Evidence map›Paper›PMID 33382973›Full record

ArticleImmunity2021

Neurological Manifestations of COVID-19 Feature T Cell Exhaustion and Dedifferentiated Monocytes in Cerebrospinal Fluid.

Michael Heming, Xiaolin Li, Saskia Räuber, Anne K Mausberg, Anna-Lena Börsch, Maike Hartlehnert, Arpita Singhal, I-Na Lu, Michael Fleischer, Fabian Szepanowski and 8 more

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Immunity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 122 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
122citing papers in PubMed, 1 pooled it
10.8field-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.

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

122 citing papers in PubMed, 1 synthesis or guideline pooled it, 182 citations in OpenAlex.

  1. Pooled it
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  6. Immune cell profiling reveals expanded stem cell-like memory T cells in anti-GAD65-associated neurological syndromes.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  7. Article
  8. CD169Frontiers in cellular and infection microbiology · 2026
    Article
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62 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

18 authors at 5 institutions in 2 countries.

Michael HemingDepartment of Neurology with Institute of Translational Neurology, University Hospital Münster, Münster, Germany.
Xiaolin LiDepartment of Neurology with Institute of Translational Neurology, University Hospital Münster, Münster, Germany.
Saskia RäuberDepartment of Neurology with Institute of Translational Neurology, University Hospital Münster, Münster, Germany.
Anne K MausbergDepartment of Neurology, University Hospital Essen, Essen, Germany.
Anna-Lena BörschDepartment of Neurology with Institute of Translational Neurology, University Hospital Münster, Münster, Germany.
Maike HartlehnertDepartment of Neurology with Institute of Translational Neurology, University Hospital Münster, Münster, Germany.
Arpita SinghalDepartment of Electrical Engineering and Computer Science and Center for Computational Biology, University of California Berkeley, Berkeley, CA, USA.
I-Na LuDepartment of Neurology with Institute of Translational Neurology, University Hospital Münster, Münster, Germany.
Michael FleischerDepartment of Neurology, University Hospital Essen, Essen, Germany.
Fabian SzepanowskiDepartment of Neurology, University Hospital Essen, Essen, Germany.
Oliver WitzkeDepartment of Infectious Diseases, West German Centre of Infectious Diseases, University Duisburg-Essen, Germany.
Thorsten BrennerDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Ulf DittmerInstitute for Virology, University Hospital Essen, Germany.
Nir YosefDepartment of Electrical Engineering and Computer Science and Center for Computational Biology, University of California Berkeley, Berkeley, CA, USA; Ragon Institute of MGH, MIT and Harvard, Cambridge, MA, USA; Chan Zuckerberg Biohub, San Francisco, CA, USA.
Christoph KleinschnitzDepartment of Neurology, University Hospital Essen, Essen, Germany.
Heinz WiendlDepartment of Neurology with Institute of Translational Neurology, University Hospital Münster, Münster, Germany.
Mark StettnerDepartment of Neurology, University Hospital Essen, Essen, Germany. Electronic address: mark.stettner@uk-essen.de.
Gerd Meyer Zu HörsteDepartment of Neurology with Institute of Translational Neurology, University Hospital Münster, Münster, Germany. Electronic address: gerd.meyerzuhoerste@ukmuenster.de.
University Hospital Münster · DEEssen University Hospital · DEUniversity of Duisburg-Essen · DERagon Institute of MGH, MIT and Harvard · USUniversity of California, Berkeley · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients suffering from Coronavirus disease 2019 (COVID-19) can develop neurological sequelae, such as headache and neuroinflammatory or cerebrovascular disease. These conditions-termed here as Neuro-COVID-are more frequent in patients with severe COVID-19. To understand the etiology of these neurological sequelae, we utilized single-cell sequencing and examined the immune cell profiles from the cerebrospinal fluid (CSF) of Neuro-COVID patients compared with patients with non-inflammatory and autoimmune neurological diseases or with viral encephalitis. The CSF of Neuro-COVID patients exhibited an expansion of dedifferentiated monocytes and of exhausted CD4

Indexed as

Cell DifferentiationCerebrospinal FluidCOVID-19Encephalitis, ViralGene Expression ProfilingHumansInterferonsLeukocytesLymphocyte ActivationMonocytesNervous System DiseasesReceptors, Antigen, T-CellSARS-CoV-2Single-Cell AnalysisT-LymphocytesInterferonsReceptors, Antigen, T-Cellcerebrospinal fluidCOVID-19interferon-stimulated genesNeuro-COVIDneurological manifestationSARS-CoV-2single-cell RNA sequencingT cell exhaustiontranscriptomics

Identifiers

PMID33382973
PMCPMC7831653
OpenAlexW3114322636

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.