Evidence map›Paper›PMID 33188794›Full record

ReviewPharmacology & therapeutics2021

Treating exuberant, non-resolving inflammation in the lung; Implications for acute respiratory distress syndrome and COVID-19.

Derek W Gilroy, Roel P H De Maeyer, Mark Tepper, Alastair O'Brien, Mohib Uddin, Judy Chen, Daniel R Goldstein, Arne N Akbar

Open access · greenAbstract readReview
In one paragraph

Review in Pharmacology & therapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.2field-weighted citation impact, top 36% 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

6 citing papers in PubMed, 15 citations in OpenAlex.

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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

8 authors at 3 institutions in 3 countries.

Derek W GilroyDivision of Medicine, University College London, London, UK. Electronic address: D.gilroy@ucl.ac.uk.
Roel P H De MaeyerDivision of Medicine, University College London, London, UK.
Mark TepperSenex Therapeutics Inc., Newton, Center, MA, USA.
Alastair O'BrienDivision of Medicine, University College London, London, UK.
Mohib UddinLate Respiratory & Immunology, BioPharmaceuticals R&D, AstraZeneca, Sweden.
Judy ChenDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Daniel R GoldsteinDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Arne N AkbarDivision of Medicine, University College London, London, UK.
University College London · GBUniversity of Michigan–Ann Arbor · USAstraZeneca (Sweden) · SE

Funding

Mechanisms to augment primary immunity in agingR01AG028082 · NIA · YALE UNIVERSITY · PI DENG, JANE C · 2007 to 2023
$6.9M
Physician Scientist Training in Age-Related DiseasesT32AG062403 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MIN, LILLIAN CHIANG, MODY, LONA · 2020 to 2025
$2.7M
Novel mechanisms of age-enhanced vasculopathy after heart transplantationR01AI138347 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GOLDSTEIN, DANIEL ROBERT · 2018 to 2022
$2.7M
Aging and Innate Immune Mechanisms in Pulmonary InfectionR01HL130669 · NHLBI · YALE UNIVERSITY · PI BUCALA, RICHARD J, GOLDSTEIN, DANIEL ROBERT · 2015 to 2018
$1.7M
Novel Inflammatory Pathway of Aged-Enhanced AtherosclerosisR01HL127687 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GOLDSTEIN, DANIEL ROBERT · 2016 to 2019
$1.6M
NHLBI NIH HHS R01 HL127687NHLBI NIH HHS R01 HL130669NIAID NIH HHS R01 AI138347NIA NIH HHS R01 AG028082NIA NIH HHS T32 AG062403
6 · The paper itself

Abstract

While COVID-19, the disease driven by SARS-CoV-2 has ignited interest in the host immune response to this infection, it has also highlighted the lack of treatment options for the damaging inflammatory responses driven by pathogens that precipitate the acute respiratory distress syndrome (ARDS). With the global prevalence of SARS-CoV-2 and the likelihood of a second winter spike alongside seasonal flu, the need for effective and targeted anti-inflammatory agents is even more pressing. Here we discuss the aetiology of COVID-19 and the common signalling pathways driven by SARS-CoV-2, namely p38 MAP kinase. We highlight that p38 MAP kinase becomes elevated with increasing age, thereby driving many of the inflammatory pathways that precipitate death in old people with the added drawback of impairing vaccine efficacy in this susceptible age group. Finally, we review drugs available to inhibit p38 MAP kinase, their risks-versus-benefits as well as suggested dosing regimen to combat over-exuberant innate immune responses and potentially reverse vaccine inefficacy in older patients.

Indexed as

COVID-19 Drug TreatmentAnti-Inflammatory AgentsClinical Trials as TopicCOVID-19HumansImmunity, InnateMAP Kinase Signaling SystemPneumoniaProtein Kinase InhibitorsRespiratory Distress SyndromeAnti-Inflammatory AgentsProtein Kinase InhibitorsARDSCOVID-19Inflammationp38 MAP kinaseSARS-CoV-2

Identifiers

PMID33188794
PMCPMC7657264
OpenAlexW3103775975

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.