Evidence map›Paper›PMID 33504359›Full record

ArticleExperimental hematology & oncology2021

Natural killer cells associated with SARS-CoV-2 viral RNA shedding, antibody response and mortality in COVID-19 patients.

Changqian Bao, Xiandong Tao, Wei Cui, Yuanyuan Hao, Shuaike Zheng, Bin Yi, Tiewen Pan, Ken H Young, Wenbin Qian

Open access · goldAbstract readLetter
In one paragraph

Article in Experimental hematology & oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 8% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. NK Cells: A Powerful Squad Versus SARS-CoV-2.International journal of molecular sciences · 2025
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  8. Adjunctive treatment in COVID-19 and sepsis-What did we learn?Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023
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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

9 authors at 4 institutions in 2 countries.

Changqian Bao *Department of Hematology, The Second Affiliated Hospital, Zhejiang University School of Medicine, 310009, Hangzhou, China.
Xiandong Tao *The Third Affiliated Hospital of Naval Medical University, 200438, Shanghai, China.
Wei Cui *Department of Intensive Care Unit, The Second Affiliated Hospital, Zhejiang University School of Medicine, 310009, Hangzhou, China.
Yuanyuan HaoDepartment of Hematology, The Second Affiliated Hospital, Zhejiang University School of Medicine, 310009, Hangzhou, China.
Shuaike ZhengDepartment of Dentist, The Second Affiliated Hospital, Zhejiang University School of Medicine, 310009, Hangzhou, China.
Bin YiThe Third Affiliated Hospital of Naval Medical University, 200438, Shanghai, China.
Tiewen PanThe Third Affiliated Hospital of Naval Medical University, 200438, Shanghai, China.
Ken H YoungHematopathology Division, Department of Pathology, Duke University Medical Center, Duke University Cancer Center, Durham, NC, USA. ken.young@duke.edu.
Wenbin QianDepartment of Hematology, The Second Affiliated Hospital, Zhejiang University School of Medicine, 310009, Hangzhou, China. qianwb@zju.edu.cn.ORCID http://orcid.org/0000-0002-9817-6674
Second Affiliated Hospital of Zhejiang University · CNWuhan No.1 Hospital · CNDuke University · USSoochow University · CN

Funding

The Translation Research Grant of NCRCH 2020ZKZC01
6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19) is a novel infectious viral disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Two consecutively negative SARS-CoV-2 viral RNA test ( interval ≥ 24 hours), improved respiratory symptoms and obvious absorption of inflammation in pulmonary imaging are the discharge criteria for COVID-19 patients. The clearance profile of viral RNA in the upper respiratory tract specimens, including nasopharyngeal swab and/or oropharyngeal swabs, is related to innate immune cells such as Natural Killer cells. A total of 168 patients were included for the study. In this cohort, non-severe and severe groups showed significant differences in white blood cells, neutrophils, lymphocytes, basophils and platelets counts, as well as in infection related parameters such as CRP and serum cytokine IL-6. For lymphocyte subsets tests at admission, the severe group displayed significantly lower cell counts than the non-severe group. Higher counts of total T cells, CD4 + T cells, CD8 + T cells, and NK cells in peripheral blood showed a significant correlation with the shorter time taken to obtain the first negative viral RNA test and first positive IgM/ IgG antibody test. The number of B cells was only correlated with time to achieve the first positive IgM/IgG test. The count of NK cells was also correlated with a higher level of IgG antibody (p = 0.025). The lymphocytopenia group had a significantly worse survival rate (p = 0.022) and a longer duration (p = 0.023) of viral shedding than the normal lymphocyte count group. A lower NK cell count correlates the most with the worse survival rate (p<0.001) and a longer duration (p<0.001) of viral shedding. This study suggests the potential value of allo-Natural Killer cell therapy as an universal COVID-19 treatment strategy.

Indexed as

Antibody responseCOVID-19Natural killer cellRNA viral sheddingSARS-CoV-2

Identifiers

PMID33504359
PMCPMC7839286
OpenAlexW3124932440

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.