Evidence map›Paper›PMID 39271523›Full record

ArticleAnnals of hematology2024

The effects of complement-independent, autoantibody-induced apoptosis of platelets in immune thrombocytopenia (ITP).

Lin Sun, Yichen Zhang, Ping Chen, Nan Jiang, Qi Feng, Shuqian Xu, Jun Peng, Zi Sheng

Abstract read
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In one paragraph

Article in Annals of hematology, 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

8 authors.

Lin SunDepartment of Hematology, Cheeloo College of Medicine, Qilu Hospital, Shandong University, 107 Wenhuaxi Rd, Jinan, 250012, China.
Yichen ZhangCentral Hospital Affiliated to Shandong Fist Medical University, Shandong, China.
Ping ChenCentral Hospital Affiliated to Shandong Fist Medical University, Shandong, China.
Nan JiangDepartment of Hematology, Cheeloo College of Medicine, Qilu Hospital, Shandong University, 107 Wenhuaxi Rd, Jinan, 250012, China.
Qi FengDepartment of Hematology, Cheeloo College of Medicine, Qilu Hospital, Shandong University, 107 Wenhuaxi Rd, Jinan, 250012, China.
Shuqian XuDepartment of Hematology, Cheeloo College of Medicine, Qilu Hospital, Shandong University, 107 Wenhuaxi Rd, Jinan, 250012, China.
Jun PengDepartment of Hematology, Cheeloo College of Medicine, Qilu Hospital, Shandong University, 107 Wenhuaxi Rd, Jinan, 250012, China. junpeng88@sina.com.
Zi ShengDepartment of Hematology, Cheeloo College of Medicine, Qilu Hospital, Shandong University, 107 Wenhuaxi Rd, Jinan, 250012, China. 18253161059@163.com.cn.

Funding

National Key R&D Program of China No. 2023YFC2507800National Natural Science Foundation of China No. 82030005
6 · The paper itself

Abstract

Autoantibodies that cause platelet apoptosis may play a role in the development of immune thrombocytopenia (ITP), specifically antibodies that target GPIIbIIIa and GPIbα. Our research aims to compare the impact of the antigen specificity of antiplatelet antibodies on normal platelets under conditions that do not rely on complement. Using a modified monoclonal antibody-specific immobilization of platelet antigen (MAIPA) assay, we detected the levels of autoantibodies against specific platelet membrane glycoproteins (GPIIb/IIIa, GPIb/IX) in the plasma of 36 patients diagnosed with chronic ITP. IgG was isolated and purified using a protein A agarose affinity chromatography column, and their concentrations were measured using spectrophotometry. We obtained normal platelets and treated them with the purified IgG anti-GPIIb/IIIa and/or anti-GPIb/IX antibodies, as well as an IgG-free buffer and healthy control IgG. Flow cytometry was used to analyze markers of apoptosis, including phosphatidylserine (PS) exposure, mitochondrial inner membrane potential (ΔΨm), and platelet particle formation. Our results indicate that ITP patients with GPIb/IX-specific autoantibodies can induce platelet apoptosis and platelet particle formation through complement-independent pathways, which are not associated with platelet activation, while GPIIb/IIIa-specific autoantibodies did not have this effect. This suggests that specific autoantibodies may serve as a valuable predictive tool to identify patients who could potentially benefit from complement-inhibiting therapy in the future.

Indexed as

ApoptosisAutoantibodiesBlood PlateletsPurpura, Thrombocytopenic, IdiopathicAdultAgedComplement System ProteinsFemaleHumansImmunoglobulin GMaleMiddle AgedPlatelet Glycoprotein GPIb-IX ComplexPlatelet Glycoprotein GPIIb-IIIa ComplexAutoantibodiesComplement System ProteinsImmunoglobulin GPlatelet Glycoprotein GPIb-IX ComplexPlatelet Glycoprotein GPIIb-IIIa ComplexAutoantibodyImmune thrombocytopeniaPlatelet apoptosis

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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.