Evidence map›Paper›PMID 33524041›Full record

ArticlePLoS pathogens2021

Metabolomic/lipidomic profiling of COVID-19 and individual response to tocilizumab.

Gaia Meoni, Veronica Ghini, Laura Maggi, Alessia Vignoli, Alessio Mazzoni, Lorenzo Salvati, Manuela Capone, Anna Vanni, Leonardo Tenori, Paolo Fontanari and 8 more

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 2% 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

69 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Interleukin 6 Blockade With Tocilizumab Diminishes Indices of Inflammation That Are Linked to Mortality in Treated Human Immunodeficiency Virus Infection.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Trial
  4. Network-based integration of metabolomics data from large-scale repositories.Metabolomics : Official journal of the Metabolomic Society · 2026
    Article
  5. Recent Trends in Metabolomics by NMR Spectroscopy.Angewandte Chemie (International ed. in English) · 2026
    Review
  6. Host metabolic responses to SARS-CoV-2 and influenza viruses: parallels and contrasts.Metabolomics : Official journal of the Metabolomic Society · 2026
    Review
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9 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 3 institutions in 1 country.

Gaia MeoniMagnetic Resonance Center (CERM), University of Florence, Sesto Fiorentino, Florence, Italy.ORCID 0000-0002-8608-4641
Veronica GhiniMagnetic Resonance Center (CERM), University of Florence, Sesto Fiorentino, Florence, Italy.
Laura MaggiDepartment of Clinical and Experimental Medicine, University of Florence, Florence, Italy.ORCID 0000-0003-2862-9591
Alessia VignoliMagnetic Resonance Center (CERM), University of Florence, Sesto Fiorentino, Florence, Italy.ORCID 0000-0003-4038-6596
Alessio MazzoniDepartment of Clinical and Experimental Medicine, University of Florence, Florence, Italy.ORCID 0000-0001-7768-3805
Lorenzo SalvatiDepartment of Clinical and Experimental Medicine, University of Florence, Florence, Italy.ORCID 0000-0001-5831-0392
Manuela CaponeDepartment of Clinical and Experimental Medicine, University of Florence, Florence, Italy.ORCID 0000-0002-4690-9960
Anna VanniDepartment of Clinical and Experimental Medicine, University of Florence, Florence, Italy.ORCID 0000-0002-0463-2799
Leonardo TenoriMagnetic Resonance Center (CERM), University of Florence, Sesto Fiorentino, Florence, Italy.ORCID 0000-0001-6438-059X
Paolo FontanariCardiac Anaesthesia and Intensive Care Unit, Careggi University Hospital, Florence, Italy.
Federico LavoriniDepartment of Clinical and Experimental Medicine, University of Florence, Florence, Italy.ORCID 0000-0002-3293-2123
Adriano PerisIntensive Care Unit and Regional ECMO Referral Centre, Careggi University Hospital, Florence, Italy.
Alessandro BartoloniDepartment of Clinical and Experimental Medicine, University of Florence, Florence, Italy.ORCID 0000-0001-9758-1523
Francesco LiottaDepartment of Clinical and Experimental Medicine, University of Florence, Florence, Italy.
Lorenzo CosmiDepartment of Clinical and Experimental Medicine, University of Florence, Florence, Italy.ORCID 0000-0002-8150-8177
Claudio LuchinatMagnetic Resonance Center (CERM), University of Florence, Sesto Fiorentino, Florence, Italy.
Francesco AnnunziatoDepartment of Clinical and Experimental Medicine, University of Florence, Florence, Italy.
Paola TuranoMagnetic Resonance Center (CERM), University of Florence, Sesto Fiorentino, Florence, Italy.ORCID 0000-0002-7683-8614
Azienda Ospedaliero-Universitaria Careggi · ITInteruniversity Consortium for Magnetic Resonance · ITUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The current pandemic emergence of novel coronavirus disease (COVID-19) poses a relevant threat to global health. SARS-CoV-2 infection is characterized by a wide range of clinical manifestations, ranging from absence of symptoms to severe forms that need intensive care treatment. Here, plasma-EDTA samples of 30 patients compared with age- and sex-matched controls were analyzed via untargeted nuclear magnetic resonance (NMR)-based metabolomics and lipidomics. With the same approach, the effect of tocilizumab administration was evaluated in a subset of patients. Despite the heterogeneity of the clinical symptoms, COVID-19 patients are characterized by common plasma metabolomic and lipidomic signatures (91.7% and 87.5% accuracy, respectively, when compared to controls). Tocilizumab treatment resulted in at least partial reversion of the metabolic alterations due to SARS-CoV-2 infection. In conclusion, NMR-based metabolomic and lipidomic profiling provides novel insights into the pathophysiological mechanism of human response to SARS-CoV-2 infection and to monitor treatment outcomes.

Indexed as

COVID-19 Drug TreatmentLipidomicsAntibodies, Monoclonal, HumanizedCOVID-19FemaleHumansLipidsMaleNuclear Magnetic Resonance, BiomolecularSARS-CoV-2Antibodies, Monoclonal, HumanizedLipidstocilizumab

Identifiers

PMID33524041
PMCPMC7877736
OpenAlexW3127592378

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.