Evidence map›Paper›PMID 38684911›Full record

ArticleNature microbiology2024

Akkermansia muciniphila exoglycosidases target extended blood group antigens to generate ABO-universal blood.

Mathias Jensen, Linn Stenfelt, Jennifer Ricci Hagman, Michael Jakob Pichler, Julia Weikum, Tine Sofie Nielsen, Annika Hult, Jens Preben Morth, Martin L Olsson, Maher Abou Hachem

Abstract read
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In one paragraph

Article in Nature microbiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

  1. Article
  2. Review
  3. From Donation to Innovation: New Blood-Derived Products.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2026
    Review
  4. Degradation of mucinbioRxiv : the preprint server for biology · 2026
    Article
  5. Article
  6. Review
  7. Review
  8. Immobilized Enzymes for ABO-Independent Blood Cell Transfusions.Chembiochem : a European journal of chemical biology · 2025
    Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. A year of microbiology.Nature microbiology · 2024
    Article
  15. Article
  16. Article
  17. 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

10 authors.

Mathias Jensen *Department of Biotechnology & Biomedicine, Technical University of Denmark, Kongens Lyngby, Denmark.
Linn Stenfelt *Department of Biotechnology & Biomedicine, Technical University of Denmark, Kongens Lyngby, Denmark.ORCID http://orcid.org/0000-0003-0196-1367
Jennifer Ricci HagmanDivision of Hematology and Transfusion Medicine, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Michael Jakob PichlerDepartment of Biotechnology & Biomedicine, Technical University of Denmark, Kongens Lyngby, Denmark.ORCID http://orcid.org/0000-0003-3408-652X
Julia WeikumDepartment of Biotechnology & Biomedicine, Technical University of Denmark, Kongens Lyngby, Denmark.
Tine Sofie NielsenDepartment of Biotechnology & Biomedicine, Technical University of Denmark, Kongens Lyngby, Denmark.
Annika HultDepartment of Clinical Immunology and Transfusion Medicine, Office for Medical Services, Region Skåne, Sweden.
Jens Preben MorthDepartment of Biotechnology & Biomedicine, Technical University of Denmark, Kongens Lyngby, Denmark.ORCID http://orcid.org/0000-0003-4077-0192
Martin L Olsson *Division of Hematology and Transfusion Medicine, Department of Laboratory Medicine, Lund University, Lund, Sweden. martin_l.olsson@med.lu.se.ORCID http://orcid.org/0000-0003-1647-9610
Maher Abou Hachem *Department of Biotechnology & Biomedicine, Technical University of Denmark, Kongens Lyngby, Denmark. maha@bio.dtu.dk.ORCID http://orcid.org/0000-0001-8250-1842

Funding

Det Frie Forskningsråd (Danish Council for Independent Research) 0136-00086BDet Frie Forskningsråd (Danish Council for Independent Research) 1026-00386BKnut och Alice Wallenbergs Stiftelse (Knut and Alice Wallenberg Foundation) 2020.234Novo Nordisk Fonden (Novo Nordisk Foundation) NNF22OC0077684Region Skåne PhD scholarshipVetenskapsrådet (Swedish Research Council) 2019-01683
6 · The paper itself

Abstract

Matching donor and recipient blood groups based on red blood cell (RBC) surface ABO glycans and antibodies in plasma is crucial to avoid potentially fatal reactions during transfusions. Enzymatic conversion of RBC glycans to the universal group O is an attractive solution to simplify blood logistics and prevent ABO-mismatched transfusions. The gut symbiont Akkermansia muciniphila can degrade mucin O-glycans including ABO epitopes. Here we biochemically evaluated 23 Akkermansia glycosyl hydrolases and identified exoglycosidase combinations which efficiently transformed both A and B antigens and four of their carbohydrate extensions. Enzymatic removal of canonical and extended ABO antigens on RBCs significantly improved compatibility with group O plasmas, compared to conversion of A or B antigens alone. Finally, structural analyses of two B-converting enzymes identified a previously unknown putative carbohydrate-binding module. This study demonstrates the potential utility of mucin-degrading gut bacteria as valuable sources of enzymes for production of universal blood for transfusions.

Indexed as

ABO Blood-Group SystemAkkermansiaGlycoside HydrolasesBacterial ProteinsBlood Group AntigensErythrocytesGastrointestinal MicrobiomeHumansMucinsPolysaccharidesABO Blood-Group SystemBacterial ProteinsBlood Group AntigensGlycoside HydrolasesMucinsPolysaccharides

Identifiers

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.