Evidence map›Paper›PMID 34324649›Full record

ArticleBlood2021

Immune cells surveil aberrantly sialylated O-glycans on megakaryocytes to regulate platelet count.

Melissa M Lee-Sundlov, Robert T Burns, Taylor O Kim, Renata Grozovsky, Silvia Giannini, Leonardo Rivadeneyra, Yongwei Zheng, Simon H Glabere, Walter H A Kahr, Reza Abdi and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

23 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Article
  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. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Pathogenesis of refractory ITP: Overview.British journal of haematology · 2023
    Review
  17. Inside-to-outside and back to the future of megakaryopoiesis.Research and practice in thrombosis and haemostasis · 2023
    Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 2 countries.

Melissa M Lee-SundlovTranslational Glycomics Center, Versiti Blood Research Institute, Milwaukee, WI.ORCID 0000-0002-8290-8586
Robert T BurnsTranslational Glycomics Center, Versiti Blood Research Institute, Milwaukee, WI.
Taylor O KimSection of Hematology/Oncology, Department of Pediatrics, Baylor College of Medicine, Houston, TX.
Renata GrozovskyDivision of Hematology, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Silvia GianniniDivision of Hematology, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Leonardo RivadeneyraTranslational Glycomics Center, Versiti Blood Research Institute, Milwaukee, WI.ORCID 0000-0003-4140-1962
Yongwei ZhengTranslational Glycomics Center, Versiti Blood Research Institute, Milwaukee, WI.ORCID 0000-0002-1947-5386
Simon H GlabereTranslational Glycomics Center, Versiti Blood Research Institute, Milwaukee, WI.
Walter H A KahrDivision of Haematology/Oncology, The Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0002-2832-7158
Reza AbdiTransplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and.
Jenny M DespotovicSection of Hematology/Oncology, Department of Pediatrics, Baylor College of Medicine, Houston, TX.
Demin WangTranslational Glycomics Center, Versiti Blood Research Institute, Milwaukee, WI.
Karin M HoffmeisterTranslational Glycomics Center, Versiti Blood Research Institute, Milwaukee, WI.ORCID 0000-0001-6526-7919
Versiti Blood Center of Wisconsin · USBrigham and Women's Hospital · USBaylor College of Medicine · USMedical College of Wisconsin · USUniversity of Toronto · CA

Funding

REGULATION OF LACTOSAMINYL GLYCAN BIOSYNTHESIS IN HEMATOPOIETIC CELLSP01HL107146 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI RHEINHOLD, VERN · 2011 to 2017
$17.7M
Project 3: Role of Glycosaminoglycans in HematopoiesisP01HL151333 · NHLBI · VERSITI WISCONSIN, INC. · PI HOFFMEISTER, KARIN MARIA · 2021 to 2025
$12.3M
Carbohydrate-Mediated Platelet ClearanceR01HL089224 · NHLBI · VERSITI WISCONSIN, INC. · PI Karin Maria Hoffmeister · 2007 to 2026
$9.3M
Glycans in Blood Homeostasis and DiseaseK12HL141954 · NHLBI · VERSITI WISCONSIN, INC. · PI DAHMS, NANCY M., DESAI, UMESH RAMANLAL · 2018 to 2022
$4.9M
B cell responses in heparin-induced thrombocytopeniaR01HL130724 · NHLBI · VERSITI WISCONSIN, INC. · PI WANG, DEMIN · 2017 to 2024
$4.8M
PLC?s in B cell biology and autoimmunityR01AI079087 · NIAID · VERSITI WISCONSIN, INC. · PI WANG, DEMIN · 2008 to 2018
$4.4M
PI3K-gamma regulates T cell mediated alloimmunityR01HL141815 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI ABDI, REZA · 2018 to 2021
$1.6M
NHLBI NIH HHS K12 HL141954NHLBI NIH HHS P01 HL107146NHLBI NIH HHS P01 HL151333NHLBI NIH HHS R01 HL089224NHLBI NIH HHS R01 HL130724NHLBI NIH HHS R01 HL141815NIAID NIH HHS R01 AI079087
6 · The paper itself

Abstract

Immune thrombocytopenia (ITP) is a platelet disorder. Pediatric and adult ITP have been associated with sialic acid alterations, but the pathophysiology of ITP remains elusive, and ITP is often a diagnosis of exclusion. Our analysis of pediatric ITP plasma samples showed increased anti-Thomsen-Friedenreich antigen (TF antigen) antibody representation, suggesting increased exposure of the typically sialylated and cryptic TF antigen in these patients. The O-glycan sialyltransferase St3gal1 adds sialic acid specifically on the TF antigen. To understand if TF antigen exposure associates with thrombocytopenia, we generated a mouse model with targeted deletion of St3gal1 in megakaryocytes (MK) (St3gal1MK-/-). TF antigen exposure was restricted to MKs and resulted in thrombocytopenia. Deletion of Jak3 in St3gal1MK-/- mice normalized platelet counts implicating involvement of immune cells. Interferon-producing Siglec H-positive bone marrow (BM) immune cells engaged with O-glycan sialic acid moieties to regulate type I interferon secretion and platelet release (thrombopoiesis), as evidenced by partially normalized platelet count following inhibition of interferon and Siglec H receptors. Single-cell RNA-sequencing determined that TF antigen exposure by MKs primed St3gal1MK-/- BM immune cells to release type I interferon. Single-cell RNA-sequencing further revealed a new population of immune cells with a plasmacytoid dendritic cell-like signature and concomitant upregulation of the immunoglobulin rearrangement gene transcripts Igkc and Ighm, suggesting additional immune regulatory mechanisms. Thus, aberrant TF antigen moieties, often found in pathological conditions, regulate immune cells and thrombopoiesis in the BM, leading to reduced platelet count.

Indexed as

Platelet CountAdolescentAnimalsAntigens, Tumor-Associated, Carbohydratebeta-Galactoside alpha-2,3-SialyltransferaseChildChild, PreschoolHumansInfantMegakaryocytesMiceMice, Inbred C57BLPolysaccharidesPurpura, Thrombocytopenic, IdiopathicSialyltransferasesAntigens, Tumor-Associated, Carbohydratebeta-Galactoside alpha-2,3-SialyltransferasePolysaccharidesSialyltransferasesThomsen-Friedenreich antigen

Identifiers

PMID34324649
PMCPMC8662070
OpenAlexW3183575767

What OpenQuestion holds

Textmetadata
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.