Evidence map›Paper›PMID 41038808›Full record

ArticleNature communications2025

Platelet activation plays a pro-inflammatory role in myasthenia gravis.

Qi Wen, Shu Zhang, Yaye Wang, Haoran Liu, Jingsi Wang, Shengyao Su, Nairong Xie, Yan Lu, Li Di, Min Xu and 17 more

Abstract read
In one paragraph

Article in Nature communications, 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. Observational
  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

27 authors.

Qi Wen *Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.ORCID http://orcid.org/0000-0002-5556-9419
Shu Zhang *Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Yaye Wang *Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Haoran Liu *Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Jingsi WangDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Shengyao SuDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Nairong XieDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Yan LuDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Li DiDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Min XuDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Min WangDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Hai ChenDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Suobin WangDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Wenjia ZhuDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Xinmei WenDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Jinming HanDepartment of Neurology, Xuanwu Hospital, National Center for Neurological Disorders, Capital Medical University, Beijing, China.
Dongshan WanDepartment of Neurology, Xuanwu Hospital, National Center for Neurological Disorders, Capital Medical University, Beijing, China.
Shufang ZhaoDepartment of Neurology, Xuanwu Hospital, National Center for Neurological Disorders, Capital Medical University, Beijing, China.
Wanting LuDepartment of Neurology, Xuanwu Hospital, National Center for Neurological Disorders, Capital Medical University, Beijing, China.
Zhen TaoInstitute of Cerebrovascular Disease Research and Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Jianying DuoDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Yue HuangDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Guoliang ChaiDepartment of Neurology, Xuanwu Hospital, National Center for Neurological Disorders, Capital Medical University, Beijing, China.
Ruisheng DuanDepartment of Neurology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, China.
Xiaoli LiDepartment of Neurology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, China. li2006xl@163.com.ORCID http://orcid.org/0000-0002-3885-7099
Junwei HaoDepartment of Neurology, Xuanwu Hospital, National Center for Neurological Disorders, Capital Medical University, Beijing, China. haojunwei@vip.163.com.ORCID http://orcid.org/0000-0002-3075-5434
Yuwei DaDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China. dayuwei100@hotmail.com.

Funding

National Natural Science Foundation of China (National Science Foundation of China) 62171299
6 · The paper itself

Abstract

Myasthenia gravis (MG) is an autoimmune disorder that disrupts neuromuscular junction function through autoantibodies. Platelets are emerging as key players in the pathogenesis of MG, bridging innate and adaptive immunity. We analyze platelet transcriptome signatures and their interactions with the immune system in AChR+ immunotherapy-naïve MG (nMG) patients using bulk and single-cell RNA sequencing on peripheral blood mononuclear cells (PBMC). nMG patients exhibit upregulation of genes related to activation, inflammation, and cytoskeletal regulation. Increased platelet count, activation, altered morphology, enhanced CD62P expression, and elevated plasma CD40L levels are observed in PBMCs, which diminish with minimal clinical status (MMS). Functionally, platelets show heightened interactions with leukocytes, forming aggregates that correlate with disease severity. These features return to baseline after intravenous immunoglobulin or prolonged immunosuppressive therapy. This study underscores platelet activation's critical role in MG and supports platelet-targeted therapy.

Indexed as

Blood PlateletsInflammationMyasthenia GravisPlatelet ActivationAdultAgedAutoantibodiesCD40 LigandFemaleHumansImmunoglobulins, IntravenousLeukocytes, MononuclearMaleMiddle AgedP-SelectinTranscriptomeAutoantibodiesCD40 LigandImmunoglobulins, IntravenousP-Selectin

Identifiers

PMID41038808
PMCPMC12491536

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.