Evidence map›Paper›PMID 29414327›Full record

ArticleCytokine2018

MERS-CoV infection in humans is associated with a pro-inflammatory Th1 and Th17 cytokine profile.

Waleed H Mahallawi, Omar F Khabour, Qibo Zhang, Hatim M Makhdoum, Bandar A Suliman

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

Article in Cytokine, 2018. 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 377 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
377citing papers in PubMed, 6 pooled it
61.4field-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.

NCT04397510 phase4terminatednot on this mapstarted 2020, after this paper: background citation

Nebulized Heparin vs. Placebo for the Treatment of COVID-19 Induced Lung Injury

TypeinterventionalSponsorFrederick HealthRan2020 to 2021Enrolled13ConditionsCovid-19, ARDS, Human, Acute Lung InjuryArmsHeparin, 0.9% Sodium-chloride
NCT04530617 phase2terminatednot on this mapstarted 2020, after this paper: background citation

Randomized, Double-blind, Placebo-controlled, Multicenter, Multi-arm, Phase II Trial of Novel Agents for the Treatment of Mild to Moderate COVID-19 Positive Outpatients

TypeinterventionalSponsorInstituto Nacional de Ciencias Medicas y Nutricion Salvador ZubiranRan2020 to 2021Enrolled246ConditionsCovid19, Diabetes, Hypertension, ObesityArmsCamostat Mesilate, Artemisia Annua Leaf
NCT04723563 phase4completednot on this mapstarted 2021, after this paper: background citation

INHALEd Unfractionated HEParin for the Treatment of Hospitalized Patients With COVID-19 Pneumonia

TypeinterventionalSponsorFrederick HealthRan2021 to 2021Enrolled50ConditionsCovid19, Pneumonia, ViralArmsHeparin, 0.9%sodium chloride
3 · Its place in the literature

Who cites it

377 citing papers in PubMed, 6 syntheses or guidelines pooled it, 588 citations in OpenAlex.

  1. Pooled it
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  4. COVID-19 and Cardiomyopathy: A Systematic Review.Frontiers in cardiovascular medicine · 2021
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  16. Deep insight into cytokine storm: from pathogenesis to treatment.Signal transduction and targeted therapy · 2025
    Review
  17. Anti-interferon armamentarium of human coronaviruses.Cellular and molecular life sciences : CMLS · 2025
    Review
  18. Article
  19. Review
  20. Article

317 more citing papers are in PubMed but not listed here.

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

5 authors at 2 institutions in 3 countries.

Waleed H MahallawiDepartment of Clinical Laboratory Sciences, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia.
Omar F KhabourDepartment of Clinical Laboratory Sciences, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia; Department of Medical Laboratory Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan. Electronic address: ofkhabour@taibahu.edu.sa.
Qibo ZhangDepartment of Clinical Infection, Microbiology and Immunology, Institute of Infection and Global Health, University of Liverpool, United Kingdom.
Hatim M MakhdoumDepartment of Clinical Laboratory Sciences, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia.
Bandar A SulimanDepartment of Clinical Laboratory Sciences, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia; Molecular Biomedicine Program, Research Center, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
Taibah University · SAUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Middle East respiratory syndrome coronavirus (MERS-CoV) has been recognized as a highly pathogenic virus to humans that infects the respiratory tract and is associated with high morbidity and mortality. Studies in animal models suggest that MERS-CoV infection induces a strong inflammatory response, which may be related to the severity of disease. Data showing the cytokine profiles in humans during the acute phase of MERS-CoV infection are limited. In this study, we have analyzed the profile of cytokine responses in plasma samples from patients with confirmed MERS-CoV infections (n = 7) compared to healthy controls (n = 13). The cytokine profiles, including T helper (Th) 1, Th2 and Th17 responses, were analyzed using cytometric bead array (CBA). A prominent pro-inflammatory Th1 and Th17 response was clearly seen in patients with MERS-CoV infection, with markedly increased concentrations of IFN-γ, TNF-α, IL-15 and IL-17 compared to controls. IL-12 expression levels showed no difference between patients with MERS-CoV infection and the healthy controls despite the significantly increased levels of IFN-α2 and IFN-γ (P < .01). No changes were observed in the levels of IL-2, IL-4, IL-5, IL-13, and TGF-α (P > .05). Our results demonstrate a marked pro-inflammatory cytokine response during the acute phase of MERS-CoV infection in humans.

Indexed as

AdultCoronavirus InfectionsCytokinesHumansInterferonsMaleMiddle AgedMiddle East Respiratory Syndrome CoronavirusProtein Structure, SecondaryTh17 CellsTh1 CellsYoung AdultCytokinesInterferonsCytokinesHumansInterferonsMERS-CoV

Identifiers

PMID29414327
PMCPMC7129230
OpenAlexW2790127336

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.