Evidence map›Paper›PMID 26867177›Full record

ArticleCell host & microbe2016

Dysregulated Type I Interferon and Inflammatory Monocyte-Macrophage Responses Cause Lethal Pneumonia in SARS-CoV-Infected Mice.

Rudragouda Channappanavar, Anthony R Fehr, Rahul Vijay, Matthias Mack, Jincun Zhao, David K Meyerholz, Stanley Perlman

3 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Cell host & microbe, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 1,006 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,006citing papers in PubMed, 2 pooled it
14.5field-weighted citation impact, top 1% of its field
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.

NCT04492228 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Randomized Open Controlled Clinical Trial to Evaluate the Effectiveness of a Eucaloric Ketogenic Nutrition in Comparison With a Standard Nutrition in Covid-19 Disease in Reducing Cytokine Storm Syndrome and ARDS

TypeinterventionalSponsorOspedale Policlinico San MartinoRan2020 to 2021Enrolled100ConditionsCovid19, Ketogenic DietingArmsKetogenic diet
NCT04514627 nacompletednot on this mapstarted 2020, after this paper: background citation

Neuromodulation With Percutaneous Electrical Nerve Field Stimulation for Adults With COVID-19

TypeinterventionalSponsorOlive View-UCLA Education & Research InstituteRan2020 to 2022Enrolled55ConditionsCOVID-19ArmsAuricular percutaneous neurostimulation
NCT04517162 phase1 / phase2unknown statusnot on this mapstarted 2020, after this paper: background citation

Effect of Collagen-Polyvinylpyrrolidone for the Treatment of Hyperinflammation and the Pulmonary Fibrosis in COVID-19 Patients. Double Blind Placebo-controlled Pilot Trial

TypeinterventionalSponsorJanette Furuzawa CarballedaRan2020 to 2021Enrolled90ConditionsCovid19, Cytokine Storm, Regulation of Inflammatory Response, Pulmonary FibrosisArmsCollagen-Polyvinylpyrrolidone
3 · Its place in the literature

Who cites it

1,006 citing papers in PubMed, 2 syntheses or guidelines pooled it, 1,493 citations in OpenAlex.

  1. Pooled it
  2. Gut distress and interventionFrontiers in public health · 2023
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946 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 3 countries.

Rudragouda ChannappanavarDepartment of Microbiology, University of Iowa, Iowa City, IA 52242, USA.
Anthony R FehrDepartment of Microbiology, University of Iowa, Iowa City, IA 52242, USA.
Rahul VijayInterdisciplinary Program in Immunology, University of Iowa, Iowa City, IA 52242, USA.
Matthias MackDepartment of Internal Medicine, University Hospital Regensburg, Regensburg 93042, Germany.
Jincun ZhaoDepartment of Microbiology, University of Iowa, Iowa City, IA 52242, USA; State Key Laboratory of Respiratory Diseases, Guangzhou Institute of Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
David K MeyerholzDepartment of Pathology, University of Iowa, Iowa City, IA 52242, USA.
Stanley PerlmanDepartment of Microbiology, University of Iowa, Iowa City, IA 52242, USA; Interdisciplinary Program in Immunology, University of Iowa, Iowa City, IA 52242, USA. Electronic address: stanley-perlman@uiowa.edu.
University of Iowa · USFirst Affiliated Hospital of Guangzhou Medical University · CNUniversity Hospital Regensburg · DE

Funding

SARS-CoV Proteins in Heterologous Viral InfectionP01AI060699 · NIAID · UNIVERSITY OF IOWA · PI PERLMAN, STANLEY · 2004 to 2021
$21.5M
Role of anti-SARS-CoV T cell response in pathogenesisR01AI091322 · NIAID · UNIVERSITY OF IOWA · PI PERLMAN, STANLEY · 2011 to 2015
$1.9M
NIAID NIH HHS P01 AI060699NIAID NIH HHS R01 AI091322
6 · The paper itself

Abstract

Highly pathogenic human respiratory coronaviruses cause acute lethal disease characterized by exuberant inflammatory responses and lung damage. However, the factors leading to lung pathology are not well understood. Using mice infected with SARS (severe acute respiratory syndrome)-CoV, we show that robust virus replication accompanied by delayed type I interferon (IFN-I) signaling orchestrates inflammatory responses and lung immunopathology with diminished survival. IFN-I remains detectable until after virus titers peak, but early IFN-I administration ameliorates immunopathology. This delayed IFN-I signaling promotes the accumulation of pathogenic inflammatory monocyte-macrophages (IMMs), resulting in elevated lung cytokine/chemokine levels, vascular leakage, and impaired virus-specific T cell responses. Genetic ablation of the IFN-αβ receptor (IFNAR) or IMM depletion protects mice from lethal infection, without affecting viral load. These results demonstrate that IFN-I and IMM promote lethal SARS-CoV infection and identify IFN-I and IMMs as potential therapeutic targets in patients infected with pathogenic coronavirus and perhaps other respiratory viruses.

Indexed as

AnimalsFemaleHumansInterferon Type IMacrophagesMiceMice, Inbred BALB CMonocytesPneumoniaSevere Acute Respiratory SyndromeSevere acute respiratory syndrome-related coronavirusInterferon Type I

Identifiers

PMID26867177
PMCPMC4752723
OpenAlexW2267315119

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.