Evidence map›Paper›PMID 32966765›Full record

ArticleCell2020

The Immunology of Multisystem Inflammatory Syndrome in Children with COVID-19.

Camila Rosat Consiglio, Nicola Cotugno, Fabian Sardh, Christian Pou, Donato Amodio, Lucie Rodriguez, Ziyang Tan, Sonia Zicari, Alessandra Ruggiero, Giuseppe Rubens Pascucci and 14 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Cell, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05576714 (Investigation of Prognostic Biomarkers, Host Factors and Viral Factors for COVID-19 Associated Encephalopathy/Encephalitis and Multi-systemic Inflammatory Syndrome in Children), which is not on this map. Cited by 526 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
526citing papers in PubMed, 3 pooled it
153.2field-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.

NCT05576714 unknown statusnot on this mapstarted 2022, after this paper: background citation

Investigation of Prognostic Biomarkers, Host Factors and Viral Factors for COVID-19 Associated Encephalopathy/Encephalitis and Multi-systemic Inflammatory Syndrome in Children

Typeobservational_patient_registrySponsorNational Taiwan University HospitalRan2022 to 2025Enrolled300ConditionsCOVID-19-Associated Encephalitis, Multisystem Inflammatory Syndrome in ChildrenArmsdelineate its prognostic biomarker, host genetic factors, immunopathogenesis and viral pathogenesis
3 · Its place in the literature

Who cites it

526 citing papers in PubMed, 3 syntheses or guidelines pooled it, 889 citations in OpenAlex.

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466 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 6 institutions in 2 countries.

Camila Rosat ConsiglioScience for Life Laboratory, Department of Women's and Children Health, Karolinska Institutet, Stockholm 17165, Sweden.
Nicola CotugnoResearch Unit of Congenital and Perinatal Infections, Bambino Gesù Children's Hospital, Rome 00165, Italy; Chair of Pediatrics, Department of Systems Medicine, University of Rome "Tor Vergata", Rome 00133, Italy.
Fabian SardhDepartment of Medicine (Solna), Karolinska University Hospital, Karolinska Institutet, Stockholm 17176, Sweden.
Christian PouScience for Life Laboratory, Department of Women's and Children Health, Karolinska Institutet, Stockholm 17165, Sweden.
Donato AmodioResearch Unit of Congenital and Perinatal Infections, Bambino Gesù Children's Hospital, Rome 00165, Italy; Chair of Pediatrics, Department of Systems Medicine, University of Rome "Tor Vergata", Rome 00133, Italy.
Lucie RodriguezScience for Life Laboratory, Department of Women's and Children Health, Karolinska Institutet, Stockholm 17165, Sweden.
Ziyang TanScience for Life Laboratory, Department of Women's and Children Health, Karolinska Institutet, Stockholm 17165, Sweden.
Sonia ZicariResearch Unit of Congenital and Perinatal Infections, Bambino Gesù Children's Hospital, Rome 00165, Italy.
Alessandra RuggieroResearch Unit of Congenital and Perinatal Infections, Bambino Gesù Children's Hospital, Rome 00165, Italy.
Giuseppe Rubens PascucciResearch Unit of Congenital and Perinatal Infections, Bambino Gesù Children's Hospital, Rome 00165, Italy.
Veronica SantilliResearch Unit of Congenital and Perinatal Infections, Bambino Gesù Children's Hospital, Rome 00165, Italy; Academic Department of Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome 00165, Italy.
Tessa CampbellCenter for Regenerative Medicine, Department of Medicine, Karolinska Institutet, Stockholm 14186, Sweden.
Yenan BrycesonCenter for Regenerative Medicine, Department of Medicine, Karolinska Institutet, Stockholm 14186, Sweden.
Daniel ErikssonDepartment of Medicine (Solna), Karolinska University Hospital, Karolinska Institutet, Stockholm 17176, Sweden; Department of Immunology, Genetics and Pathology, Uppsala University and Department of Clinical Genetics, Uppsala University Hospital, Uppsala 75185, Sweden.
Jun WangScience for Life Laboratory, Department of Women's and Children Health, Karolinska Institutet, Stockholm 17165, Sweden.
Alessandra MarchesiAcademic Department of Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome 00165, Italy.
Tadepally LakshmikanthScience for Life Laboratory, Department of Women's and Children Health, Karolinska Institutet, Stockholm 17165, Sweden.
Andrea CampanaAcademic Department of Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome 00165, Italy.
Alberto VillaniAcademic Department of Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome 00165, Italy.
Paolo RossiChair of Pediatrics, Department of Systems Medicine, University of Rome "Tor Vergata", Rome 00133, Italy; Academic Department of Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome 00165, Italy.
CACTUS Study Team
Nils LandegrenDepartment of Medicine (Solna), Karolinska University Hospital, Karolinska Institutet, Stockholm 17176, Sweden; Science for life Laboratory, Department of Medical Sciences, Uppsala University, Uppsala 75237, Sweden. Electronic address: nils.landegren@ki.se.
Paolo PalmaResearch Unit of Congenital and Perinatal Infections, Bambino Gesù Children's Hospital, Rome 00165, Italy; Chair of Pediatrics, Department of Systems Medicine, University of Rome "Tor Vergata", Rome 00133, Italy. Electronic address: paolo.palma@opbg.net.
Petter BrodinScience for Life Laboratory, Department of Women's and Children Health, Karolinska Institutet, Stockholm 17165, Sweden; Pediatric Rheumatology, Karolinska University Hospital, Stockholm 17164, Sweden. Electronic address: petter.brodin@ki.se.
Bambino Gesù Children's Hospital · ITScience for Life Laboratory · SEUniversity of Rome Tor Vergata · ITKarolinska University Hospital · SEKarolinska Institutet · SEUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is typically very mild and often asymptomatic in children. A complication is the rare multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19, presenting 4-6 weeks after infection as high fever, organ dysfunction, and strongly elevated markers of inflammation. The pathogenesis is unclear but has overlapping features with Kawasaki disease suggestive of vasculitis and a likely autoimmune etiology. We apply systems-level analyses of blood immune cells, cytokines, and autoantibodies in healthy children, children with Kawasaki disease enrolled prior to COVID-19, children infected with SARS-CoV-2, and children presenting with MIS-C. We find that the inflammatory response in MIS-C differs from the cytokine storm of severe acute COVID-19, shares several features with Kawasaki disease, but also differs from this condition with respect to T cell subsets, interleukin (IL)-17A, and biomarkers associated with arterial damage. Finally, autoantibody profiling suggests multiple autoantibodies that could be involved in the pathogenesis of MIS-C.

Indexed as

AutoantibodiesBetacoronavirusChildChild, PreschoolCoronavirus InfectionsCOVID-19CytokinesFemaleHumansImmunity, HumoralInfantMaleMucocutaneous Lymph Node SyndromePandemicsPneumonia, ViralPrincipal Component AnalysisAutoantibodiesCytokinesProteomeautoantibodiesCOVID-19hyperinflammation in childrenIL-17AKawasaki diseaseMIS-Cmultisystem inflammatory syndrome in childrenSARS-CoV-2systems immunology

Identifiers

PMID32966765
PMCPMC7474869
OpenAlexW3083424448

What OpenQuestion holds

Textmetadata
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.