients: A Single-Center Study from Poland.Medical science monitor : international medical journal of experimental and clinical research · 2023
    Article
  4. Review
  5. 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

9 authors at 2 institutions in 1 country.

Ornella BoscoDepartment of Medical Sciences, University of Turin, 10126 Turin, Italy.
Barbara VizioDepartment of Medical Sciences, University of Turin, 10126 Turin, Italy.
Gabriella GrudenDepartment of Medical Sciences, University of Turin, 10126 Turin, Italy.
Martina SchiavelloDepartment of Medical Sciences, University of Turin, 10126 Turin, Italy.ORCID 0000-0003-2738-9119
Bartolomeo LorenzatiEmergency Medicine, A.O. S. Croce e Carle, 12100 Cuneo, Italy.
Paolo Cavallo-PerinDepartment of Medical Sciences, University of Turin, 10126 Turin, Italy.
Isabella RussoDepartment of Clinical and Biological Sciences, University of Turin, 10043 Orbassano, Italy.ORCID 0000-0002-2921-1763
Giuseppe MontrucchioDepartment of Medical Sciences, University of Turin, 10126 Turin, Italy.
Enrico LupiaDepartment of Medical Sciences, University of Turin, 10126 Turin, Italy.ORCID 0000-0003-2719-1217
University of Turin · ITAzienda Sanitaria Ospedaliera S.Croce e Carle Cuneo · IT

Funding

Università degli Studi di Torino ex-60% Local funding
6 · The paper itself

Abstract

Atherosclerotic cardiovascular disease is the major cause of morbidity and mortality in patients with type 1 diabetes mellitus (T1DM). Enhanced platelet reactivity is considered a main determinant of the increased atherothrombotic risk of diabetic patients. Thrombopoietin (THPO), a humoral growth factor able to stimulate megakaryocyte proliferation and differentiation, also modulates the response of mature platelets by enhancing both activation and binding to leukocytes in response to different agonists. Increased THPO levels have been reported in different clinical conditions characterized by a generalized pro-thrombotic state, from acute coronary syndromes to sepsis/septic shock, and associated with elevated indices of platelet activation. To investigate the potential contribution of elevated THPO levels in platelet activation in T1DM patients, we studied 28 T1DM patients and 28 healthy subjects. We measured plasma levels of THPO, as well as platelet-leukocyte binding, P-selectin, and THPO receptor (THPOR) platelet expression. The priming activity of plasma from diabetic patients or healthy subjects on platelet-leukocyte binding and the role of THPO on this effect was also studied in vitro. T1DM patients had higher circulating THPO levels and increased platelet-monocyte and platelet-granulocyte binding, as well as platelet P-selectin expression, compared to healthy subjects, whereas platelet expression of THPOR did not differ between the two groups. THPO concentrations correlated with platelet-leukocyte binding, as well as with fasting glucose and Hb1Ac. In vitro, plasma from diabetic patients, but not from healthy subjects, primed platelet-leukocyte binding and platelet P-selectin expression. Blocking THPO biological activity using a specific inhibitor prevented the priming effect induced by plasma from diabetic patients. In conclusion, augmented THPO may enhance platelet activation in patients with T1DM, potentially participating in increasing atherosclerotic risk.

Indexed as

AdultCase-Control StudiesDiabetes Mellitus, Type 1FemaleHumansMaleMonocytesPlatelet ActivationPlatelet CountP-SelectinReceptors, ThrombopoietinThrombopoietinYoung AdultMPL protein, humanP-SelectinReceptors, ThrombopoietinThrombopoietinatherosclerotic cardiovascular diseasesplatelet activation markersplatelet–leukocyte adhesionthrombopoietintype 1 diabetes mellitus

Identifiers

PMID34210000
PMCPMC8269076
OpenAlexW3176061475

What OpenQuestion holds

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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.