Evidence map›Paper›PMID 32467561›Full record

ReviewSignal transduction and targeted therapy2020

Immune response in COVID-19: addressing a pharmacological challenge by targeting pathways triggered by SARS-CoV-2.

Michele Catanzaro, Francesca Fagiani, Marco Racchi, Emanuela Corsini, Stefano Govoni, Cristina Lanni

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Signal transduction and targeted therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04724720 (A Randomized, Double-Blind, Comparative Trial of the Safety and Efficacy of Famotidine vs Placebo for the Treatment of Non-Hospitalized Symptomatic Adults With COVID-19), which is not on this map. Cited by 367 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
367citing papers in PubMed, 2 pooled it
14.1field-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.

NCT04724720 phase2completednot on this mapstarted 2021, after this paper: background citation

A Randomized, Double-Blind, Comparative Trial of the Safety and Efficacy of Famotidine vs Placebo for the Treatment of Non-Hospitalized Symptomatic Adults With COVID-19

TypeinterventionalSponsorNorthwell HealthRan2021 to 2022Enrolled56ConditionsCovid-19ArmsFamotidine, Placebo
3 · Its place in the literature

Who cites it

367 citing papers in PubMed, 2 syntheses or guidelines pooled it, 623 citations in OpenAlex.

  1. Pooled it
  2. SARS-CoV-2-neutralising monoclonal antibodies for treatment of COVID-19.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. InflawellInflammopharmacology · 2022
    Trial
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  7. Review
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  19. Deep insight into cytokine storm: from pathogenesis to treatment.Signal transduction and targeted therapy · 2025
    Review
  20. Review

307 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

6 authors at 2 institutions in 1 country.

Michele Catanzaro *Department of Drug Sciences (Pharmacology Section), University of Pavia, V.le Taramelli 14, 27100, Pavia, Italy.
Francesca Fagiani *Department of Drug Sciences (Pharmacology Section), University of Pavia, V.le Taramelli 14, 27100, Pavia, Italy.
Marco RacchiDepartment of Drug Sciences (Pharmacology Section), University of Pavia, V.le Taramelli 14, 27100, Pavia, Italy.
Emanuela CorsiniLaboratory of Toxicology, Department of Environmental and Political Sciences, Università Degli Studi di Milano, Via Balzaretti 9, 20133, Milano, Italy.
Stefano GovoniDepartment of Drug Sciences (Pharmacology Section), University of Pavia, V.le Taramelli 14, 27100, Pavia, Italy.ORCID http://orcid.org/0000-0002-7243-6837
Cristina LanniDepartment of Drug Sciences (Pharmacology Section), University of Pavia, V.le Taramelli 14, 27100, Pavia, Italy. cristina.lanni@unipv.it.ORCID http://orcid.org/0000-0002-3061-4738
University of Pavia · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To date, no vaccines or effective drugs have been approved to prevent or treat COVID-19 and the current standard care relies on supportive treatments. Therefore, based on the fast and global spread of the virus, urgent investigations are warranted in order to develop preventive and therapeutic drugs. In this regard, treatments addressing the immunopathology of SARS-CoV-2 infection have become a major focus. Notably, while a rapid and well-coordinated immune response represents the first line of defense against viral infection, excessive inflammatory innate response and impaired adaptive host immune defense may lead to tissue damage both at the site of virus entry and at systemic level. Several studies highlight relevant changes occurring both in innate and adaptive immune system in COVID-19 patients. In particular, the massive cytokine and chemokine release, the so-called "cytokine storm", clearly reflects a widespread uncontrolled dysregulation of the host immune defense. Although the prospective of counteracting cytokine storm is compelling, a major limitation relies on the limited understanding of the immune signaling pathways triggered by SARS-CoV-2 infection. The identification of signaling pathways altered during viral infections may help to unravel the most relevant molecular cascades implicated in biological processes mediating viral infections and to unveil key molecular players that may be targeted. Thus, given the key role of the immune system in COVID-19, a deeper understanding of the mechanism behind the immune dysregulation might give us clues for the clinical management of the severe cases and for preventing the transition from mild to severe stages.

Indexed as

PandemicsAdaptive ImmunityAngiotensin-Converting Enzyme 2Antiviral AgentsBetacoronavirusCoronavirus InfectionsCOVID-19CytokinesDisease ProgressionGastrointestinal MicrobiomeGene Expression RegulationHost-Pathogen InteractionsHumansImmunity, InnateMolecular Targeted TherapyPeptidyl-Dipeptidase AACE2 protein, humanAngiotensin-Converting Enzyme 2Antiviral AgentsCytokinesPeptidyl-Dipeptidase ASpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2Toll-Like Receptors

Identifiers

PMID32467561
PMCPMC7255975
OpenAlexW3028659908

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.