Evidence map›Paper›PMID 34752677›Full record

ArticleJournal of thrombosis and haemostasis : JTH2022

Antibody-mediated procoagulant platelet formation in COVID-19 is AKT dependent.

Lisann Pelzl, Anurag Singh, Jonas Funk, Andreas Witzemann, Irene Marini, Jan Zlamal, Karoline Weich, Wissam Abou-Khalel, Stefanie Hammer, Guenalp Uzun and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.2field-weighted citation impact, top 17% 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

19 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Observational
  5. COVID-19: a vascular nightmare unfolding.Frontiers in immunology · 2025
    Review
  6. Review
  7. Genetic signatures ofFrontiers in immunology · 2024
    Observational
  8. Article
  9. Review
  10. Procoagulant platelets: novel players in thromboinflammation.American journal of physiology. Cell physiology · 2022
    Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. COVID-19 andJournal of ginseng research · 2022
    Review
  16. Platelet Subtypes in Inflammatory Settings.Frontiers in cardiovascular medicine · 2022
    Review
  17. Review
  18. Review
  19. Review
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.

Lisann PelzlInstitute for Clinical and Experimental Transfusion Medicine, Medical Faculty of Tuebingen, University Hospital of Tuebingen, Tuebingen, Germany.
Anurag SinghInstitute for Clinical and Experimental Transfusion Medicine, Medical Faculty of Tuebingen, University Hospital of Tuebingen, Tuebingen, Germany.
Jonas FunkInstitute for Clinical and Experimental Transfusion Medicine, Medical Faculty of Tuebingen, University Hospital of Tuebingen, Tuebingen, Germany.
Andreas WitzemannInstitute for Clinical and Experimental Transfusion Medicine, Medical Faculty of Tuebingen, University Hospital of Tuebingen, Tuebingen, Germany.
Irene MariniInstitute for Clinical and Experimental Transfusion Medicine, Medical Faculty of Tuebingen, University Hospital of Tuebingen, Tuebingen, Germany.
Jan ZlamalInstitute for Clinical and Experimental Transfusion Medicine, Medical Faculty of Tuebingen, University Hospital of Tuebingen, Tuebingen, Germany.
Karoline WeichInstitute for Clinical and Experimental Transfusion Medicine, Medical Faculty of Tuebingen, University Hospital of Tuebingen, Tuebingen, Germany.
Wissam Abou-KhalelCentre for Clinical Transfusion Medicine, University Hospital of Tuebingen, Tuebingen, Germany.
Stefanie HammerCentre for Clinical Transfusion Medicine, University Hospital of Tuebingen, Tuebingen, Germany.
Guenalp UzunCentre for Clinical Transfusion Medicine, University Hospital of Tuebingen, Tuebingen, Germany.
Karina AlthausInstitute for Clinical and Experimental Transfusion Medicine, Medical Faculty of Tuebingen, University Hospital of Tuebingen, Tuebingen, Germany.
Tamam BakchoulInstitute for Clinical and Experimental Transfusion Medicine, Medical Faculty of Tuebingen, University Hospital of Tuebingen, Tuebingen, Germany.ORCID 0000-0002-6797-6812

Funding

German Heart Foundation BA5158/4German Research FoundationMinisterium for Wissenschaft and Kunst in Baden-Würtemberg
6 · The paper itself

Abstract

backgroundThromboembolic events are frequently reported in patients infected with the SARS-CoV-2. Recently, we observed that platelets from patients with severe COVID-19 infection express procoagulant phenotype. The molecular mechanisms that induce the generation of procoagulant platelets in COVID-19 patients are not completely understood.

objectivesIn this study, we investigated the role of AKT (also known as Protein Kinase B), which is the major downstream effector of PI3K (phosphoinositid-3-kinase) (PI3K/AKT) signaling pathway in platelets from patients with COVID-19. PATIENTS AND

methodsPlatelets, Sera and IgG from COVID-19 patients who were admitted to the intensive care unit (ICU) were analyzed by flow cytometry as well as western blot and adhesion assays.

resultsPlatelets from COVID-19 patients showed significantly higher levels of phosphorylated AKT, which was correlated with CD62p expression and phosphatidylserine (PS) externalization. In addition, healthy platelets incubated with sera or IgGs from ICU COVID-19 patients induced phosphorylation of PI3K and AKT and were dependent on Fc-gamma-RIIA (FcγRIIA). In contrast, ICU COVID-19 sera mediated generation of procoagulant platelets was not dependent on GPIIb/IIIa. Interestingly, the inhibition of phosphorylation of both proteins AKT and PI3K prevented the generation of procoagulant platelets.

conclusionsOur study shows that pAKT/AKT signaling pathway is associated with the formation of procoagulant platelets in severe COVID-19 patients without integrin GPIIb/IIIa engagement. The inhibition of PI3K/AKT phosphorylation might represent a promising strategy to reduce the risk for thrombosis in patients with severe COVID-19.

Indexed as

COVID-19Proto-Oncogene Proteins c-aktBlood PlateletsHumansPhosphatidylinositol 3-KinasesPlatelet ActivationPlatelet AggregationPlatelet Glycoprotein GPIIb-IIIa ComplexSARS-CoV-2Phosphatidylinositol 3-KinasesPlatelet Glycoprotein GPIIb-IIIa ComplexProto-Oncogene Proteins c-aktAKT-signalingCOVID-19 platelet adhesionprocoagulant platelet formationthrombosis

Identifiers

PMID34752677
PMCPMC8646637
OpenAlexW3213169266

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.