Evidence map›Paper›PMID 32937615›Full record

ArticleJCI insight2020

High levels of SARS-CoV-2-specific T cells with restricted functionality in severe courses of COVID-19.

David Schub, Verena Klemis, Sophie Schneitler, Janine Mihm, Philipp M Lepper, Heinrike Wilkens, Robert Bals, Hermann Eichler, Barbara C Gärtner, Sören L Becker and 3 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed
2.8field-weighted citation impact, top 5% 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

81 citing papers in PubMed, 132 citations in OpenAlex.

  1. Pembrolizumab in combination with tocilizumab in high-risk hospitalized patients with COVID-19 (COPERNICO): A randomized proof-of-concept phase II study.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
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  6. Adoptive T-cell therapy for virus-associated diseases.Clinical microbiology reviews · 2025
    Review
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21 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

13 authors at 3 institutions in 2 countries.

David SchubDepartment of Transplant and Infection Immunology.
Verena KlemisDepartment of Transplant and Infection Immunology.
Sophie SchneitlerInstitute of Medical Microbiology and Hygiene.
Janine MihmDepartment of Internal Medicine IV.
Philipp M LepperDepartment of Internal Medicine V, and.
Heinrike WilkensDepartment of Internal Medicine V, and.
Robert BalsDepartment of Internal Medicine V, and.
Hermann EichlerInstitute of Clinical Hemostaseology and Transfusion Medicine, Saarland University, Homburg, Germany.
Barbara C GärtnerInstitute of Medical Microbiology and Hygiene.
Sören L BeckerInstitute of Medical Microbiology and Hygiene.
Urban SesterDepartment of Internal Medicine IV.
Martina SesterDepartment of Transplant and Infection Immunology.
Tina SchmidtDepartment of Transplant and Infection Immunology.
Biology of Infection · FRInstitute of Medical Microbiology and Hygiene · DESaarland University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUNDPatients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) differ in the severity of disease. We hypothesized that characteristics of SARS-CoV-2-specific immunity correlate with disease severity.METHODSIn this study, SARS-CoV-2-specific T cells and antibodies were characterized in uninfected controls and patients with different coronavirus disease 2019 (COVID-19) disease severity. SARS-CoV-2-specific T cells were flow cytometrically quantified after stimulation with SARS-CoV-2 peptide pools and analyzed for expression of cytokines (IFN-γ, IL-2, and TNF-α) and markers for activation, proliferation, and functional anergy. SARS-CoV-2-specific IgG and IgA antibodies were quantified using ELISA. Moreover, global characteristics of lymphocyte subpopulations were compared between patient groups and uninfected controls.RESULTSDespite severe lymphopenia affecting all major lymphocyte subpopulations, patients with severe disease mounted significantly higher levels of SARS-CoV-2-specific T cells as compared with convalescent individuals. SARS-CoV-2-specific CD4+ T cells dominated over CD8+ T cells and closely correlated with the number of plasmablasts and SARS-CoV-2-specific IgA and IgG levels. Unlike in convalescent patients, SARS-CoV-2-specific T cells in patients with severe disease showed marked alterations in phenotypical and functional properties, which also extended to CD4+ and CD8+ T cells in general.CONCLUSIONGiven the strong induction of specific immunity to control viral replication in patients with severe disease, the functionally altered characteristics may result from the need for contraction of specific and general immunity to counteract excessive immunopathology in the lung.FUNDINGThe study was supported by institutional funds to MS and in part by grants of Saarland University, the State of Saarland, and the Rolf M. Schwiete Stiftung.

Indexed as

Antibodies, ViralBetacoronavirusCoronavirus InfectionsLeukocyte CountPandemicsPneumonia, ViralT-LymphocytesAdultCardiovascular DiseasesComorbidityCorrelation of DataCOVID-19Critical CareCritical IllnessCytokinesFemaleAntibodies, ViralCytokinesCellular immune responseCOVID-19ImmunoglobulinsT cells

Identifiers

PMID32937615
PMCPMC7605520
OpenAlexW3084714218

What OpenQuestion holds

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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.