Evidence map›Paper›PMID 32537960›Full record

ReviewInfection & chemotherapy2020

A Pathophysiological Perspective on COVID-19's Lethal Complication: From Viremia to Hypersensitivity Pneumonitis-like Immune Dysregulation.

Marcos A Sanchez-Gonzalez, Dave Moskowitz, Priya D Issuree, George Yatzkan, Syed A A Rizvi, Kenneth Day

Open access · goldAbstract readReview
In one paragraph

Review in Infection & chemotherapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.0field-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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. 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

6 authors at 3 institutions in 1 country.

Marcos A Sanchez-GonzalezDivision of Clinical & Translational Research, Larkin Health System, South Miami, Florida, USA. masanchez@larkinhospital.com.ORCID https://orcid.org/0000-0002-7585-708X
Dave MoskowitzGenoMed, Leesburg, Florida, USA.ORCID https://orcid.org/0000-0002-8891-7539
Priya D IssureeInflammation Program, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.ORCID https://orcid.org/0000-0002-8886-6436
George YatzkanIntensive & Critical Care Unit, Larkin Health System, South Miami, FL, USA.ORCID https://orcid.org/0000-0003-3911-9060
Syed A A RizviDivision of Clinical & Translational Research, Larkin Health System, South Miami, Florida, USA.ORCID https://orcid.org/0000-0002-2385-5672
Kenneth DayZymo Research Corporation, Irvine, California, USA.ORCID https://orcid.org/0000-0001-8235-8302
Larkin University · USGenomeDesigns Lab (United States) · USUniversity of Iowa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the coronavirus responsible for our recent coronavirus disease 2019 pandemic, is driving a lung immunopathology that strongly resembles a severe form of hypersensitivity pneumonitis (HP). A review of recent Severe acute respiratory syndrome-related coronavirus (SARS-CoV) and SARS-CoV-2 medical reports, as well as described characteristics of HP, lead us to postulate a theory for SARS-CoV-2 severe disease. We propose that the novel SARS-CoV-2 can act as a trigger and substrate of an HP-like severe immune reaction especially in genetically vulnerable individuals in addition to those with immune senescence and dysregulation. Accordingly, the purpose of our letter is to shift the emphasis of concern surrounding immune activity from viral infection to an HP-like severe immune reaction. We review similarities in disease presentation between infection and allergy, relevant immunopathology, and outline phases of SARS-CoV-2 disease with perspectives on therapy and critical care. Altogether, the favored course is to begin treatments that address the disease at the earliest phase before immune dysregulation leading to uncontrolled pulmonary inflammation.

Indexed as

Coronavirus disease 2019Genetic SusceptibilityHypersensitivity pneumonitisImmune DysregulationSevere acute respiratory syndrome coronavirus 2

Identifiers

PMID32537960
PMCPMC7533209
OpenAlexW3035200934

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.