Evidence map›Paper›PMID 33077917›Full record

ReviewNature reviews. Nephrology2021

Immunity, endothelial injury and complement-induced coagulopathy in COVID-19.

Luca Perico, Ariela Benigni, Federica Casiraghi, Lisa F P Ng, Laurent Renia, Giuseppe Remuzzi

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Nature reviews. Nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05836740 (Efficacy and Safety of Minocycline in Patients With Moderate to Severe Acute Ischemic Stroke), which is not on this map. Cited by 368 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
368citing papers in PubMed, 4 pooled it
12.7field-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.

NCT05836740 phase3completednot on this mapstarted 2023, after this paper: background citation

Efficacy and Safety of Minocycline in Patients With Moderate to Severe Acute Ischemic Stroke: A Prospective, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group, Phase III Trial

TypeinterventionalSponsorBeijing Tiantan HospitalRan2023 to 2024Enrolled1,724ConditionsIschemic Stroke, AcuteArmsMinocycline hydrochloride capsule, Placebo capsules of Minocycline hydrochloride capsules
3 · Its place in the literature

Who cites it

368 citing papers in PubMed, 4 syntheses or guidelines pooled it, 614 citations in OpenAlex.

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  6. Early administration of tocilizumab in hospitalized COVID-19 patients with elevated inflammatory markers; COVIDSTORM-a prospective, randomized, single-centre, open-label study.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2022
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308 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

6 authors at 3 institutions in 3 countries.

Luca PericoIstituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy.ORCID http://orcid.org/0000-0003-3470-1721
Ariela BenigniIstituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy.
Federica CasiraghiIstituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy.
Lisa F P NgInfectious Diseases Horizontal Technology Centre (ID HTC), Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.ORCID http://orcid.org/0000-0003-4071-5222
Laurent ReniaInfectious Diseases Horizontal Technology Centre (ID HTC), Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.ORCID http://orcid.org/0000-0003-0349-1557
Giuseppe RemuzziIstituto di Ricerche Farmacologiche Mario Negri IRCCS, Bergamo, Italy. giuseppe.remuzzi@marionegri.it.ORCID http://orcid.org/0000-0002-6194-3446
Mario Negri Institute for Pharmacological Research · ITAgency for Science, Technology and Research · SGUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In December 2019, a novel coronavirus was isolated from the respiratory epithelium of patients with unexplained pneumonia in Wuhan, China. This pathogen, named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), causes a pathogenic condition that has been termed coronavirus disease 2019 (COVID-19) and has reached pandemic proportions. As of 17 September 2020, more than 30 million confirmed SARS-CoV-2 infections have been reported in 204 different countries, claiming more than 1 million lives worldwide. Accumulating evidence suggests that SARS-CoV-2 infection can lead to a variety of clinical conditions, ranging from asymptomatic to life-threatening cases. In the early stages of the disease, most patients experience mild clinical symptoms, including a high fever and dry cough. However, 20% of patients rapidly progress to severe illness characterized by atypical interstitial bilateral pneumonia, acute respiratory distress syndrome and multiorgan dysfunction. Almost 10% of these critically ill patients subsequently die. Insights into the pathogenic mechanisms underlying SARS-CoV-2 infection and COVID-19 progression are emerging and highlight the critical role of the immunological hyper-response - characterized by widespread endothelial damage, complement-induced blood clotting and systemic microangiopathy - in disease exacerbation. These insights may aid the identification of new or existing therapeutic interventions to limit the progression of early disease and treat severe cases.

Indexed as

Angiotensin-Converting Enzyme 2Blood Coagulation DisordersComplement Pathway, ClassicalComplement System ProteinsCOVID-19COVID-19 SerotherapyEndothelium, VascularHumansImmunization, PassiveKidney DiseasesSARS-CoV-2ACE2 protein, humanAngiotensin-Converting Enzyme 2Complement System Proteins

Identifiers

PMID33077917
PMCPMC7570423
OpenAlexW3093214735

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.