Evidence map›Paper›PMID 32865757›Full record

ReviewAging clinical and experimental research2020

Cytokine storm in aged people with CoV-2: possible role of vitamins as therapy or preventive strategy.

Sirio Fiorino, Claudio Gallo, Maddalena Zippi, Sergio Sabbatani, Roberto Manfredi, Renzo Moretti, Elisa Fogacci, Caterina Maggioli, Francesca Travasoni Loffredo, Enrico Giampieri and 18 more

Open access · hybridAbstract readReview
In one paragraph

Review in Aging clinical and experimental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 2% 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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
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  12. Article
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  14. Nutrition Guidelines for Improved Clinical Care.The Medical clinics of North America · 2022
    Review
  15. COVID-19 and the Pancreas: A Narrative Review.Life (Basel, Switzerland) · 2022
    Review
  16. Article
  17. Review
  18. Review
  19. Relation of vitamin D to COVID-19.Journal of virological methods · 2022
    Review
  20. 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

28 authors at 7 institutions in 3 countries.

Sirio FiorinoUO of Internal Medicine Unit, Hospital of Budrio, Via Benni 44, 40065, Budrio, Bologna, Italy. sirio.fiorino@ausl.bologna.it.
Claudio GalloPhysician Specialist in Infectious Diseases, AUSL Bologna, Bologna, Italy.
Maddalena ZippiUnit of Gastroenterology and Digestive Endoscopy, Sandro Petrini Hospital, Rome, Italy.
Sergio SabbataniInfective Disease Unit, University of Bologna, Bologna, Italy.
Roberto ManfrediInfective Disease Unit, University of Bologna, Bologna, Italy.
Renzo MorettiUO of Internal Medicine Unit, Hospital of Budrio, Via Benni 44, 40065, Budrio, Bologna, Italy.
Elisa FogacciUO of Internal Medicine Unit, Hospital of Budrio, Via Benni 44, 40065, Budrio, Bologna, Italy.
Caterina MaggioliUO of Internal Medicine Unit, Hospital of Budrio, Via Benni 44, 40065, Budrio, Bologna, Italy.
Francesca Travasoni LoffredoUO of Internal Medicine Unit, Hospital of Budrio, Via Benni 44, 40065, Budrio, Bologna, Italy.
Enrico GiampieriExperimental, Diagnostic and Specialty Medicine Department, University of Bologna, Bologna, Italy.
Ivan CorazzaExperimental, Diagnostic and Specialty Medicine Department, University of Bologna, Bologna, Italy.
Christoph DickmansUO of Internal Medicine Unit, Hospital of Budrio, Via Benni 44, 40065, Budrio, Bologna, Italy.
Claudio DenittoUO of Internal Medicine Unit, Hospital of Budrio, Via Benni 44, 40065, Budrio, Bologna, Italy.
Michele CammarosanoUO of Internal Medicine Unit, Hospital of Budrio, Via Benni 44, 40065, Budrio, Bologna, Italy.
Michele BattilanaUO of Internal Medicine Unit, Hospital of Budrio, Via Benni 44, 40065, Budrio, Bologna, Italy.
Paolo Emilio OrlandiUnit of Radiology, Maggiore Hospital of Bologna, Bologna, Italy.
Francesco Del FornoInternal Medicine Unit, Maggiore Hospital of Bologna, Bologna, Italy.
Francesco MiceliUO Farmacia Centralizzata OM, Farmacia Ospedale Di Budrio, Budrio, Bologna, Italy.
Michela VisaniDepartment of Pharmacy and Biotechnology (FABIT), University of Bologna, Bologna, Italy.
Giorgia AcquavivaDepartment of Medicine (Dipartimento di Medicina Specialistica, Diagnostica e Sperimentale), Molecular Diagnostic Unit, University of Bologna, Azienda USL di Bologna, Bologna, Italy.
Antonio De LeoDepartment of Medicine (Dipartimento di Medicina Specialistica, Diagnostica e Sperimentale), Molecular Diagnostic Unit, University of Bologna, Azienda USL di Bologna, Bologna, Italy.
Paolo LeandriInternal Medicine Unit, Maggiore Hospital of Bologna, Bologna, Italy.
Wandong HongDepartment of Gastroenterology and Hepatology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, The People's Republic of China.
Thomas BrandRegenerative Medicine Center Utrecht, University of Utrecht, Utrecht, Netherlands.
Giovanni TalliniDepartment of Medicine (Dipartimento di Medicina Specialistica, Diagnostica e Sperimentale), Molecular Diagnostic Unit, University of Bologna, Azienda USL di Bologna, Bologna, Italy.
Elio JovineSurgery Unit, Maggiore Hospital, Bologna, Italy.
Roberto JovinePhysical Medicine and Rehabilitation Unit, Maggiore Hospital, Bologna, Italy.
Dario de BiaseDepartment of Pharmacy and Biotechnology (FABIT), University of Bologna, Bologna, Italy.ORCID http://orcid.org/0000-0002-0609-8817
Villa Torri Hospital · ITUniversity of Bologna · ITAzienda USL di Bologna · ITOspedale Maggiore Carlo Alberto Pizzardi · ITOspedale Maggiore · ITUtrecht University · NLWenzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn December 2019, a novel human-infecting coronavirus, SARS-CoV-2, had emerged. The WHO has classified the epidemic as a "public health emergency of international concern". A dramatic situation has unfolded with thousands of deaths, occurring mainly in the aged and very ill people. Epidemiological studies suggest that immune system function is impaired in elderly individuals and these subjects often present a deficiency in fat-soluble and hydrosoluble vitamins.

methodsWe searched for reviews describing the characteristics of autoimmune diseases and the available therapeutic protocols for their treatment. We set them as a paradigm with the purpose to uncover common pathogenetic mechanisms between these pathological conditions and SARS-CoV-2 infection. Furthermore, we searched for studies describing the possible efficacy of vitamins A, D, E, and C in improving the immune system function.

resultsSARS-CoV-2 infection induces strong immune system dysfunction characterized by the development of an intense proinflammatory response in the host, and the development of a life-threatening condition defined as cytokine release syndrome (CRS). This leads to acute respiratory syndrome (ARDS), mainly in aged people. High mortality and lethality rates have been observed in elderly subjects with CoV-2-related infection.

conclusionsVitamins may shift the proinflammatory Th17-mediated immune response arising in autoimmune diseases towards a T-cell regulatory phenotype. This review discusses the possible activity of vitamins A, D, E, and C in restoring normal antiviral immune system function and the potential therapeutic role of these micronutrients as part of a therapeutic strategy against SARS-CoV-2 infection.

Indexed as

AgedAscorbic AcidBetacoronavirusCoronavirus InfectionsCOVID-19CytokinesHumansPandemicsPneumonia, ViralSARS-CoV-2Th17 CellsVitamin AVitamin DVitamin EVitaminsAscorbic AcidCytokinesVitamin AVitamin DVitamin EVitaminsCoV-2COVID-19SARSTherapeutic strategyVitamins

Identifiers

PMID32865757
PMCPMC7456763
OpenAlexW3082488023

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.