Evidence map›Paper›PMID 39869832›Full record

ArticleBlood2025

Protection of β2GPI-deficient mice from thrombosis reflects a defect in PAR3-facilitated platelet activation.

Paresh P Kulkarni, Ravi Kumar Alluri, Matthew Godwin, Gabriel L Forbes, Alona Merkulova, Sylviane Lambert, Aatira Vijay, Maierdan Palihati, Suman Kundu, Young Jun Shim and 5 more

Abstract read
In one paragraph

Article in Blood, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Gut Microbiota Dysbiosis MediatesImmunity, inflammation and disease · 2026
    Article
  2. Article
  3. Article
  4. βCurrent opinion in immunology · 2026
    Review
  5. Article
  6. Article
  7. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Paresh P KulkarniDepartment of Cardiovascular and Metabolic Sciences, Cleveland Clinic, Cleveland, OH.ORCID 0000-0002-9108-0485
Ravi Kumar AlluriDepartment of Cardiovascular and Metabolic Sciences, Cleveland Clinic, Cleveland, OH.
Matthew GodwinDepartment of Cardiovascular and Metabolic Sciences, Cleveland Clinic, Cleveland, OH.ORCID 0000-0002-8365-7985
Gabriel L ForbesDivision of Hematology and Oncology, Department of Medicine, Case Western Reserve University, Cleveland, OH.
Alona MerkulovaDivision of Hematology and Oncology, Department of Medicine, Case Western Reserve University, Cleveland, OH.
Sylviane LambertDepartment of Pharmacology, University of Michigan, Ann Arbor, MI.
Aatira VijayDepartment of Cardiovascular and Metabolic Sciences, Cleveland Clinic, Cleveland, OH.
Maierdan PalihatiDepartment of Cardiovascular and Metabolic Sciences, Cleveland Clinic, Cleveland, OH.ORCID 0000-0002-1943-3901
Suman KunduDepartment of Cardiovascular and Metabolic Sciences, Cleveland Clinic, Cleveland, OH.
Young Jun ShimDepartment of Cardiovascular and Metabolic Sciences, Cleveland Clinic, Cleveland, OH.
Kevin KalonjiDivision of Hematology and Oncology, Department of Medicine, Case Western Reserve University, Cleveland, OH.
Alvin H SchmaierDivision of Hematology and Oncology, Department of Medicine, Case Western Reserve University, Cleveland, OH.ORCID 0000-0002-3884-6234
Michael HolinstatDepartment of Pharmacology, University of Michigan, Ann Arbor, MI.
Scott J CameronDepartment of Cardiovascular and Metabolic Sciences, Cleveland Clinic, Cleveland, OH.ORCID 0000-0002-9616-1540
Keith R McCraeDepartment of Cardiovascular and Metabolic Sciences, Cleveland Clinic, Cleveland, OH.ORCID 0000-0001-7340-475X

Funding

Contact Pathway Activation on Vascular DevicesR01HL144113 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI HINDS, MONICA T, MCCARTY, OWEN J · 2018 to 2025
$6.0M
Novel approaches to improve prediction of cancer-associated thrombosisU01HL143402 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI KHORANA, ALOK A, MCCRAE, KEITH R. · 2018 to 2022
$4.7M
Kruppel-Like Factor 2 Counters Vascular and Immunologic Dysfunction in Child Cerebral MalariaR01AI130131 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI KAZURA, JAMES WALTER · 2017 to 2021
$3.0M
Mechanisms of cancer immunotherapy-associated thrombosisR01HL164516 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI Claudia Marcela Diaz-Montero, ALOK A KHORANA · 2023 to 2026
$2.9M
Platelets as Biosensors and Mediators of Aortic Aneurysm GrowthR01HL158801 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI CAMERON, SCOTT JAMES · 2021 to 2025
$2.5M
Transcriptional control of endothelium in APS by Kruppel Like factorsR01HL123098 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI JAIN, MUKESH KUMAR, MCCRAE, KEITH R. · 2014 to 2017
$1.8M
Ponatinib Induces Vascular Events in CML-Mechanisms and CorrectionR21CA223301 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI SCHMAIER, ALVIN H · 2019 to 2020
$397k
NCI NIH HHS R21 CA223301NHLBI NIH HHS R01 HL123098NHLBI NIH HHS R01 HL144113NHLBI NIH HHS R01 HL158801NHLBI NIH HHS R01 HL164516NHLBI NIH HHS U01 HL143402NIAID NIH HHS R01 AI130131
6 · The paper itself

Abstract

abstractAntibodies to β2-glycoprotein I (β2GPI) cause thrombosis in antiphospholipid syndrome; however, the role of β2GPI in coagulation in vivo is not understood. To address this issue, we developed β2GPI-deficient mice (Apoh-/-) by deleting exons 2 and 3 of Apoh using CRISPR/Cas9 and compared the development of thrombosis in wild-type (WT) and Apoh-/- mice using rose bengal- and FeCl3-induced carotid thrombosis, laser-induced cremaster arteriolar injury, and inferior vena cava (IVC) stasis models. We also compared tail bleeding times and activation of platelets from WT and Apoh-/- mice in the absence and presence of β2GPI. Apoh-/- mice demonstrated prolonged time to occlusion of the carotid after exposure to rose bengal or FeCl3 and reduced platelet and fibrin accumulation in cremasteric arterioles after laser injury. Significantly smaller thrombi formed in the IVC of Apoh-/- mice 48 hours after IVC occlusion. The activated partial thromboplastin time and prothrombin time, as well as activated partial thromboplastin time reagent and tissue factor-induced thrombin generation times, of Apoh-/- and WT plasma revealed no differences. However, we observed significant prolongation of tail bleeding in Apoh-/- mice and reduced P-selectin expression and fibrinogen binding to activated α2bβ3 on platelets from these mice after stimulation with thrombin; these changes were reversed by β2GPI. A protease activated receptor 3 (PAR3) antibody blocked thrombin-induced activation of WT platelets and the ability of β2GPI to restore thrombin-induced activation of Apoh-/- platelets. These studies demonstrate that β2GPI may promote platelet activation by enhancing the ability of PAR3 to present thrombin to PAR4.

Indexed as

beta 2-Glycoprotein IPlatelet ActivationReceptors, ThrombinThrombosisAnimalsBlood PlateletsMaleMiceMice, Inbred C57BLMice, Knockoutbeta 2-Glycoprotein IReceptors, Thrombin

Identifiers

PMID39869832
PMCPMC12105725

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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.