Evidence map›Paper›PMID 33524876›Full record

Trial reportJournal of autoimmunity2021

COVID-19 convalescent plasma composition and immunological effects in severe patients.

Yeny Acosta-Ampudia, Diana M Monsalve, Manuel Rojas, Yhojan Rodríguez, Juan Esteban Gallo, Juan Carlos Salazar-Uribe, María José Santander, Mónica P Cala, Wildeman Zapata, María Isabel Zapata and 6 more

Open access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of autoimmunity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 3 pooled it
7.5field-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

88 citing papers in PubMed, 3 syntheses or guidelines pooled it, 127 citations in OpenAlex.

  1. Lessons learned from the use of convalescent plasma for the treatment of COVID-19 and specific considerations for immunocompromised patients.Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis · 2022
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  14. Type I IFN autoantibodies underlie chikungunya live-attenuated vaccine encephalitis.Proceedings of the National Academy of Sciences of the United States of America · 2026
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28 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

16 authors at 6 institutions in 1 country.

Yeny Acosta-AmpudiaCenter for Autoimmune Diseases Research (CREA), School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia.
Diana M MonsalveCenter for Autoimmune Diseases Research (CREA), School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia.
Manuel RojasCenter for Autoimmune Diseases Research (CREA), School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia.
Yhojan RodríguezCenter for Autoimmune Diseases Research (CREA), School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia; Clínica del Occidente, Bogota, Colombia.
Juan Esteban GalloGenomaCES, Universidad CES, Medellin, Colombia.
Juan Carlos Salazar-UribeResearch Group in Statistics, Universidad Nacional de Colombia, Medellin, Colombia.
María José SantanderMetabolomics Core Facility-MetCore, Vicepresidency for Research, Universidad de los Andes, Bogota, Colombia.
Mónica P CalaMetabolomics Core Facility-MetCore, Vicepresidency for Research, Universidad de los Andes, Bogota, Colombia.
Wildeman ZapataGrupo Inmunovirología, Facultad de Medicina, Universidad de Antioquia, Medellin, Colombia.
María Isabel ZapataGrupo Inmunovirología, Facultad de Medicina, Universidad de Antioquia, Medellin, Colombia.
Rubén ManriqueEpidemiology and Biostatistics Research Group, Universidad CES, Medellin, Colombia.
Juan Mauricio Pardo-OviedoHospital Universitario Mayor Méderi, Universidad del Rosario, Bogota, Colombia.
Bernardo CamachoInstituto Distrital de Ciencia Biotecnología e Investigación en Salud, IDCBIS, Bogota, Colombia.
Carolina Ramírez-SantanaCenter for Autoimmune Diseases Research (CREA), School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia. Electronic address: heily.ramirez@urosario.edu.co.
Juan-Manuel AnayaCenter for Autoimmune Diseases Research (CREA), School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia; Clínica del Occidente, Bogota, Colombia. Electronic address: juan.anaya@urosario.edu.co.
CP-COVID-19 group
Universidad del Rosario · COClínica CES · COUniversidad de Antioquia · COUniversidad de Los Andes · COUniversidad Autónoma de Occidente · COUniversidad Nacional de Colombia · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Convalescent plasma (CP) has emerged as a treatment for COVID-19. However, the composition and mechanism of action are not fully known. Therefore, we undertook a two-phase controlled study in which, first the immunological and metabolomic status of recovered and severe patients were evaluated. Secondly, the 28-day effect of CP on the immune response in severe patients was assessed. Nineteen recovered COVID-19 patients, 18 hospitalized patients with severe disease, and 16 pre-pandemic controls were included. Patients with severe disease were treated with CP transfusion and standard therapy (i.e., plasma recipients, n = 9) or standard therapy alone (n = 9). Clinical and biological assessments were done on day 0 and during follow-up on days 4, 7, 14, and 28. Clinical parameters, viral load, total immunoglobulin (Ig) G and IgA anti-S1-SARS-CoV-2 antibodies, neutralizing antibodies (NAbs), autoantibodies, cytokines, T and B cells, and metabolomic and lipidomic profiles were examined. Total IgG and IgA anti-S1-SARS-CoV-2 antibodies were key factors for CP selection and correlated with NAbs. In severe COVID-19 patients, mostly interleukin (IL)-6 (P = <0.0001), IL-10 (P = <0.0001), IP-10 (P = <0.0001), fatty acyls and glycerophospholipids were higher than in recovered patients. Latent autoimmunity and anti-IFN-α antibodies were observed in both recovered and severe patients. COVID-19 CP induced an early but transient cytokine profile modification and increases IgG anti-S1-SARS-CoV-2 antibodies. At day 28 post-transfusion, a decrease in activated, effector and effector memory CD4

Indexed as

SARS-CoV-2AdultAntibodies, NeutralizingAntibodies, ViralB-LymphocytesCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCOVID-19COVID-19 SerotherapyFemaleHumansImmunization, PassiveInterleukin-10Interleukin-6MaleMiddle AgedAntibodies, NeutralizingAntibodies, ViralIL10 protein, humanIL6 protein, humanInterleukin-10Interleukin-6AutoantibodiesConvalescent plasmaCOVID-19CytokinesMemory cellsMetabolomic profile

Identifiers

PMID33524876
PMCPMC7826092
OpenAlexW3123425658

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.