Go to JCI Insight
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Advertising
  • Job board
  • Contact
  • Clinical Research and Public Health
  • Current issue
  • Past issues
  • By specialty
    • COVID-19
    • Cardiology
    • Gastroenterology
    • Immunology
    • Metabolism
    • Nephrology
    • Neuroscience
    • Oncology
    • Pulmonology
    • Vascular biology
    • All ...
  • Videos
    • Conversations with Giants in Medicine
    • Video Abstracts
  • Reviews
    • View all reviews ...
    • Pancreatic Cancer (Jul 2025)
    • Complement Biology and Therapeutics (May 2025)
    • Evolving insights into MASLD and MASH pathogenesis and treatment (Apr 2025)
    • Microbiome in Health and Disease (Feb 2025)
    • Substance Use Disorders (Oct 2024)
    • Clonal Hematopoiesis (Oct 2024)
    • Sex Differences in Medicine (Sep 2024)
    • View all review series ...
  • Viewpoint
  • Collections
    • In-Press Preview
    • Clinical Research and Public Health
    • Research Letters
    • Letters to the Editor
    • Editorials
    • Commentaries
    • Editor's notes
    • Reviews
    • Viewpoints
    • 100th anniversary
    • Top read articles

  • Current issue
  • Past issues
  • Specialties
  • Reviews
  • Review series
  • Conversations with Giants in Medicine
  • Video Abstracts
  • In-Press Preview
  • Clinical Research and Public Health
  • Research Letters
  • Letters to the Editor
  • Editorials
  • Commentaries
  • Editor's notes
  • Reviews
  • Viewpoints
  • 100th anniversary
  • Top read articles
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Advertising
  • Job board
  • Contact
Top
  • View PDF
  • Download citation information
  • Send a comment
  • Terms of use
  • Standard abbreviations
  • Need help? Email the journal
  • Top
  • Abstract
  • Supplemental material
  • Version history
  • Article usage
  • Citations to this article

Advertisement

ResearchIn-Press PreviewHematologyMetabolism Open Access | 10.1172/JCI186065

TNFα impairs platelet function by inhibiting autophagy and disrupting metabolism via Syntaxin-17 downregulation

Guadalupe Rojas-Sanchez,1 Jorge Calzada-Martinez,1 Brandon McMahon,2 Aaron C. Petrey,3 Gabriela Dveksler,4 Gerardo P. Espino-Solis,5 Orlando Esparza,6 Giovanny Hernandez,6 Dennis Le,6 Eric P. Wartchow,7 Ken Jones,8 Lucas H. Ting,9 Catherine Jankowski,10 Marguerite R. Kelher,11 Marilyn Manco-Johnson,12 Marie L. Feser,13 Kevin D. Deane,13 Travis Nemkov,14 Angelo D'Alessandro,14 Andrew Thorburn,15 Paola Maycotte,16 José A. López,1 and Pavel Davizon-Castillo1

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by Rojas-Sanchez, G. in: PubMed | Google Scholar

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by Calzada-Martinez, J. in: PubMed | Google Scholar

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by McMahon, B. in: PubMed | Google Scholar

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by Petrey, A. in: PubMed | Google Scholar |

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by Dveksler, G. in: PubMed | Google Scholar

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by Espino-Solis, G. in: PubMed | Google Scholar

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by Esparza, O. in: PubMed | Google Scholar

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by Hernandez, G. in: PubMed | Google Scholar |

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by Le, D. in: PubMed | Google Scholar

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by Wartchow, E. in: PubMed | Google Scholar

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by Jones, K. in: PubMed | Google Scholar

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by Ting, L. in: PubMed | Google Scholar

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by Jankowski, C. in: PubMed | Google Scholar

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by Kelher, M. in: PubMed | Google Scholar

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by Manco-Johnson, M. in: PubMed | Google Scholar

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by Feser, M. in: PubMed | Google Scholar

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by Deane, K. in: PubMed | Google Scholar

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by Nemkov, T. in: PubMed | Google Scholar

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by D'Alessandro, A. in: PubMed | Google Scholar |

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by Thorburn, A. in: PubMed | Google Scholar

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by Maycotte, P. in: PubMed | Google Scholar

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by López, J. in: PubMed | Google Scholar

1Research, Bloodworks Research Institute, Seattle, United States of America

2Division of Hematology, Department of Medicine, University of Colorado School of Medicine, Aurora, United States of America

3Department of Pathology, Division of Microbiology and Immunology, University of Utah, Salt Lake City, United States of America

4Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, United States of America

5Laboratorio Nacional de Citometría de Flujo, Facultad de Medicina y Ciencia, Universidad Autónoma de Chihuahua, Chihuahua, Mexico

6Department of Pediatrics Hematology/Oncology and Bone Marrow Transplantatio, University of Colorado Anschutz Medical Campus, Aurora, United States of America

7Electron Microscopy Laboratory, Children's Hospital Colorado, Aurora, United States of America

8Bioinformatics Solutions, LLC, Sheridan, United States of America

9Stasys Medical, Seattle, United States of America

10University of Colorado College of Nursing, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

11Department of Surgery, University of Colorado School of Medicine, University of Colorado- Anschutz Medical Campus, Aurora, United States of America

12Department of Pediatrics, Hemophilia and Thrombosis Center, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

13Division of Rheumatology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

14Biochemistry and Molecular Genetics Department, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

15Department of Pharmacology, University of Colorado-Anschutz Medical Campus, Aurora, United States of America

16Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico

Find articles by Davizon-Castillo, P. in: PubMed | Google Scholar

Published June 10, 2025 - More info

J Clin Invest. https://doi.org/10.1172/JCI186065.
Copyright © 2025, Rojas-Sanchez et al. This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Published June 10, 2025 - Version history
View PDF
Abstract

Platelets play a dual role in hemostasis and inflammation-associated thrombosis and hemorrhage. While the mechanisms linking inflammation to platelet dysfunction remain poorly understood, our previous work demonstrated that TNFα alters mitochondrial mass, platelet activation, and autophagy-related pathways in megakaryocytes. Here, we hypothesized that TNFα impairs platelet function by disrupting autophagy, a process critical for mitochondrial health and cellular metabolism. Using human and murine models of TNFα-driven diseases, including myeloproliferative neoplasms and rheumatoid arthritis, we found that TNFα downregulates STX17, a key mediator of autophagosome–lysosome fusion. This disruption inhibited autophagy, leading to the accumulation of dysfunctional mitochondria and reduced mitochondrial respiration. These metabolic alterations compromised platelet-driven clot contraction, a process linked to thrombotic and hemorrhagic complications. Our findings reveal a mechanism by which TNFα disrupts hemostasis through autophagy inhibition, highlighting TNFα as a critical regulator of platelet metabolism and function. This study provides new insights into inflammation-associated pathologies and suggests autophagy-targeting strategies as potential therapeutic avenues to restore hemostatic balance.

Graphical Abstract
graphical abstract
Supplemental material

View Supplemental Video 1 HC

View Supplemental Video 2 MPN

View Unedited blot and gel images

View

Version history
  • Version 1 (June 10, 2025): In-Press Preview

Article tools

  • View PDF
  • Download citation information
  • Send a comment
  • Terms of use
  • Standard abbreviations
  • Need help? Email the journal

Metrics

  • Article usage
  • Citations to this article

Go to

  • Top
  • Abstract
  • Supplemental material
  • Version history
Advertisement
Advertisement

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

Sign up for email alerts