Evidence map›Paper›PMID 32977223›Full record

ArticleEuropean journal of cancer (Oxford, England : 1990)2020

Immunological features of coronavirus disease 2019 in patients with cancer.

Marion Thibaudin, Jean-David Fumet, Marjorie Bon, Léa Hampe, Emeric Limagne, Francois Ghiringhelli

Open access · bronzeAbstract read
In one paragraph

Article in European journal of cancer (Oxford, England : 1990), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Immune checkpoint inhibition in COVID-19: risks and benefits.Expert opinion on biological therapy · 2021
    Article
  9. Article
  10. Review
  11. Review
  12. The role of CD4International journal of biological sciences · 2021
    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 1 institution in 1 country.

Marion ThibaudinCancer Biology Transfer Platform, Centre Georges-François Leclerc, F-21000, Dijon, France; Centre de Recherche INSERM LNC-UMR1231, F-21000, Dijon, France; Genetic and Immunology Medical Institute, Dijon, France.
Jean-David FumetCancer Biology Transfer Platform, Centre Georges-François Leclerc, F-21000, Dijon, France; Centre de Recherche INSERM LNC-UMR1231, F-21000, Dijon, France; Department of Medical Oncology, Centre Georges-François Leclerc, F-21000, Dijon, France; University of Burgundy Franche-Comté, F-21000, Dijon, France; Genetic and Immunology Medical Institute, Dijon, France.
Marjorie BonCancer Biology Transfer Platform, Centre Georges-François Leclerc, F-21000, Dijon, France; Centre de Recherche INSERM LNC-UMR1231, F-21000, Dijon, France.
Léa HampeCancer Biology Transfer Platform, Centre Georges-François Leclerc, F-21000, Dijon, France; Centre de Recherche INSERM LNC-UMR1231, F-21000, Dijon, France.
Emeric LimagneCancer Biology Transfer Platform, Centre Georges-François Leclerc, F-21000, Dijon, France; Centre de Recherche INSERM LNC-UMR1231, F-21000, Dijon, France; Genetic and Immunology Medical Institute, Dijon, France.
Francois GhiringhelliCancer Biology Transfer Platform, Centre Georges-François Leclerc, F-21000, Dijon, France; Centre de Recherche INSERM LNC-UMR1231, F-21000, Dijon, France; Department of Medical Oncology, Centre Georges-François Leclerc, F-21000, Dijon, France; University of Burgundy Franche-Comté, F-21000, Dijon, France; Genetic and Immunology Medical Institute, Dijon, France. Electronic address: fghiringhelli@cgfl.fr.
Inserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2, has caused a major pandemic. Patients with cancer are at higher risk of severe COVID-19. We aimed to describe and compare the immunological features of cancer patients hospitalised for COVID-19 or other concomitant, cancer-related illness.

methodsIn this prospective study, the clinical and immunological characteristics of 11 cancer patients with COVID-19 and 11 non-COVID-19 cancer patients hospitalised in the same unit at the same period for other medical issues were analysed. We also used 10 healthy volunteers as controls. Peripheral immune parameters were analysed using multiparametric flow cytometry.

resultsThe median age of COVID-19-positive cancer patients was 71.1 years, and 66.4 years for controls. Compared with non-COVID-19 cancer patients, COVID-19-positive cancer patients had more extensive lymphopenia and hypoalbuminemia, with higher levels of C-reactive protein. In COVID-19 patients, elevated procalcitonin was associated with a higher risk of death. By phenotypic analysis, COVID-19-positive patients presented CD3 lymphopenia, with inversion of the CD4/CD8 ratio and modification of monocyte activation, with accumulation of mMDSC (monocytic Myeloid-Derived Suppressor Cells) -like cells and a decrease in activated monocytes. Analysis of the T-cell compartment revealed a T-dependent inflammatory response with accumulation of Th17 cells and cytotoxic CD8 T cells producing TNFα, a decrease in HLA-DR (Human Leukocyte Antigen - DR isotype)-positive CD8 T cells and Treg/CD8 ratio.

conclusionSARS-CoV-2 infection in cancer patients is associated with CD4 T-cell lymphopenia with induction of an inflammatory T-cell response, accumulation of IFNγ

Indexed as

AgedBetacoronavirusCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCoronavirus InfectionsCOVID-19FemaleFranceHumansMaleNeoplasmsPandemicsPneumonia, ViralProspective StudiesSARS-CoV-2Time FactorsCancerCOVID-19Immunomonitoring

Identifiers

PMID32977223
PMCPMC7476569
OpenAlexW3084004777

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.