Evidence map›Paper›PMID 32397174›Full record

ReviewInternational journal of molecular sciences2020

Cytokine Release Syndrome in COVID-19 Patients, A New Scenario for an Old Concern: The Fragile Balance between Infections and Autoimmunity.

Andrea Picchianti Diamanti, Maria Manuela Rosado, Claudio Pioli, Giorgio Sesti, Bruno Laganà

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 2 pooled it
24.9field-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.

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

75 citing papers in PubMed, 2 syntheses or guidelines pooled it, 135 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. MEFV gene variations in COVID-19 pneumonia patients (Pilot study).Journal, genetic engineering & biotechnology · 2025
    Article
  7. Review
  8. Article
  9. Role of epinephrine in attenuating cytokine storm, decreasing ferritin, and inhibiting ferroptosis in SARS-CoV-2.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2024
    Article
  10. Article
  11. Review
  12. Thyroid hormones and platelet activation in COVID-19 patients.Journal of endocrinological investigation · 2023
    Article
  13. Article
  14. Interleukin 6: A biomarker for COVID-19 progression.Materials today. Proceedings · 2023
    Article
  15. Review
  16. Article
  17. Spotlights on the latest opinions on identification, prevention, and management of newer CoV-2 variants: A roundup appraisal on innovative ideas and designer vaccines for Omicron.Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis · 2022
    Review
  18. Article
  19. Review
  20. Article

15 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 3 institutions in 1 country.

Andrea Picchianti DiamantiDepartment of Clinical and Molecular Medicine, Sant'Andrea University Hospital, Sapienza University of Rome, 00182 Rome, Italy.ORCID 0000-0002-8552-4641
Maria Manuela RosadoResearch Consultant in Immunology, 00100 Rome, Italy.
Claudio PioliLaboratory of Biomedical Technologies, Division of Health Protection Technologies, Ente per le Nuove Tecnologie, L'energia e l'Ambiente (ENEA), 00196 Rome, Italy.ORCID 0000-0002-1360-2727
Giorgio SestiDepartment of Clinical and Molecular Medicine, Sant'Andrea University Hospital, Sapienza University of Rome, 00182 Rome, Italy.ORCID 0000-0002-1618-7688
Bruno LaganàDepartment of Clinical and Molecular Medicine, Sant'Andrea University Hospital, Sapienza University of Rome, 00182 Rome, Italy.ORCID 0000-0003-2305-4063
Azienda Ospedaliera Sant'Andrea · ITIntelligence for Environment and Security (Italy) · ITNational Agency for New Technologies, Energy and Sustainable Economic Development · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

On 7 January 2020, researchers isolated and sequenced in China from patients with severe pneumonitis a novel coronavirus, then called SARS-CoV-2, which rapidly spread worldwide, becoming a global health emergency. Typical manifestations consist of flu-like symptoms such as fever, cough, fatigue, and dyspnea. However, in about 20% of patients, the infection progresses to severe interstitial pneumonia and can induce an uncontrolled host-immune response, leading to a life-threatening condition called cytokine release syndrome (CRS). CRS represents an emergency scenario of a frequent challenge, which is the complex and interwoven link between infections and autoimmunity. Indeed, treatment of CRS involves the use of both antivirals to control the underlying infection and immunosuppressive agents to dampen the aberrant pro-inflammatory response of the host. Several trials, evaluating the safety and effectiveness of immunosuppressants commonly used in rheumatic diseases, are ongoing in patients with COVID-19 and CRS, some of which are achieving promising results. However, such a use should follow a multidisciplinary approach, be accompanied by close monitoring, be tailored to patient's clinical and serological features, and be initiated at the right time to reach the best results. Autoimmune patients receiving immunosuppressants could be prone to SARS-CoV-2 infections; however, suspension of the ongoing therapy is contraindicated to avoid disease flares and a consequent increase in the infection risk.

Indexed as

Antiviral AgentsAutoimmune DiseasesBetacoronavirusClinical Trials as TopicCoronavirus InfectionsCOVID-19Cytokine Release SyndromeHumansImmunosuppressive AgentsPandemicsPneumonia, ViralSARS-CoV-2Antiviral AgentsImmunosuppressive AgentsautoimmunitybaricitinibCOVID-19cytokine release syndromehydroxychloroquineimmunomodulationrheumatoid arthritisSARS-CoV-2tocilizumab

Identifiers

PMID32397174
PMCPMC7247555
OpenAlexW3021863366

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.