Evidence map›Paper›PMID 33578018›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2021

The unbalanced p53/SIRT1 axis may impact lymphocyte homeostasis in COVID-19 patients.

Veronica Bordoni, Eleonora Tartaglia, Alessandra Sacchi, Gian Maria Fimia, Eleonora Cimini, Rita Casetti, Stefania Notari, Germana Grassi, Luisa Marchioni, Michele Bibas and 8 more

Open access · goldAbstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
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

30 citing papers in PubMed, 50 citations in OpenAlex.

  1. Review
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  11. The sirtuin family in health and disease.Signal transduction and targeted therapy · 2022
    Review
  12. Citicoline and COVID-19: vis-à-vis conjectured.Naunyn-Schmiedeberg's archives of pharmacology · 2022
    Review
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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

18 authors at 6 institutions in 4 countries.

Veronica BordoniINMI Lazzaro Spallanzani-IRCCS, Via Portuense, 292, 00149 Rome, Italy.
Eleonora TartagliaINMI Lazzaro Spallanzani-IRCCS, Via Portuense, 292, 00149 Rome, Italy.
Alessandra SacchiINMI Lazzaro Spallanzani-IRCCS, Via Portuense, 292, 00149 Rome, Italy.
Gian Maria FimiaINMI Lazzaro Spallanzani-IRCCS, Via Portuense, 292, 00149 Rome, Italy; Department of Molecular Medicine, University of Rome "Sapienza", Rome, Italy.
Eleonora CiminiINMI Lazzaro Spallanzani-IRCCS, Via Portuense, 292, 00149 Rome, Italy.
Rita CasettiINMI Lazzaro Spallanzani-IRCCS, Via Portuense, 292, 00149 Rome, Italy.
Stefania NotariINMI Lazzaro Spallanzani-IRCCS, Via Portuense, 292, 00149 Rome, Italy.
Germana GrassiINMI Lazzaro Spallanzani-IRCCS, Via Portuense, 292, 00149 Rome, Italy.
Luisa MarchioniINMI Lazzaro Spallanzani-IRCCS, Via Portuense, 292, 00149 Rome, Italy.
Michele BibasINMI Lazzaro Spallanzani-IRCCS, Via Portuense, 292, 00149 Rome, Italy.
Maria R CapobianchiINMI Lazzaro Spallanzani-IRCCS, Via Portuense, 292, 00149 Rome, Italy.
Franco LocatelliOspedale Pediatrico Bambino Gesù, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy.
Markus MaeurerImmunotherapy Programme, Champalimaud Centre for the Unknown, Lisbon, Portugal; I Med Clinic, University of Mainz, Mainz, Germany.
Alimuddin ZumlaDivision of Infection and Immunity, University College London, London, UK; National Institute or Health Research Biomedical Research Centre, University College London Hospitals NHS Foundation Trust, London, UK.
Andrea AntinoriINMI Lazzaro Spallanzani-IRCCS, Via Portuense, 292, 00149 Rome, Italy.
Emanuele NicastriINMI Lazzaro Spallanzani-IRCCS, Via Portuense, 292, 00149 Rome, Italy.
Giuseppe IppolitoINMI Lazzaro Spallanzani-IRCCS, Via Portuense, 292, 00149 Rome, Italy.
Chiara AgratiINMI Lazzaro Spallanzani-IRCCS, Via Portuense, 292, 00149 Rome, Italy. Electronic address: chiara.agrati@inmi.it.
Istituti di Ricovero e Cura a Carattere Scientifico · ITIstituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITBambino Gesù Children's Hospital · ITChampalimaud Foundation · PTSapienza University of Rome · ITUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesA dysregulated inflammatory profile plays an important role in coronavirus disease-2019 (COVID-19) pathogenesis. Moreover, the depletion of lymphocytes is typically associated with an unfavourable disease course. We studied the role and impact of p53 and deacetylase Sirtuin 1 (SIRT1) on lymph-monocyte homeostasis and their possible effect on T and B cell signalling.

methodsGene expression analysis and flow cytometry were performed on peripheral blood mononuclear cells (PBMC) of 35 COVID-19 patients and 10 healthy donors (HD). Inflammatory cytokines, the frequency of Annexin+ cells among CD3+ T cells and CD19+ B cell subsets were quantified.

resultsPBMC from COVID-19 patients had a higher p53 expression, and higher concentrations of plasma proinflammatory cytokines (IL1β, TNF-α, IL8, and IL6) than HD. Deacetylase Sirtuin 1 (SIRT1) expression was significantly decreased in COVID-19 patients and was negatively correlated with p53 (p = 0.003 and r = -0.48). A lower expression of IL-7R and B Cell linker (BLNK), key genes for lymphocyte homeostasis and function, was observed in COVID-19 than in HD. The reduction of IgK and IgL chains was seen in lymphopenic COVID-19 patients. A significant increase in both apoptotic B and T cells were observed. Inflammatory cytokines correlated positively with p53 (IL-1β: r = 0.5 and p = 0.05; IL-8: r = 0.5 and p = 0.05) and negatively with SIRT1 (IL1-β: r = -0.5 and p = 0.04; TNF-α: r = -0.4 and p = 0.04).

conclusionsCollectively, our data indicate that the inflammatory environment, the dysregulated p53/SIRT1 axis and low expression of IL7R and BLNK may impact cell survival, B cell signalling and antibody production in COVID-19 patients. Further studies are required to define the functional impact of low BLNK/IL7R expression during severe acute respiratory syndrome coronavirus-2 infection.

Indexed as

HomeostasisSARS-CoV-2AgedCOVID-19CytokinesFemaleHumansLymphocytesMaleMiddle AgedSirtuin 1Tumor Suppressor Protein p53CytokinesSIRT1 protein, humanSirtuin 1Tumor Suppressor Protein p53BLNKCOVID-19IL-7RInflammationp53/SIRT1

Identifiers

PMID33578018
PMCPMC7872850
OpenAlexW3127569267

What OpenQuestion holds

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Registered trials

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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.