Evidence map›Paper›PMID 40903865›Full record

ArticleTransfusion2025

Impact of platelet transfusions on plasma proteomes in controlled endotoxemia and in hemato-oncological patients.

Eva R Smit, Isabella Viegen, Pieter F van der Meer, Stefan F van Wonderen, Floor L F van Baarle, Paula F Ypma, Jean-Louis H Kerkhoffs, Jan Voorberg, Alexander P J Vlaar, Anna L Peters and 2 more

Abstract read
In one paragraph

Article in Transfusion, 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

12 authors.

Eva R SmitDepartment of Molecular Hematology, Sanquin Research, Amsterdam, the Netherlands.ORCID https://orcid.org/0009-0008-2001-1205
Isabella ViegenDepartment of Intensive Care, Amsterdam UMC location University of Amsterdam, Amsterdam, the Netherlands.
Pieter F van der MeerDepartment of Hematology, Haga Teaching Hospital, The Hague, the Netherlands.
Stefan F van WonderenDepartment of Intensive Care, Amsterdam UMC location University of Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0002-4923-2289
Floor L F van BaarleDepartment of Intensive Care, Amsterdam UMC location University of Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0003-4921-8820
Paula F YpmaDepartment of Hematology, Haga Teaching Hospital, The Hague, the Netherlands.ORCID https://orcid.org/0000-0003-1250-7979
Jean-Louis H KerkhoffsDepartment of Hematology, Haga Teaching Hospital, The Hague, the Netherlands.
Jan VoorbergDepartment of Molecular Hematology, Sanquin Research, Amsterdam, the Netherlands.
Alexander P J VlaarDepartment of Intensive Care, Amsterdam UMC location University of Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0002-3453-7186
Anna L PetersDepartment of Intensive Care, Amsterdam UMC location University of Amsterdam, Amsterdam, the Netherlands.
Maartje van den BiggelaarDepartment of Molecular Hematology, Sanquin Research, Amsterdam, the Netherlands.
Diana Muñoz SandovalDepartment of Molecular Hematology, Sanquin Research, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0001-8350-3989

Funding

Stichting Sanquin Bloedvoorziening PPO 18-06Stichting Sanquin Bloedvoorziening PPOC Grant 11-003Stichting Sanquin Bloedvoorziening PPOC Grant 22-03ZonMw 09150172010047ZonMw 843002625
6 · The paper itself

Abstract

backgroundInflammation is a hallmark of patients that receive platelet transfusions, including critically ill and hemato-oncological patients. Platelet transfusions have been suggested to exacerbate inflammatory conditions, resulting in transfusion-related complications. Here, we used plasma proteomics to study the impact of platelet transfusions under inflammatory conditions.

methodsPlasma proteomics was performed in samples from two studies: (1) 252 samples from healthy volunteers from 36 cases divided into groups (n = 6) with and without controlled endotoxemia, each with different platelet products, and (2) 54 samples from 27 transfusion events in hemato-oncological patients (n = 14). Both studies had samples pre- and post-transfusions.

resultsControlled endotoxemia elicited a shared inflammatory response across all healthy volunteers. This response was characterized by increased abundance of two kinetically distinct protein clusters, an initial cluster associated with degranulation and inflammation (i.e., S100A9 and MMP9) followed by a cluster of acute-phase proteins (i.e., SAA and CRP). Autologous platelet transfusions in healthy individuals did not induce transfusion-specific changes in plasma protein levels, nor did they exacerbate the effect of controlled endotoxemia. In hemato-oncological patients, we found a transfusion-specific response restricted to alterations in platelet basic protein (PPBP) levels. No additional changes in plasma protein profiles associated with inflammation or dysregulated processes were observed following platelet transfusions. DISCUSSION: Platelet transfusions did not induce specific quantitative changes in plasma protein levels in healthy volunteers. Nonetheless, they were associated with increased levels of PPBP in hemato-oncological patients. In general, no evidence of inflammation or other dysregulated processes was observed following platelet transfusions.

Indexed as

Blood ProteinsEndotoxemiaHematologic NeoplasmsPlatelet TransfusionProteomeAdultAgedFemaleHumansInflammationMaleMiddle AgedProteomicsBlood ProteinsProteomecontrolled endotoxemiahemato‐oncologyplasmaplateletproteomicstransfusion

Identifiers

PMID40903865
PMCPMC12531923

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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.