Evidence map›Paper›PMID 32979342›Full record

Trial reportThe Journal of allergy and clinical immunology2021

Compartmental immunophenotyping in COVID-19 ARDS: A case series.

Andreas Ronit, Ronan M G Berg, Jakob T Bay, Anna K Haugaard, Magnus G Ahlström, Kristoffer S Burgdorf, Henrik Ullum, Sara B Rørvig, Klaus Tjelle, Nicolai B Foss and 3 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in The Journal of allergy and clinical immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 8% 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

69 citing papers in PubMed, 2 syntheses or guidelines pooled it, 96 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Immunity and Coagulation in COVID-19.International journal of molecular sciences · 2024
    Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Cytokine production in anFrontiers in immunology · 2024
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Advances in Biomarkers for Diagnosis and Treatment of ARDS.Diagnostics (Basel, Switzerland) · 2023
    Review
  20. Review

9 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.

Andreas RonitDepartment of Infectious Diseases, Hvidovre Hospital, University of Copenhagen, Copenhagen, Denmark.
Ronan M G BergDepartment of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Department of Clinical Physiology, Nuclear Medicine and PET and Centre for Physical Activity Research, University of Copenhagen, Copenhagen, Denmark; Neurovascular Research Laboratory, Faculty of Life Sciences and Education, University of South Wales, Pontypridd, United Kingdom.
Jakob T BayDepartment of Clinical Immunology, University of Copenhagen, Copenhagen, Denmark.
Anna K HaugaardDepartment of Clinical Immunology, University of Copenhagen, Copenhagen, Denmark.
Magnus G AhlströmDepartment of Clinical Microbiology, University of Copenhagen, Copenhagen, Denmark.
Kristoffer S BurgdorfDepartment of Clinical Immunology, University of Copenhagen, Copenhagen, Denmark.
Henrik UllumDepartment of Clinical Immunology, University of Copenhagen, Copenhagen, Denmark.
Sara B RørvigDepartment of Pathology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Klaus TjelleDepartment of Anesthesiology and Intensive Care, Hvidovre Hospital, University of Copenhagen, Copenhagen, Denmark.
Nicolai B FossDepartment of Anesthesiology and Intensive Care, Hvidovre Hospital, University of Copenhagen, Copenhagen, Denmark.
Thomas BenfieldDepartment of Infectious Diseases, Hvidovre Hospital, University of Copenhagen, Copenhagen, Denmark.
Hanne Vibeke MarquartDepartment of Clinical Immunology, University of Copenhagen, Copenhagen, Denmark.
Ronni R PlovsingDepartment of Anesthesiology and Intensive Care, Hvidovre Hospital, University of Copenhagen, Copenhagen, Denmark. Electronic address: ronni.thermann.reitz.plovsing.01@regionh.dk.
University of Copenhagen · DKHvidovre Hospital · DKUniversity of South Wales · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere immunopathology may drive the deleterious manifestations that are observed in the advanced stages of coronavirus disease 2019 (COVID-19) but are poorly understood.

objectiveOur aim was to phenotype leukocyte subpopulations and the cytokine milieu in the lungs and blood of critically ill patients with COVID-19 acute respiratory distress syndrome (ARDS).

methodsWe consecutively included patients less than 72 hours after intubation following informed consent from their next of kin. Bronchoalveolar lavage fluid was evaluated by microscopy; bronchoalveolar lavage fluid and blood were assessed by 10-color flow cytometry and a multiplex cytokine panel.

resultsFour mechanically ventilated patients (aged 40-75 years) with moderate-to-severe COVID-19 ARDS were included. Immature neutrophils dominated in both blood and lungs, whereas CD4 and CD8 T-cell lymphopenia was observed in the 2 compartments. However, regulatory T cells and T

conclusionCOVID-19 ARDS exhibits a distinct immunologic profile in the lungs, with a depleted and exhausted CD4 and CD8 T-cell population that resides within a heavily hyperinflammatory milieu.

Indexed as

AdultAgedCD8-Positive T-LymphocytesCOVID-19Cross-Sectional StudiesCytokinesFemaleHumansImmunophenotypingLungLymphopeniaMaleMiddle AgedRespiratory Distress SyndromeSARS-CoV-2Th17 CellsCytokinesAcute respiratory distress syndromebronchoalveolar lavageCOVID-19cytokinesflow cytometry

Identifiers

PMID32979342
PMCPMC7581505
OpenAlexW3088086078

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.