Evidence map›Paper›PMID 40486208›Full record

ArticleResearch and practice in thrombosis and haemostasis2025

C-type lectin-like receptor 2 in platelets amplifies inflammation in rheumatoid arthritis.

Tomoyuki Sasaki, Ewelina Golebiewska, Toshiaki Shirai, Nagaharu Tsukiji, Kensuke Koyama, Shogo Tamura, Shimon Otake, Makoto Osada, Hirotaka Haro, Yukio Ozaki and 1 more

Abstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Tomoyuki SasakiDepartment of Clinical and Laboratory Medicine, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi, Japan.
Ewelina GolebiewskaDepartment of Clinical and Laboratory Medicine, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi, Japan.
Toshiaki ShiraiDepartment of Clinical and Laboratory Medicine, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi, Japan.
Nagaharu TsukijiDepartment of Clinical and Laboratory Medicine, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi, Japan.
Kensuke KoyamaDepartment of Rheumatology, Nirasaki City Hospital, Nirasaki, Yamanashi, Japan.
Shogo TamuraDepartment of Clinical Laboratory Science, Faculty of Health Sciences, Hokkaido University, Sapporo, Hokkaido, Japan.
Shimon OtakeDepartment of Hematology and Rheumatology, Nihon University School of Medicine, Itabashi, Tokyo, Japan.
Makoto OsadaDepartment of Medical Technology and Sciences, International University of Health and Welfare, Otawara, Tochigi, Japan.
Hirotaka HaroDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi, Japan.
Yukio OzakiFuefuki Central Hospital, Fuefuki, Yamanashi, Japan.
Katsue Suzuki-InoueDepartment of Clinical and Laboratory Medicine, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Platelets play a crucial role not only in thrombosis and hemostasis but also in inflammation, including rheumatoid arthritis. Although synovial cells in the joints express the membrane protein podoplanin, and platelets express the podoplanin receptor C-type lectin-like receptor 2 (CLEC-2), the role of CLEC-2 in arthritis has not been elucidated. Objectives: This study investigated the role of CLEC-2 in arthritis. Methods: Fibroblast-like synoviocytes (FLSs) from patients with rheumatoid arthritis were cocultured with washed human platelets, activated platelet supernatants, or recombinant CLEC-2 (rCLEC-2) to assess FLS proliferation and inflammatory cytokine mRNA levels. A KRN/B6xNOD (K/BxN) mice serum-transfer arthritis (STA) mouse model was used to study the in vivo roles of CLEC-2/podoplanin. Radiation bone marrow chimeric mice were generated by transplanting fetal liver cells from platelet/megakaryocyte-specific CLEC-2 conditional knockout (cKO) or wild-type (WT) embryos, to which serum from K/BxN was transferred. Arthritis was assessed by measuring the thicknesses of all 4 limbs. Results: Coculture with platelets or rCLEC-2 significantly enhanced FLS proliferation and increased the mRNA levels of inflammatory cytokines including IL-6, IL-8, CXCL-2, CXCL-3, IL-1β, and tumour necrosis factor-α. Furthermore, platelets from wild-type mice showed increased mRNA levels of these cytokines in mouse FLSs. CLEC-2-deficient platelets partially, but significantly, inhibited this effect. In the STA model, CLEC-2 cKO mice showed reduced arthritis compared to WT mice. Immunohistological analysis confirmed the presence of platelets in the proliferative synovium. Conclusion: CLEC-2 amplified arthritic platelets by stimulating the production of inflammatory cytokines and cell proliferation in FLSs.

Indexed as

CLEC-2fibroblast-like synoviocyte (FLS)plateletspodoplanin (PDPN)rheumatoid arthritis (RA)

Identifiers

PMID40486208
PMCPMC12145755

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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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 Socratic graph.