Evidence map›Paper›PMID 33278357›Full record

ArticleCell2021

Synergism of TNF-α and IFN-γ Triggers Inflammatory Cell Death, Tissue Damage, and Mortality in SARS-CoV-2 Infection and Cytokine Shock Syndromes.

Rajendra Karki, Bhesh Raj Sharma, Shraddha Tuladhar, Evan Peter Williams, Lillian Zalduondo, Parimal Samir, Min Zheng, Balamurugan Sundaram, Balaji Banoth, R K Subbarao Malireddi and 6 more

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Cell, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1,107 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,107citing papers in PubMed, 1 pooled it
24.0field-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.

NCT04990531 naunknown statusnot on this map

Low-fielD magnEtiC Resonance Imaging of pulmonarY Parenchyma Changes Associated wiTh Confirmed SARS-CoV-2 Infection in Children and Adolescents

TypeinterventionalSponsorUniversity of Erlangen-Nürnberg Medical SchoolRan2021 to 2022Enrolled68ConditionsSars-CoV-2 Infection, Lung Fibrosis, Covid19ArmsLow-field magnetic resonance imaging, Blood sample
NCT05445531 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Low-field Magnetic Resonance Imaging to Assess Changes in Pulmonary Function Parameters in Confirmed Pediatric SARS-CoV-2 Infection

TypeinterventionalSponsorUniversity of Erlangen-Nürnberg Medical SchoolRan2022 to 2023Enrolled111ConditionsCOVID-19, COVID-19 Respiratory Infection, Long COVIDArmsLow-field magnetic resonance imaging, Nailfold capillaroscopy, Spiroergometry, Realtime deformability cytometry
3 · Its place in the literature

Who cites it

1,107 citing papers in PubMed, 1 synthesis or guideline pooled it, 1,646 citations in OpenAlex.

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1,047 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 2 institutions in 1 country.

Rajendra KarkiDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Bhesh Raj SharmaDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Shraddha TuladharDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Evan Peter WilliamsDepartment of Microbiology, Immunology, & Biochemistry, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
Lillian ZalduondoDepartment of Microbiology, Immunology, & Biochemistry, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
Parimal SamirDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Min ZhengDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Balamurugan SundaramDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Balaji BanothDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
R K Subbarao MalireddiDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Patrick SchreinerThe Center for Applied Bioinformatics, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Geoffrey NealeHartwell Center for Bioinformatics & Biotechnology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Peter VogelAnimal Resources Center and Veterinary Pathology Core, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Richard WebbyDepartment of Infectious Disease, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Colleen Beth JonssonDepartment of Microbiology, Immunology, & Biochemistry, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
Thirumala-Devi KannegantiDepartment of Immunology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA. Electronic address: thirumala-devi.kanneganti@stjude.org.
St. Jude Children's Research Hospital · USUniversity of Tennessee Health Science Center · US

Funding

Innate immune sensors, inflammasomes, and inflammasome-mediated processes in cancerR35CA253095 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Thirumala-Devi Kanneganti · 2020 to 2026
$7.0M
Role of NLR Inflammasomes in Autoinflammatory Diseases and Host DefenseR01AR056296 · NIAMS · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI KANNEGANTI, THIRUMALA-DEVI · 2008 to 2022
$5.9M
The Non-Inflammasome NLRs in Immunity and Host defenseR01AI124346 · NIAID · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Thirumala-Devi Kanneganti · 2016 to 2026
$5.8M
Inflammatory Caspases in Innate Immunity and InflammationR37AI101935 · NIAID · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Thirumala-Devi Kanneganti · 2017 to 2026
$4.9M
Inflammatory Caspases in Innate Immunity and InflammationR01AI101935 · NIAID · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI KANNEGANTI, THIRUMALA-DEVI · 2012 to 2016
$2.2M
NCI NIH HHS R35 CA253095NIAID NIH HHS R01 AI101935NIAID NIH HHS R01 AI124346NIAID NIH HHS R37 AI101935NIAMS NIH HHS R01 AR056296
6 · The paper itself

Abstract

COVID-19 is characterized by excessive production of pro-inflammatory cytokines and acute lung damage associated with patient mortality. While multiple inflammatory cytokines are produced by innate immune cells during SARS-CoV-2 infection, we found that only the combination of TNF-α and IFN-γ induced inflammatory cell death characterized by inflammatory cell death, PANoptosis. Mechanistically, TNF-α and IFN-γ co-treatment activated the JAK/STAT1/IRF1 axis, inducing nitric oxide production and driving caspase-8/FADD-mediated PANoptosis. TNF-α and IFN-γ caused a lethal cytokine shock in mice that mirrors the tissue damage and inflammation of COVID-19, and inhibiting PANoptosis protected mice from this pathology and death. Furthermore, treating with neutralizing antibodies against TNF-α and IFN-γ protected mice from mortality during SARS-CoV-2 infection, sepsis, hemophagocytic lymphohistiocytosis, and cytokine shock. Collectively, our findings suggest that blocking the cytokine-mediated inflammatory cell death signaling pathway identified here may benefit patients with COVID-19 or other infectious and autoinflammatory diseases by limiting tissue damage/inflammation.

Indexed as

AnimalsAntibodies, NeutralizingCell DeathCOVID-19Cytokine Release SyndromeDisease Models, AnimalFemaleHumansHuman Umbilical Vein Endothelial CellsInflammationInterferon-gammaLymphohistiocytosis, HemophagocyticMaleMiceMice, TransgenicTHP-1 CellsAntibodies, NeutralizingInterferon-gammaTumor Necrosis Factor-alphaapoptosisCOVID-19cytokine stormIFN-γinflammationnecroptosisPANoptosispyroptosisSARS-CoV-2TNF-α

Identifiers

PMID33278357
PMCPMC7674074
OpenAlexW3105908160

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.