Evidence map›Paper›PMID 32369589›Full record

ArticleThe Journal of infectious diseases2020

Impaired Cellular Immune Responses During the First Week of Severe Acute Influenza Infection.

Jackson S Turner, Tingting Lei, Aaron J Schmitz, Aaron Day, José Alberto Choreño-Parra, Luis Jiménez-Alvarez, Alfredo Cruz-Lagunas, Stacey L House, Joaquín Zúñiga, Ali H Ellebedy and 1 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.3field-weighted citation impact, top 11% 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.

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

24 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Role of Atypical MAPK p38 Signaling in the Progression of Influenza A-Induced Acute Lung Injury.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
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  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Comparing the Cytokine Storms of COVID-19 and Pandemic Influenza.Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research · 2022
    Article
  16. Observational
  17. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 2 countries.

Jackson S TurnerDepartment of Pathology and Immunology, Washington University School of Medicine in St Louis, St Louis, Missouri, USA.
Tingting LeiDepartment of Pathology and Immunology, Washington University School of Medicine in St Louis, St Louis, Missouri, USA.
Aaron J SchmitzDepartment of Pathology and Immunology, Washington University School of Medicine in St Louis, St Louis, Missouri, USA.
Aaron DayDepartment of Emergency Medicine, Washington University School of Medicine in St Louis, St Louis, Missouri, USA.
José Alberto Choreño-ParraInstituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Mexico City, Mexico.
Luis Jiménez-AlvarezInstituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Mexico City, Mexico.
Alfredo Cruz-LagunasInstituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Mexico City, Mexico.
Stacey L HouseDepartment of Emergency Medicine, Washington University School of Medicine in St Louis, St Louis, Missouri, USA.
Joaquín ZúñigaInstituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Mexico City, Mexico.
Ali H EllebedyDepartment of Pathology and Immunology, Washington University School of Medicine in St Louis, St Louis, Missouri, USA.
Philip A MuddDepartment of Emergency Medicine, Washington University School of Medicine in St Louis, St Louis, Missouri, USA.
Washington University in St. Louis · USInstituto Nacional de Enfermedades Respiratorias · MX

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
NCATS NIH HHS UL1 TR002345
6 · The paper itself

Abstract

backgroundCellular immune responses are not well characterized during the initial days of acute symptomatic influenza infection.

methodsWe developed a prospective cohort of human subjects with confirmed influenza illness of varying severity who presented within a week after symptom onset. We characterized lymphocyte and monocyte populations as well as antigen-specific CD8+ T-cell and B-cell responses from peripheral blood mononuclear cells using flow cytometry and enzyme-linked immunospot assays.

resultsWe recruited 68 influenza-infected individuals on average 3.5 days after the onset of symptoms. Three patients required mechanical ventilation. Influenza-specific CD8+ T-cell responses expanded before the appearance of plasmablast B cells. However, the influenza-specific CD8+ T-cell response was lower in infected subjects than responses seen in uninfected control subjects. Circulating populations of inflammatory monocytes were increased in most subjects compared with healthy controls. Inflammatory monocytes were significantly reduced in the 3 subjects requiring mechanical ventilation. Inflammatory monocytes were also reduced in a separate validation cohort of mechanically ventilated patients.

conclusionsAntigen-specific CD8+ T cells respond early during acute influenza infection at magnitudes that are lower than responses seen in uninfected individuals. Circulating inflammatory monocytes increase during acute illness and low absolute numbers are associated with very severe disease.

Indexed as

Immunity, CellularAdultAgedCD8-Positive T-LymphocytesFemaleHumansInfluenza, HumanLeukocyte CountLymphocyte CountLymphocytesMaleMiddle AgedMonocytesProspective StudiesRespiration, ArtificialSeverity of Illness IndexB cellCD8+ T cellcellular immunityillness severityInfluenzamonocyte

Identifiers

PMID32369589
PMCPMC7768688
OpenAlexW3022799288

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.