Evidence map›Paper›PMID 33566457›Full record

ReviewImmunity, inflammation and disease2021

Age-related differences in the immune response could contribute to determine the spectrum of severity of COVID-19.

Giorgio Costagliola, Erika Spada, Rita Consolini

Open access · goldAbstract readComparative StudyReview
In one paragraph

Review in Immunity, inflammation and disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 4% 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

53 citing papers in PubMed, 2 syntheses or guidelines pooled it, 77 citations in OpenAlex.

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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

3 authors at 1 institution in 1 country.

Giorgio CostagliolaDivision of Pediatrics, Department of Clinical and Experimental Medicine, Section of Rheumatology and Clinical Immunology, University of Pisa, Pisa, Italy.ORCID 0000-0002-4160-3727
Erika SpadaDivision of Pediatrics, Department of Clinical and Experimental Medicine, Section of Rheumatology and Clinical Immunology, University of Pisa, Pisa, Italy.
Rita ConsoliniDivision of Pediatrics, Department of Clinical and Experimental Medicine, Section of Rheumatology and Clinical Immunology, University of Pisa, Pisa, Italy.ORCID 0000-0001-5968-1945
University of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19), can present with a wide spectrum of severity. Elderly patients with cardiac, pulmonary and metabolic comorbidities are more likely to develop the severe manifestations of COVID-19, which are observed in less than 5% of the pediatric patients. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is able to induce an immune impairment and dysregulation, finally resulting in the massive release of inflammatory mediators, strongly contributing to the pulmonary and systemic manifestations in COVID-19. In children, the immune dysregulation following SARS-CoV-2 can also be responsible of a severe disease phenotype defined as multisystem inflammatory syndrome in children. As the immune system undergoes a complex process of maturation from birth to adult age, differences in the immune and inflammatory response could have a significant impact in determining the spectrum of severity of COVID-19. Indeed, children show a higher ability to respond to viral infections and a reduced baseline pro-inflammatory state compared with elderly patients. Age and comorbidities contribute to disease severity through immune-mediated mechanisms, since they are associated with a chronic increase of pro-inflammatory mediators, and cause an enhanced susceptibility to develop an immune dysregulation following SARS-CoV-2 infection. Also the expression of ACE2, the receptor of SARS-CoV-2, varies with age, and is linked to the immune and inflammatory response through a complex, and not completely elucidated, network. This paper reviews the peculiar immunopathogenic aspects of COVID-19, with a focus on the differences between adult and pediatric patients.

Indexed as

Age FactorsSARS-CoV-2Adaptive ImmunityAdolescentAdultAgedAge of OnsetAgingAngiotensin-Converting Enzyme 2ChildChild, PreschoolComorbidityCOVID-19Cytokine Release SyndromeHumansImmunity, InnateACE2 protein, humanAngiotensin-Converting Enzyme 2Receptors, VirusACE2childrencoronaviruscytokine stormimmune dysregulationmultisystem inflammatory syndrome in children (MIS-C)

Identifiers

PMID33566457
PMCPMC8014746
OpenAlexW3128809753

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.