Evidence map›Paper›PMID 38981976›Full record

ArticleJournal of thrombosis and thrombolysis2024

SARS-CoV-2 spike protein potentiates platelet aggregation via upregulating integrin αIIbβ3 outside-in signaling pathway.

Ruijie Wang, Zezhong Tian, Meiyan Zhu, Bingying Zhang, Yanzhang Li, Yiqi Zheng, Yuheng Mao, Yimin Zhao, Yan Yang

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Article in Journal of thrombosis and thrombolysis, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Ruijie WangSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Guangdong Province, Shenzhen, China.
Zezhong TianSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Guangdong Province, Shenzhen, China.
Meiyan ZhuSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Guangdong Province, Shenzhen, China.
Bingying ZhangSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Guangdong Province, Shenzhen, China.
Yanzhang LiSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Guangdong Province, Shenzhen, China.
Yiqi ZhengZhongshan School of Medicine, Sun Yat-sen University, Guangdong Province, Guangzhou, China.
Yuheng MaoSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Guangdong Province, Shenzhen, China.
Yimin ZhaoSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Guangdong Province, Shenzhen, China.
Yan YangSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Guangdong Province, Shenzhen, China. yangyan3@mail.sysu.edu.cn.

Funding

the Key project of National Natural Science Foundation of China No.82030098the National Innovation and Entrepreneurship Training Program for College Students No.202110558156
6 · The paper itself

Abstract

Platelet hyperreactivity is one of the crucial causes of coagulative disorders in patients with COVID-19. Few studies have indicated that integrin αIIbβ3 may be a potential target for spike protein binding to platelets. This study aims to investigate whether spike protein interacts with platelet integrin αIIbβ3 and upregulates outside-in signaling to potentiate platelet aggregation. In this study, we found that spike protein significantly potentiated platelet aggregation induced by different agonists and platelet spreading in vitro. Mechanism studies revealed that spike protein upregulated the outside-in signaling, such as increased thrombin-induced phosphorylation of β3, c-Src. Moreover, using tirofiban to inhibit spike protein binding to αIIbβ3 or using PP2 to block outside-in signaling, we found that the potentiating effect of spike protein on platelet aggregation was abolished. These results demonstrate that SARS-CoV-2 spike protein directly enhances platelet aggregation via integrin αIIbβ3 outside-in signaling, and suggest a potential target for platelet hyperreactivity in patients with COVID-19. HIGHLIGHTS: • Spike protein potentiates platelet aggregation and upregulates αIIbβ3 outside-in signaling. • Spike protein interacts with integrin αIIbβ3 to potentiate platelet aggregation. • Blocking outside-in signaling abolishes the effect of spike protein on platelets.

Indexed as

COVID-19Platelet AggregationPlatelet Glycoprotein GPIIb-IIIa ComplexSignal TransductionSpike Glycoprotein, CoronavirusUp-RegulationBlood PlateletsHumansPhosphorylationSARS-CoV-2Platelet Glycoprotein GPIIb-IIIa ComplexSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2integrin αIIbβ3outside-in signalingplateletSARS-CoV-2spike protein

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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.