Evidence map›Paper›PMID 38033286›Full record

ArticleBlood2024

Deciphering and disrupting PIEZO1-TMEM16F interplay in hereditary xerocytosis.

Pengfei Liang, Yang Zhang, Yui Chun S Wan, Shang Ma, Ping Dong, Augustus J Lowry, Samuel J Francis, Sanjay Khandelwal, Martha Delahunty, Marilyn J Telen and 3 more

Open access · greenAbstract read
In one paragraph

Article in Blood, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

26 citing papers in PubMed, 29 citations in OpenAlex.

  1. TMEM16F deficiency alleviates sepsis-induced acute lung injury through regulating macrophage polarization.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  2. Review
  3. Mechanisms of Piezo1-Mediated Mechanotransduction in Thrombotic Diseases.International journal of molecular sciences · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Lipid Regulation of Mechanosensitive Ion Channels.International journal of molecular sciences · 2026
    Review
  11. Article
  12. Molecular surprises in evaluations of red cell disorders.Hematology. American Society of Hematology. Education Program · 2025
    Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Activation of WNK1 signaling through Piezo1.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Pengfei LiangDepartment of Biochemistry, Duke University School of Medicine, Durham, NC.ORCID 0000-0001-5128-1509
Yang ZhangDepartment of Biochemistry, Duke University School of Medicine, Durham, NC.ORCID 0000-0003-3625-9965
Yui Chun S WanDepartment of Biochemistry, Duke University School of Medicine, Durham, NC.ORCID 0000-0002-3189-0021
Shang MaChildren's Research Institute, UT Southwestern Medical Center, Dallas, TX.
Ping DongDepartment of Biochemistry, Duke University School of Medicine, Durham, NC.ORCID 0000-0002-6640-6607
Augustus J LowryDepartment of Biochemistry, Duke University School of Medicine, Durham, NC.
Samuel J FrancisDepartment of Surgery, Duke University School of Medicine, Durham, NC.ORCID 0000-0003-3210-0789
Sanjay KhandelwalDepartment of Medicine, Duke University School of Medicine, Durham, NC.ORCID 0000-0002-5661-3856
Martha DelahuntyDepartment of Medicine, Duke University School of Medicine, Durham, NC.
Marilyn J TelenDepartment of Medicine, Duke University School of Medicine, Durham, NC.ORCID 0000-0003-3809-1780
John J StrouseDepartment of Medicine, Duke University School of Medicine, Durham, NC.ORCID 0000-0003-0341-1457
Gowthami M ArepallyDepartment of Medicine, Duke University School of Medicine, Durham, NC.
Huanghe YangDepartment of Biochemistry, Duke University School of Medicine, Durham, NC.ORCID 0000-0001-9521-9328
Duke University · USThe University of Texas Southwestern Medical Center · US

Funding

Manipulating TMEM16F lipid scramblase to understand the transbilayer phospholipid transport phenomenonDP2GM126898 · NIGMS · DUKE UNIVERSITY · PI YANG, HUANGHE · 2017 to 2017
$2.2M
NIGMS NIH HHS DP2 GM126898
6 · The paper itself

Abstract

abstractCell-surface exposure of phosphatidylserine (PS) is essential for phagocytic clearance and blood clotting. Although a calcium-activated phospholipid scramblase (CaPLSase) has long been proposed to mediate PS exposure in red blood cells (RBCs), its identity, activation mechanism, and role in RBC biology and disease remain elusive. Here, we demonstrate that TMEM16F, the long-sought-after RBC CaPLSase, is activated by calcium influx through the mechanosensitive channel PIEZO1 in RBCs. PIEZO1-TMEM16F functional coupling is enhanced in RBCs from individuals with hereditary xerocytosis (HX), an RBC disorder caused by PIEZO1 gain-of-function channelopathy. Enhanced PIEZO1-TMEM16F coupling leads to an increased propensity to expose PS, which may serve as a key risk factor for HX clinical manifestations including anemia, splenomegaly, and postsplenectomy thrombosis. Spider toxin GsMTx-4 and antigout medication benzbromarone inhibit PIEZO1, preventing force-induced echinocytosis, hemolysis, and PS exposure in HX RBCs. Our study thus reveals an activation mechanism of TMEM16F CaPLSase and its pathophysiological function in HX, providing insights into potential treatment.

Indexed as

Anemia, Hemolytic, CongenitalCalciumAnoctaminsErythrocytesFemaleHumansHydrops FetalisIon ChannelsPhospholipid Transfer ProteinsANO6 protein, humanAnoctaminsCalciumIon ChannelsPhospholipid Transfer ProteinsPIEZO1 protein, human

Identifiers

PMID38033286
PMCPMC10862370
OpenAlexW4389163895

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.