Evidence map›Paper›PMID 32930456›Full record

Trial reportJournal of leukocyte biology2021

Cytokine release syndrome in COVID-19: Innate immune, vascular, and platelet pathogenic factors differ in severity of disease and sex.

Aaron C Petrey, Fares Qeadan, Elizabeth A Middleton, Irina V Pinchuk, Robert A Campbell, Ellen J Beswick

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Journal of leukocyte biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 2 pooled it
2.2field-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

73 citing papers in PubMed, 2 syntheses or guidelines pooled it, 115 citations in OpenAlex.

  1. Pooled it
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  10. Plasma Proteins Associated with COVID-19 Severity in Puerto Rico.International journal of molecular sciences · 2024
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13 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.

Aaron C PetreyMolecular Medicine Program, University of Utah, Salt Lake City, Utah, USA.
Fares QeadanDepartment of Family and Preventative Medicine, University of Utah, Salt Lake City, Utah, USA.
Elizabeth A MiddletonMolecular Medicine Program, University of Utah, Salt Lake City, Utah, USA.
Irina V PinchukDivision of Gastroenterology, Department of Medicine, Pennsylvania State Health, Hershey, Pennsylvania, USA.
Robert A CampbellMolecular Medicine Program, University of Utah, Salt Lake City, Utah, USA.
Ellen J BeswickDivision of Microbiology and Immunology, Department of Pathology, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0003-3538-3040
University of Utah · USPenn State Milton S. Hershey Medical Center · US

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
The regulation and function of platelet FcARIIA in sepsisK08HL153953 · NHLBI · UNIVERSITY OF UTAH · PI MIDDLETON, ELIZABETH ANNE · 2020 to 2024
$833k
Platelet-hyaluronan interactions as regulators of inflammation and thrombosisR00HL135265 · NHLBI · UNIVERSITY OF UTAH · PI PETREY, AARON CHRISTOPHER · 2020 to 2022
$747k
NCATS NIH HHS UL1 TR002538NHLBI NIH HHS K08 HL153953NHLBI NIH HHS R00 HL135265
6 · The paper itself

Abstract

COVID-19 rapidly emerged as a crippling public health crisis in the last few months, which has presented a series health risk. Understanding of the immune response and biomarker analysis is needed to progress toward understanding disease pathology and developing improved treatment options. The goal of this study is to identify pathogenic factors that are linked to disease severity and patient characteristics. Patients with COVID-19 who were hospitalized from March 17 to June 5, 2020 were analyzed for clinical features of disease and soluble plasma cytokines in association with disease severity and sex. Data from COVID-19 patients with acute illness were examined along with an age- and gender-matched control cohort. We identified a group of 16 soluble factors that were found to be increased in COVID-19 patients compared to controls, whereas 2 factors were decreased. In addition to inflammatory cytokines, we found significant increases in factors known to mediate vasculitis and vascular remodeling (PDGF-AA, PDGF-AB-BB, soluble CD40L (sCD40L), FGF, and IP10). Four factors such as platelet-derived growth factors, fibroblast growth factor-2, and IFN-γ-inducible protein 10 were strongly associated with severe disease and ICU admission. Th2-related factors (IL-4 and IL-13) were increased with IL-4 and sCD40L present at increased levels in males compared with females. Our analysis revealed networking clusters of cytokines and growth factors, including previously unknown roles of vascular and stromal remodeling, activation of the innate immunity, as well activation of type 2 immune responses in the immunopathogenesis of COVID-19. These data highlight biomarker associations with disease severity and sex in COVID-19 patients.

Indexed as

Blood PlateletsCOVID-19Cytokine Release SyndromeCytokinesImmunity, InnateSARS-CoV-2Sex CharacteristicsAdultAgedBiomarkersFemaleHumansMaleMiddle AgedProspective StudiesSeverity of Illness IndexBiomarkersCytokines

Identifiers

PMID32930456
PMCPMC7902354
OpenAlexW3085365057

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.