Evidence map›Paper›PMID 40358149›Full record

ArticleCells2025

Platelet-Derived Soluble CD40L and Its Impact on Immune Modulation and Anti-IL6R Antibody Treatment Outcome in Rheumatoid Arthritis.

Carlos Zamora, Cesar Diaz-Torne, Maria Angels Ortiz, Patricia Moya, Hye Sang Park, Concepció Pitarch, Elisabet Cantó, Ruben Osuna-Gomez, Maria Mulet, Maisa Garcia-Arguinzonis and 3 more

Abstract read
In one paragraph

Article in Cells, 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.

Carlos ZamoraInflammatory Diseases, Institut Recerca Hospital Sant Pau (IIB Sant Pau), 08041 Barcelona, Spain.
Cesar Diaz-TorneRheumatology Department, Hospital Santa Creu I Sant Pau, 08041 Barcelona, Spain.ORCID 0000-0001-6275-7699
Maria Angels OrtizInflammatory Diseases, Institut Recerca Hospital Sant Pau (IIB Sant Pau), 08041 Barcelona, Spain.ORCID 0000-0002-1574-9861
Patricia MoyaRheumatology Department, Hospital Santa Creu I Sant Pau, 08041 Barcelona, Spain.ORCID 0000-0001-8339-5420
Hye Sang ParkRheumatology Department, Hospital Santa Creu I Sant Pau, 08041 Barcelona, Spain.
Concepció PitarchRheumatology Department, Hospital Santa Creu I Sant Pau, 08041 Barcelona, Spain.
Elisabet CantóInflammatory Diseases, Institut Recerca Hospital Sant Pau (IIB Sant Pau), 08041 Barcelona, Spain.
Ruben Osuna-GomezInflammatory Diseases, Institut Recerca Hospital Sant Pau (IIB Sant Pau), 08041 Barcelona, Spain.ORCID 0000-0003-2875-4405
Maria MuletInflammatory Diseases, Institut Recerca Hospital Sant Pau (IIB Sant Pau), 08041 Barcelona, Spain.ORCID 0000-0003-3639-3291
Maisa Garcia-ArguinzonisInstitut Recerca Hospital Sant Pau (IIB Sant Pau), 08041 Barcelona, Spain.
Diego ColladoCentre Medic Teknon, 08022 Barcelona, Spain.
Hector CorominasRheumatology Department, Hospital Santa Creu I Sant Pau, 08041 Barcelona, Spain.ORCID 0000-0002-7738-6787
Silvia VidalInflammatory Diseases, Institut Recerca Hospital Sant Pau (IIB Sant Pau), 08041 Barcelona, Spain.ORCID 0000-0002-3909-6682

Funding

Instituto de Salud Carlos III PI20/184
6 · The paper itself

Abstract

backgroundPlatelets (PLTs) from healthy donors (HD) modulate T lymphocyte responses but PLTs from rheumatoid arthritis (RA) patients contribute to persistent systemic inflammation. This suggests that PLTs from RA patients and HD have different immunomodulatory effects.

methodsUsing cell culture, flow cytometry, proteomics, and ELISA, we compared PLTs from HD and RA patients and their effects on T lymphocyte activation and cytokine production.

resultsHD PLTs suppressed T lymphocyte proliferation and IFNγ and TNF production, while RA PLTs exhibited reduced suppressive capacity. In the presence of RA PLTs, IFNγ levels correlated with T lymphocyte proliferation, greater disease activity, and anti-citrullinated protein antibodies (ACPA). Proteomic analysis revealed that RA PLTs show upregulation of proteins linked to acute-phase response and complement activation. RA PLTs secreted higher levels of soluble CD40L (sCD40L) and PDGF-BB that correlated with enhanced IFNγ production. Seropositive RA patients had higher levels of sCD40L, and these levels were predictive of disease remission in RA patients treated with anti-IL6R. sCD40L was found to enhance T lymphocyte activation and to contribute to increased pro-inflammatory cytokine production.

conclusionsThis study highlights the diminished ability of RA PLTs to suppress T lymphocyte activation and that sCD40L can be a potential biomarker and therapeutic target in RA.

Indexed as

Arthritis, RheumatoidBlood PlateletsCD40 LigandImmunomodulationAdultAgedCell ProliferationCytokinesFemaleHumansInterferon-gammaLymphocyte ActivationMaleMiddle AgedT-LymphocytesTreatment OutcomeCD40 LigandCytokinesInterferon-gammaCD40Lcytokine productionplatelet immunomodulationrheumatoid arthritisT lymphocyte activation

Identifiers

PMID40358149
PMCPMC12071919

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.