Evidence map›Paper›PMID 32410266›Full record

SynthesisJournal of medical virology2020

Immunoregulation with mTOR inhibitors to prevent COVID-19 severity: A novel intervention strategy beyond vaccines and specific antiviral medicines.

Yunfeng Zheng, Renfeng Li, Shunai Liu

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Journal of medical virology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 7% 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

59 citing papers in PubMed, 1 synthesis or guideline pooled it, 113 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Fenofibrate for COVID-19 and related complications as an approach to improve treatment outcomes: the missed key for Holy Grail.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2022
    Review
  11. Review
  12. Review
  13. Article
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  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Diabetes and COVID-19: The potential role of mTOR.Diabetes research and clinical practice · 2022
    Review
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

3 authors at 3 institutions in 2 countries.

Yunfeng ZhengBeijing Aldans Biotech Company, Beijing, China.
Renfeng LiDepartment of Oral and Craniofacial Molecular Biology, School of Dentistry, Philips Institute for Oral Health Research, Virginia Commonwealth University, Richmond, Virginia.ORCID http://orcid.org/0000-0002-9226-4470
Shunai LiuBeijing Key Laboratory of Emerging Infectious Diseases, Beijing Ditan Hospital, Institute of Infectious Diseases, Capital Medical University, Beijing, China.
Capital Medical University · CNSinovac Biotech · CNVirginia Commonwealth University · US

Funding

The Role of PIAS1 in EBV BiologyR01AI141410 · NIAID · VIRGINIA COMMONWEALTH UNIVERSITY · PI LI, RENFENG · 2019 to 2023
$1.9M
NIAID NIH HHS R01 AI141410
6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19) has become a major global public health concern. The mortality rate for critically ill patients is up to 60%, and, thus, reducing the disease severity and case mortality is a top priority. Currently, cytokine storms are considered as the major cause of critical illness and death due to COVID-19. After a systematical review of the literature, we propose that cross-reactive antibodies associated with antibody-dependent enhancement (ADE) may actually be the cause of cytokine storms. It would be more difficult to develop vaccines for highly pathogenic human coronaviruses (CoVs) if ADE characteristics are taken into consideration. Therefore, it is urgent to find an effective way to prevent the occurrence of severe illness as severe acute respiratory syndrome CoV-2 specific drugs or vaccines are still in development. If the activation of memory B cells can be selectively inhibited in high-risk patients at an early stage of COVID-19 to reduce the production of cross-reactive antibodies against the virus, we speculate that ADE can be circumvented and severe symptoms can be prevented. The mammalian target of rapamycin (mTOR) inhibitors satisfy such needs and it is recommended to conduct clinical trials for mTOR inhibitors in preventing the severity of COVID-19.

Indexed as

Antibody-Dependent EnhancementCOVID-19 Drug TreatmentImmunomodulationAntibodies, ViralB-LymphocytesCross ReactionsCytokine Release SyndromeHumansTOR Serine-Threonine KinasesAntibodies, ViralMTOR protein, humanTOR Serine-Threonine KinasesADEantibody-dependent enhancementcoronaviruscross-reactive antibodycytokine stormimmunitymTOR inhibitorsrapamycin

Identifiers

PMID32410266
PMCPMC7272823
OpenAlexW3025969587

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.