Evidence map›Paper›PMID 32291137›Full record

ReviewJournal of autoimmunity2020

Can we use interleukin-6 (IL-6) blockade for coronavirus disease 2019 (COVID-19)-induced cytokine release syndrome (CRS)?

Bingwen Liu, Min Li, Zhiguang Zhou, Xuan Guan, Yufei Xiang

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

Review in Journal of autoimmunity, 2020. 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 438 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
438citing papers in PubMed, 3 pooled it
63.9field-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 map

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
NCT04560205 phase1unknown statusnot on this map

Tocilizumab: A Therapeutic Cache Against the Treatment of Severe Cases of COVID-19

TypeinterventionalSponsorLahore General HospitalRan2020 to 2020Enrolled50ConditionsSARS-CoV InfectionArmsTocilizumab
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

438 citing papers in PubMed, 3 syntheses or guidelines pooled it, 776 citations in OpenAlex.

  1. Pooled it
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  5. Investigating the Short-Term Changes of the Electrocardiogram Indicators During Hospitalization in Patients With COVID-19 Following the Use of Tocilizumab.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2026
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  16. From Lab to Clinic: Success Stories of Repurposed Drugs in Treating Major Diseases.Advances in pharmacological and pharmaceutical sciences · 2025
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378 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 2 countries.

Bingwen LiuDepartment of Metabolism and Endocrinology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China; National Clinical Research Center for Metabolic Diseases, Key Laboratory of Diabetes Immunology, Ministry of Education, Changsha, Hunan, China.
Min LiDepartment of Respiratory Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China; Xiangya Lung Cancer Center, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Zhiguang ZhouDepartment of Metabolism and Endocrinology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China; National Clinical Research Center for Metabolic Diseases, Key Laboratory of Diabetes Immunology, Ministry of Education, Changsha, Hunan, China.
Xuan GuanDepartment of Internal Medicine, AdventHealth Orlando, Orlando, Florida, USA. Electronic address: xuan.guan.md@adventhealth.com.
Yufei XiangDepartment of Metabolism and Endocrinology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China; National Clinical Research Center for Metabolic Diseases, Key Laboratory of Diabetes Immunology, Ministry of Education, Changsha, Hunan, China. Electronic address: yufei.xiang@csu.edu.cn.
Central South University · CNAdventHealth Orlando · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The emergent outbreak of coronavirus disease 2019 (COVID-19) has caused a global pandemic. Acute respiratory distress syndrome (ARDS) and multiorgan dysfunction are among the leading causes of death in critically ill patients with COVID-19. The elevated inflammatory cytokines suggest that a cytokine storm, also known as cytokine release syndrome (CRS), may play a major role in the pathology of COVID-19. However, the efficacy of corticosteroids, commonly utilized antiinflammatory agents, to treat COVID-19-induced CRS is controversial. There is an urgent need for novel therapies to treat COVID-19-induced CRS. Here, we discuss the pathogenesis of severe acute respiratory syndrome (SARS)-induced CRS, compare the CRS in COVID-19 with that in SARS and Middle East respiratory syndrome (MERS), and summarize the existing therapies for CRS. We propose to utilize interleukin-6 (IL-6) blockade to manage COVID-19-induced CRS and discuss several factors that should be taken into consideration for its clinical application.

Indexed as

Interleukin-6 InhibitorsAntibodies, Monoclonal, HumanizedAnti-Inflammatory AgentsBetacoronavirusCoronavirus InfectionsCOVID-19Cytokine Release SyndromeHumansImmunomodulationInterleukin-6PandemicsPneumonia, ViralSARS-CoV-2Severe Acute Respiratory SyndromeAntibodies, Monoclonal, HumanizedAnti-Inflammatory AgentsIL6 protein, humanInterleukin-6Interleukin-6 InhibitorstocilizumabCoronavirus disease 2019Cytokine release syndromeInterleukin-6Tocilizumab

Identifiers

PMID32291137
PMCPMC7151347
OpenAlexW3016263512

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.