Evidence map›Paper›PMID 35041713›Full record

ArticlePloS one2022

Platelet surface receptor glycoprotein VI-dimer is overexpressed in stroke: The Glycoprotein VI in Stroke (GYPSIE) study results.

Isuru Induruwa, Harriet McKinney, Carly Kempster, Patrick Thomas, Joana Batista, Jean-Daniel Malcor, Arkadiusz Bonna, Joanne McGee, Elaine Bumanlag-Amis, Karola Rehnstrom and 8 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Immunothrombosis in neurovascular disease.Research and practice in thrombosis and haemostasis · 2024
    Article
  8. Article
  9. Coagulation biomarkers for ischemic stroke.Research and practice in thrombosis and haemostasis · 2023
    Article
  10. Article
  11. Review
  12. Review
  13. Perspective: Collagen induced platelet activationFrontiers in cardiovascular medicine · 2022
    Article
  14. Article
  15. C1-inhibitor influence on platelet activation by thrombin receptors agonists.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

18 authors at 2 institutions in 2 countries.

Isuru InduruwaDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, United Kingdom.ORCID 0000-0002-7020-8179
Harriet McKinneyDepartment of Haematology, University of Cambridge, Cambridge, United Kingdom.
Carly KempsterDepartment of Haematology, University of Cambridge, Cambridge, United Kingdom.
Patrick ThomasDepartment of Haematology, University of Cambridge, Cambridge, United Kingdom.
Joana BatistaDepartment of Haematology, University of Cambridge, Cambridge, United Kingdom.
Jean-Daniel MalcorDepartment of Biochemistry, University of Cambridge, Cambridge, United Kingdom.
Arkadiusz BonnaDepartment of Biochemistry, University of Cambridge, Cambridge, United Kingdom.
Joanne McGeeDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, United Kingdom.
Elaine Bumanlag-AmisDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, United Kingdom.
Karola RehnstromDepartment of Haematology, University of Cambridge, Cambridge, United Kingdom.
Sophie AshfordDepartment of Haematology, University of Cambridge, Cambridge, United Kingdom.
Kenji SoejimaResearch and Development Coordination and Administration Department, KM Biologics Co., Ltd, Kumamoto, Japan.
Willem OuwehandDepartment of Haematology, University of Cambridge, Cambridge, United Kingdom.
Richard FarndaleDepartment of Biochemistry, University of Cambridge, Cambridge, United Kingdom.
Kate DownesDepartment of Haematology, University of Cambridge, Cambridge, United Kingdom.
Elizabeth WarburtonDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, United Kingdom.
Masaaki MoroiDepartment of Biochemistry, University of Cambridge, Cambridge, United Kingdom.
Stephanie JungDepartment of Biochemistry, University of Cambridge, Cambridge, United Kingdom.
University of Cambridge · GBKM Biologics (Japan) · JP

Funding

British Heart Foundation SP/13/7/30575
6 · The paper itself

Abstract

objectivesPlatelet activation underpins thrombus formation in ischemic stroke. The active, dimeric form of platelet receptor glycoprotein (GP) VI plays key roles by binding platelet ligands collagen and fibrin, leading to platelet activation. We investigated whether patients presenting with stroke expressed more GPVI on their platelet surface and had more active circulating platelets as measured by platelet P-selectin exposure.

methods129 ischemic or hemorrhagic stroke patients were recruited within 8h of symptom onset. Whole blood was analyzed for platelet-surface expression of total GPVI, GPVI-dimer, and P-selectin by flow cytometry at admission and day-90 post-stroke. Results were compared against a healthy control population (n = 301).

resultsThe platelets of stroke patients expressed significantly higher total GPVI and GPVI-dimer (P<0.0001) as well as demonstrating higher resting P-selectin exposure (P<0.0001), a measure of platelet activity, compared to the control group, suggesting increased circulating platelet activation. GPVI-dimer expression was strongly correlated circulating platelet activation [r2 = 0.88, P<0.0001] in stroke patients. Furthermore, higher platelet surface GPVI expression was associated with increased stroke severity at admission. At day-90 post-stroke, GPVI-dimer expression and was further raised compared to the level at admission (P<0.0001) despite anti-thrombotic therapy. All ischemic stroke subtypes and hemorrhagic strokes expressed significantly higher GPVI-dimer compared to controls (P<0.0001).

conclusionsStroke patients express more GPVI-dimer on their platelet surface at presentation, lasting at least until day-90 post-stroke. Small molecule GPVI-dimer inhibitors are currently in development and the results of this study validate that GPVI-dimer as an anti-thrombotic target in ischemic stroke.

Indexed as

Platelet ActivationPlatelet AdhesivenessAgedAged, 80 and overBiomarkersCase-Control StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedPlatelet Membrane GlycoproteinsPrognosisProtein MultimerizationStrokeBiomarkersPlatelet Membrane Glycoproteinsplatelet membrane glycoprotein VI

Identifiers

PMID35041713
PMCPMC8765640
OpenAlexW4206625358

What OpenQuestion holds

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LicenceCC BY
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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.