Evidence map›Paper›PMID 33391477›Full record

ReviewTheranostics2021

Immunopathogenesis and treatment of cytokine storm in COVID-19.

Jae Seok Kim, Jun Young Lee, Jae Won Yang, Keum Hwa Lee, Maria Effenberger, Wladimir Szpirt, Andreas Kronbichler, Jae Il Shin

Open access · goldAbstract readReview
In one paragraph

Review in Theranostics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 261 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
261citing papers in PubMed, 6 pooled it
45.0field-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.

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

261 citing papers in PubMed, 6 syntheses or guidelines pooled it, 463 citations in OpenAlex.

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  9. Investigating the Short-Term Changes of the Electrocardiogram Indicators During Hospitalization in Patients With COVID-19 Following the Use of Tocilizumab.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2026
    Article
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  11. Cytokine storm in acute respiratory distress syndrome.Journal of intensive medicine · 2026
    Review
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201 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

8 authors at 3 institutions in 3 countries.

Jae Seok KimDepartment of Nephrology, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea.
Jun Young LeeDepartment of Nephrology, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea.
Jae Won YangDepartment of Nephrology, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea.
Keum Hwa LeeDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of Korea.
Maria EffenbergerDepartment of Internal Medicine I, Gastroenterology, Hepatology, Endocrinology & Metabolism, Medical University Innsbruck, Innsbruck, Austria.
Wladimir SzpirtDepartment of Nephrology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Andreas KronbichlerDepartment of Internal Medicine IV, Nephrology and Hypertension, Medical University Innsbruck, Innsbruck, Austria.
Jae Il ShinDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of Korea.
Yonsei University · KRInnsbruck Medical University · ATUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe coronavirus disease 2019 (COVID-19) is characterized by systemic hyper-inflammation, acute respiratory distress syndrome, and multiple organ failure. Cytokine storm refers to a set of clinical conditions caused by excessive immune reactions and has been recognized as a leading cause of severe COVID-19. While comparisons have been made between COVID-19 cytokine storm and other kinds of cytokine storm such as hemophagocytic lymphohistiocytosis and cytokine release syndrome, the pathogenesis of cytokine storm has not been clearly elucidated yet. Recent studies have shown that impaired response of type-1 IFNs in early stage of COVID-19 infection played a major role in the development of cytokine storm, and various cytokines such as IL-6 and IL-1 were involved in severe COVID-19. Furthermore, many clinical evidences have indicated the importance of anti-inflammatory therapy in severe COVID-19. Several approaches are currently being used to treat the observed cytokine storm associated with COVID-19, and expectations are especially high for new cytokine-targeted therapies, such as tocilizumab, anakinra, and baricitinib. Although a number of studies have been conducted on anti-inflammatory treatments for severe COVID-19, no specific recommendations have been made on which drugs should be used for which patients and when. In this review, we provide an overview of cytokine storm in COVID-19 and treatments currently being used to address it. In addition, we discuss the potential therapeutic role of extracorporeal cytokine removal to treat the cytokine storm associated with COVID-19.

Indexed as

Antibodies, Monoclonal, HumanizedAnti-Inflammatory AgentsAzetidinesClinical Trials as TopicCOVID-19COVID-19 Drug TreatmentCytokine Release SyndromeCytokinesHumansImmunosuppressive AgentsInterleukin 1 Receptor Antagonist ProteinJanus KinasesPurinesPyrazolesSARS-CoV-2Severity of Illness IndexAntibodies, Monoclonal, HumanizedAnti-Inflammatory AgentsAzetidinesbaricitinibCytokinesImmunosuppressive AgentsInterleukin 1 Receptor Antagonist ProteinJanus KinasesPurinesPyrazolesSTAT Transcription FactorsSulfonamidestocilizumabCoronavirusCOVID-19cytokine blockadescytokine stormplasma exchange

Identifiers

PMID33391477
PMCPMC7681075
OpenAlexW3095024243

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.