Evidence map›Paper›PMID 39893011›Full record

ArticleThe Journal of pharmacology and experimental therapeutics2025

Pharmacological effects of small molecule BCR-ABL tyrosine kinase inhibitors on platelet function.

Yiheng Zhang, Chih-Jen Yang, Alexander R Melrose, Jiaqing Pang, Kirrali Schofield, Serena D Song, Iván Parra-Izquierdo, Tony J Zheng, Joseph P Lyssikatos, Stefan D Gross and 3 more

Abstract read
In one paragraph

Article in The Journal of pharmacology and experimental therapeutics, 2025. 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. 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

13 authors.

Yiheng ZhangDepartment of Biomedical Engineering, School of Medicine, Oregon Health & Science University, Portland, Oregon. Electronic address: zhangyih@ohsu.edu.
Chih-Jen YangDepartment of Biomedical Engineering, School of Medicine, Oregon Health & Science University, Portland, Oregon.
Alexander R MelroseKnight Cardiovascular Institute, School of Medicine, Oregon Health & Science University, Portland, Oregon.
Jiaqing PangDepartment of Biomedical Engineering, School of Medicine, Oregon Health & Science University, Portland, Oregon.
Kirrali SchofieldDepartment of Biomedical Engineering, School of Medicine, Oregon Health & Science University, Portland, Oregon.
Serena D SongKnight Cardiovascular Institute, School of Medicine, Oregon Health & Science University, Portland, Oregon.
Iván Parra-IzquierdoDepartment of Biomedical Engineering, School of Medicine, Oregon Health & Science University, Portland, Oregon; Knight Cardiovascular Institute, School of Medicine, Oregon Health & Science University, Portland, Oregon.
Tony J ZhengDepartment of Biomedical Engineering, School of Medicine, Oregon Health & Science University, Portland, Oregon.
Joseph P LyssikatosEnliven Therapeutics, Inc, Boulder, Colorado.
Stefan D GrossEnliven Therapeutics, Inc, Boulder, Colorado.
Joseph J ShatzelDepartment of Biomedical Engineering, School of Medicine, Oregon Health & Science University, Portland, Oregon; Division of Hematology & Medical Oncology, School of Medicine, Oregon Health & Science University, Portland, Oregon.
Owen J T McCartyDepartment of Biomedical Engineering, School of Medicine, Oregon Health & Science University, Portland, Oregon; Division of Hematology & Medical Oncology, School of Medicine, Oregon Health & Science University, Portland, Oregon.
Joseph E AslanDepartment of Biomedical Engineering, School of Medicine, Oregon Health & Science University, Portland, Oregon; Knight Cardiovascular Institute, School of Medicine, Oregon Health & Science University, Portland, Oregon; Department of Chemical Physiology & Biochemistry, School of Medicine, Oregon Health & Science University, Portland, Oregon.

Funding

Characterization of Coagulation Factor-platelet Interactions: Role of FXIR01HL101972 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Owen J McCarty · 2010 to 2026
$8.5M
Pathway Maps of Platelet Phenotype and FunctionR01HL146549 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI ASLAN, JOSEPH E · 2019 to 2023
$2.5M
Evaluating the Safety and Efficacy of Targeting the Contact Pathway to Prevent Device Associated Thrombosis.R01HL151367 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI SHATZEL, JOSEPH JAMES · 2020 to 2024
$1.5M
Role of Platelet Bruton's Tyrosine Kinase (BTK) in AtherosclerosisF30HL158079 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI ZHENG, TONY · 2021 to 2022
$103k
NHLBI NIH HHS F30 HL158079NHLBI NIH HHS R01 HL101972NHLBI NIH HHS R01 HL146549NHLBI NIH HHS R01 HL151367
6 · The paper itself

Abstract

Tyrosine kinase inhibitors (TKIs) targeting the breakpoint cluster region-ABL fusion protein, such as imatinib (Gleevec), have revolutionized targeted cancer therapies. However, drug resistance and side effects, particularly those affecting hemostasis, continue to pose significant challenges for TKI therapies. As tyrosine kinases serve pivotal roles in platelet hemostatic function, we investigated the potential impact of both established and emerging ABL TKIs on human platelet activities ex vivo. Our study included standard-of-care agents (eg, imatinib and nilotinib) and second-generation ABL inhibitors, including ponatinib and bosutinib, designed to mitigate drug resistance. Additionally, we explored the effects of allosteric inhibitors targeting the myristoyl pocket of ABL (eg, asciminib and GNF-2) and novel agents in preclinical development, including ELVN-919, which uniquely exhibits high specificity for the ABL kinase active site. Our findings reveal that while ABL inhibitors such as ponatinib and bosutinib impede platelet activity, highly specific new-generation ABL inhibitors, including first-in-class therapeutics, do not impact platelet function ex vivo. Overall, these new insights around the effects of ABL TKIs on platelet function could inform the development of targeted therapies with reduced hematologic toxicities. SIGNIFICANCE STATEMENT: This study examines the effects of clinically relevant small molecule breakpoint cluster region (BCR)-ABL tyrosine kinase inhibitors (TKIs) on platelet activity. This analysis includes first-time assessments of agents such as asciminib and ELVN-919 on human platelet function ex vivo, alongside established therapies (eg, imatinib, ponatinib) with well characterized effects on platelet function, to discern potential antiplatelet and other effects of BCR-ABL TKIs and inform clinical safety.

Indexed as

Blood PlateletsFusion Proteins, bcr-ablProtein Kinase InhibitorsSmall Molecule LibrariesAniline CompoundsHumansImatinib MesylateImidazolesNitrilesPyridazinesQuinolinesTyrosine Kinase InhibitorsAniline CompoundsbosutinibFusion Proteins, bcr-ablImatinib MesylateImidazolesNitrilesponatinibProtein Kinase InhibitorsPyridazinesQuinolinesSmall Molecule LibrariesTyrosine Kinase InhibitorsAblPlateletsTyrosine kinase inhibitors

Identifiers

PMID39893011
PMCPMC12920053

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.