Evidence map›Paper›PMID 33293514›Full record

ArticleCell death discovery2020

A blood transcriptome-based analysis of disease progression, immune regulation, and symptoms in coronavirus-infected patients.

Anguraj Sadanandam, Tobias Bopp, Santosh Dixit, David J H F Knapp, Chitra Priya Emperumal, Paschalis Vergidis, Krishnaraj Rajalingam, Alan Melcher, Nagarajan Kannan

Open access · goldAbstract read
In one paragraph

Article in Cell death discovery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
0.8field-weighted citation impact, top 16% 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

24 citing papers in PubMed, 44 citations in OpenAlex.

  1. Early Fc-effector antibody signatures impact COVID-19 disease trajectory.medRxiv : the preprint server for health sciences · 2026
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  2. Review
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  5. Diphenyl pyridine intervention improvesFrontiers in genetics · 2025
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  6. IFN-γ derived from activated human CD4Scientific reports · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Frontiers in cellular and infection microbiology · 2022
    Review
  18. Article
  19. Article
  20. Review
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

9 authors at 7 institutions in 6 countries.

Anguraj SadanandamDivision of Molecular Pathology, The Institute of Cancer Research, London, UK. anguraj.sadanandam@icr.ac.uk.ORCID http://orcid.org/0000-0001-8485-5150
Tobias BoppInstitute for Immunology, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.
Santosh DixitCentre for Translational Cancer Research (CTCR; a joint initiative of Indian Institute of Science Education and Research (IISER) Pune and Prashanti Cancer Care Mission), Pune, India.
David J H F KnappInstitut de recherche en immunologie et en cancérologie, Université de Montréal, Montreal, QC, Canada.
Chitra Priya EmperumalHerman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA, USA.
Paschalis VergidisDivision of Infectious Diseases, Mayo Clinic, Rochester, MN, USA.
Krishnaraj RajalingamCell Biology Unit, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.ORCID http://orcid.org/0000-0002-4175-9633
Alan MelcherDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK.
Nagarajan KannanDivision of Experimental Pathology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905, USA. kannan.nagarajan@mayo.edu.ORCID http://orcid.org/0000-0002-8825-2178
Johannes Gutenberg University Mainz · DEMayo Clinic · USIndian Institute of Science Education and Research Pune · INInstitute for Research in Immunology and Cancer · CAInstitute of Cancer Research · GBMayo Clinic in Florida · USUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 patients show heterogeneity in clinical presentation and outcomes that makes pandemic control and strategy difficult; optimizing management requires a systems biology approach of understanding the disease. Here we sought to potentially understand and infer complex disease progression, immune regulation, and symptoms in patients infected with coronaviruses (35 SARS-CoV and 3 SARS-CoV-2 patients and 57 samples) at two different disease progression stages. Further, we compared coronavirus data with healthy individuals (n = 16) and patients with other infections (n = 144; all publicly available data). We applied inferential statistics (the COVID-engine platform) to RNA profiles (from limited number of samples) derived from peripheral blood mononuclear cells (PBMCs). Compared to healthy individuals, a subset of integrated blood-based gene profiles (signatures) distinguished acute-like (mimicking coronavirus-infected patients with prolonged hospitalization) from recovering-like patients. These signatures also hierarchically represented multiple (at the system level) parameters associated with PBMC including dysregulated cytokines, genes, pathways, networks of pathways/concepts, immune status, and cell types. Proof-of-principle observations included PBMC-based increases in cytokine storm-associated IL6, enhanced innate immunity (macrophages and neutrophils), and lower adaptive T and B cell immunity in patients with acute-like disease compared to those with recovery-like disease. Patients in the recovery-like stage showed significantly enhanced TNF, IFN-γ, anti-viral, HLA-DQA1, and HLA-F gene expression and cytolytic activity, and reduced pro-viral gene expression compared to those in the acute-like stage in PBMC. Besides, our analysis revealed overlapping genes associated with potential comorbidities (associated diabetes) and disease-like conditions (associated with thromboembolism, pneumonia, lung disease, and septicemia). Overall, our COVID-engine inferential statistics platform and study involving PBMC-based RNA profiling may help understand complex and variable system-wide responses displayed by coronavirus-infected patients with further validation.

Identifiers

PMID33293514
PMCPMC7721861
OpenAlexW3112334210

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.