Evidence map›Paper›PMID 39462764›Full record

ArticleBritish journal of haematology2025

Association of human leucocyte antigen loci with vaccine-induced immune thrombotic thrombocytopenia: Potential role of the interaction between platelet factor 4-derived peptides and MHC-II.

Eleonora Petito, Loredana Bury, Lilian Antunes Heck, Brooke Sadler, Erica De Candia, Gian Marco Podda, Anna Falanga, Lucia Stefanini, Andrea Boccatonda, Patrizia Sciancalepore and 11 more

Abstract read
In one paragraph

Article in British journal of haematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Anti-Platelet factor 4 immunothrombosis-not just heparin and vaccine triggers.Research and practice in thrombosis and haemostasis · 2025
    Review
  7. An overview of HLA variants in COVID-19 vaccine-induced autoimmunity.International journal of molecular epidemiology and genetics · 2025
    Review
  8. 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

21 authors.

Eleonora PetitoSection of Internal and Cardiovascular Medicine, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.ORCID https://orcid.org/0000-0003-4921-8687
Loredana BurySection of Internal and Cardiovascular Medicine, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.ORCID https://orcid.org/0000-0003-0333-0948
Lilian Antunes HeckDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.
Brooke SadlerDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.
Erica De CandiaHemorrhagic and Thrombotic Diseases Center, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.ORCID https://orcid.org/0000-0003-0942-2819
Gian Marco PoddaMedicina III, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan, Milano, Italy.
Anna FalangaDivision of Immunohematology and Transfusion Medicine, Hospital Papa Giovanni XXIII, Bergamo, Italy.
Lucia StefaniniDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Andrea BoccatondaInternal Medicine, Azienda USL di Bologna, Bologna, Italy.
Patrizia SciancaleporeHaemostasis and Thrombosis Center, Azienda Ospedaliera SS. Antonio e Biagio, Alessandria, Italy.
Igor FlorioUnit of Neurology and Stroke Unit, Azienda Ospedaliera di Bolzano, Bolzano, Italy.
Egidio ImbalzanoSection of Internal Medicine, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Rossella MarcucciDepartment of Clinical and Experimental Medicine, University of Florence, Firenze, Italy.
Patrizia NorisDepartment of Internal Medicine, University of Pavia, Pavia, Italy.ORCID https://orcid.org/0000-0002-3374-7325
Marta PanellaDepartment of Neuroscience, University Hospital of tor Vergata, Rome, Italy.
Rita Carlotta SantoroHaemophilia and Thrombosis Center, Pugliese-Ciaccio Hospital, Catanzaro, Italy.
Maria Costanza TuriDivision of Pulmonary Disease, SS. Annunziata Hospital of Chieti, Chieti, Italy.
Gaetano VaudoUnit of Internal Medicine, Terni University Hospital, Terni, Italy.
Jorge Di PaolaDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.
Matthew T RondinaDivision of Hematology and Hematologic Malignancies, Department of Internal Medicine, University of Utah Health, Salt Lake City, Utah, USA.
Paolo GreseleSection of Internal and Cardiovascular Medicine, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.ORCID https://orcid.org/0000-0001-5365-8445

Funding

Platelet-Leukocyte Interactions in SepsisK24HL155856 · NHLBI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RONDINA, MATTHEW THOMAS · 2021 to 2025
$606k
CSRD VA I01 CX001696Fondazione Umberto VeronesiNHLBI NIH HHS K24 HL155856
6 · The paper itself

Abstract

No risk factors have been identified for vaccine-induced immune thrombotic thrombocytopenia (VITT) so far. The aim of this study was to identify human leucocyte antigen (HLA) alleles potentially associated with VITT susceptibility. Specific HLA class II alleles were detected with significantly higher frequency in VITT patients compared with Italian controls: DPB1*17:01, DQA1*05:01, and DRB1*11:04. In silico analysis revealed increased affinity of DRB1*11:04 for a platelet factor 4 (PF4)-derived peptide, ITSLEVIKA, that contains two amino acids present in the specific binding site of anti-PF4 antibodies from VITT patients. Our findings show for the first time a genetic predisposition to developing anti-PF4 antibodies in response to Ad-vector vaccines.

Indexed as

Histocompatibility Antigens Class IIPlatelet Factor 4Purpura, Thrombocytopenic, IdiopathicAdultAgedAllelesCase-Control StudiesFemaleGenetic Predisposition to DiseaseHumansMaleMiddle AgedHistocompatibility Antigens Class IIPF4 protein, humanPlatelet Factor 4HLAPF4VITT

Identifiers

PMID39462764
PMCPMC11739772

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.