Evidence map›Paper›PMID 32991843›Full record

ArticleCell2020

Mapping Systemic Inflammation and Antibody Responses in Multisystem Inflammatory Syndrome in Children (MIS-C).

Conor N Gruber, Roosheel S Patel, Rebecca Trachtman, Lauren Lepow, Fatima Amanat, Florian Krammer, Karen M Wilson, Kenan Onel, Daniel Geanon, Kevin Tuballes and 19 more

Erratum issued Registry-linked trialOpen access · bronzeAbstract 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. An erratum has been issued. It is linked to trial NCT05560906 (Study of Virus-specific Lymphocytic Cell Populations in Non-invasive Nasal Mucosa Samples of MIS-C Patients, and Intra-population Shifts in Inflammatory Tissues in the Acute Phase of MIS-C and in Health), which is not on this map. Cited by 366 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
366citing papers in PubMed, 5 pooled it
94.6field-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.

NCT05560906 unknown statusnot on this mapstarted 2021, after this paper: background citation

Study of Virus-specific Lymphocytic Cell Populations in Non-invasive Nasal Mucosa Samples of MIS-C Patients, and Intra-population Shifts in Inflammatory Tissues in the Acute Phase of MIS-C and in Health

Typeobservational_patient_registrySponsorMedical University of WarsawRan2021 to 2022Enrolled20ConditionsMIS-C Associated With COVID-19, COVID-19
3 · Its place in the literature

Who cites it

366 citing papers in PubMed, 5 syntheses or guidelines pooled it, 552 citations in OpenAlex.

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  3. Pediatric endocrinopathies related to COVID-19: an update.World journal of pediatrics : WJP · 2023
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306 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

29 authors at 2 institutions in 1 country.

Conor N GruberPrecision Immunology Institute, Icahn School of Medicine at Mount Sinai, NY, NY, USA; Mindich Child Health and Development Institute, Icahn School of Medicine at Mount Sinai, NY, NY, USA; Department of Pediatrics, Icahn School of Medicine at Mount Sinai, NY, NY, USA; Department of Microbiology, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Roosheel S PatelPrecision Immunology Institute, Icahn School of Medicine at Mount Sinai, NY, NY, USA; Mindich Child Health and Development Institute, Icahn School of Medicine at Mount Sinai, NY, NY, USA; Department of Pediatrics, Icahn School of Medicine at Mount Sinai, NY, NY, USA; Department of Microbiology, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Rebecca TrachtmanMindich Child Health and Development Institute, Icahn School of Medicine at Mount Sinai, NY, NY, USA; Department of Pediatrics, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Lauren LepowGenetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Fatima AmanatDepartment of Microbiology, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Florian KrammerDepartment of Microbiology, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Karen M WilsonMindich Child Health and Development Institute, Icahn School of Medicine at Mount Sinai, NY, NY, USA; Department of Pediatrics, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Kenan OnelDepartment of Pediatrics, Icahn School of Medicine at Mount Sinai, NY, NY, USA; Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Daniel GeanonPrecision Immunology Institute, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Kevin TuballesPrecision Immunology Institute, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Manishkumar PatelPrecision Immunology Institute, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Konstantinos MouskasGenetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Timothy O'DonnellGenetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Elliot MerrittGenetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Nicole W SimonsGenetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Vanessa BarcessatPrecision Immunology Institute, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Diane M Del VallePrecision Immunology Institute, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Samantha UdondemGenetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Gurpawan KangGenetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Sandeep GangadharanDepartment of Pediatrics, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
George Ofori-AmanfoDepartment of Pediatrics, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Uri LasersonGenetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Adeeb RahmanPrecision Immunology Institute, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Seunghee Kim-SchulzePrecision Immunology Institute, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Alexander W CharneyGenetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Sacha GnjaticPrecision Immunology Institute, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Bruce D GelbMindich Child Health and Development Institute, Icahn School of Medicine at Mount Sinai, NY, NY, USA; Department of Pediatrics, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Miriam MeradPrecision Immunology Institute, Icahn School of Medicine at Mount Sinai, NY, NY, USA.
Dusan BogunovicPrecision Immunology Institute, Icahn School of Medicine at Mount Sinai, NY, NY, USA; Mindich Child Health and Development Institute, Icahn School of Medicine at Mount Sinai, NY, NY, USA; Department of Pediatrics, Icahn School of Medicine at Mount Sinai, NY, NY, USA; Department of Microbiology, Icahn School of Medicine at Mount Sinai, NY, NY, USA. Electronic address: dusan.bogunovic@mssm.edu.
Icahn School of Medicine at Mount Sinai · USChild Health and Development Institute · US

Funding

THE TISCH CANCER INSTITUTE - CANCER CENTER SUPPORT GRANTP30CA196521 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Deanna L Benson · 2015 to 2026
$35.4M
High-Dimensional Immune Monitoring of NCI-Supported Immunotherapy TrialsU24CA224319 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Sacha Gnjatic, Seunghee Kim-Schulze · 2017 to 2026
$21.5M
Personalized Immunotherapy of Patients with Ovarian CancerP01CA190174 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI SABBATINI, PAUL J, SPRIGGS, DAVID R · 2015 to 2019
$10.5M
Pediatric Heart Disease: Getting from Mutations to TherapeuticsR35HL135742 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI GELB, BRUCE D · 2017 to 2023
$6.1M
Determination of mucosal immune responses to, and infection of the gastrointestinal tract by Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2)R01DK123749 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI CERUTTI, ANDREA, FAITH, JEREMIAH JAMES · 2020 to 2024
$4.9M
Human ISG15 and USP18 Deficiencies Underlying Type I InterferonopathiesR01AI127372 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Dusan Bogunovic · 2017 to 2026
$4.7M
Characterizing and predicting colitis in immune checkpoint blockade-treated cancer patientsU01DK124165 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI COLOMBEL, JEAN-FREDERIC, FAITH, JEREMIAH JAMES · 2020 to 2024
$2.9M
Inborn Errors of Immunity Leading to Autoinflammatory SyndromesR01AI148963 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BOGUNOVIC, DUSAN · 2020 to 2024
$2.5M
Interdisciplinary Training in Systems and Developmental Biology and Birth DefectsT32HD075735 · NICHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI JABS, ETHYLIN WANG · 2013 to 2022
$1.8M
Interplay between Negative Regulators of Type I Interferon and HIV controlR21AI134366 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BOGUNOVIC, DUSAN, SIMON, VIVIANA A · 2017 to 2018
$466k
ZIKA VIRUS RESISTANCE; HOST DETERMINANTSR21AI129827 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BOGUNOVIC, DUSAN · 2017 to 2018
$466k
NCI NIH HHS P01 CA190174NCI NIH HHS P30 CA196521NCI NIH HHS U24 CA224319NHLBI NIH HHS R35 HL135742NIAID NIH HHS R01 AI127372NIAID NIH HHS R01 AI148963NIAID NIH HHS R21 AI129827NIAID NIH HHS R21 AI134366NICHD NIH HHS T32 HD075735NIDDK NIH HHS R01 DK123749NIDDK NIH HHS U01 DK124165
6 · The paper itself

Abstract

Initially, children were thought to be spared from disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, a month into the epidemic, a novel multisystem inflammatory syndrome in children (MIS-C) emerged. Herein, we report on the immune profiles of nine MIS-C cases. All MIS-C patients had evidence of prior SARS-CoV-2 exposure, mounting an antibody response with intact neutralization capability. Cytokine profiling identified elevated signatures of inflammation (IL-18 and IL-6), lymphocytic and myeloid chemotaxis and activation (CCL3, CCL4, and CDCP1), and mucosal immune dysregulation (IL-17A, CCL20, and CCL28). Immunophenotyping of peripheral blood revealed reductions of non-classical monocytes, and subsets of NK and T lymphocytes, suggesting extravasation to affected tissues. Finally, profiling the autoantigen reactivity of MIS-C plasma revealed both known disease-associated autoantibodies (anti-La) and novel candidates that recognize endothelial, gastrointestinal, and immune-cell antigens. All patients were treated with anti-IL-6R antibody and/or IVIG, which led to rapid disease resolution.

Indexed as

AdolescentAntibodies, ViralAutoantibodiesBetacoronavirusChemokine CCL3ChildChild, PreschoolCoronavirus InfectionsCOVID-19FemaleHumansImmunity, HumoralInfantInfant, NewbornInflammationInterleukin-17Antibodies, ViralAutoantibodiesChemokine CCL3Interleukin-17Interleukin-18autoimmunityCOVID-19dysfunctionimmuneKawasaki-likeMIS-CpediatricsPIMSSARS-CoV-2

Identifiers

PMID32991843
PMCPMC7489877
OpenAlexW3084924559

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.