Evidence map›Paper›PMID 33584719›Full record

ArticleFrontiers in immunology

Cytokine Signature Induced by SARS-CoV-2 Spike Protein in a Mouse Model.

Tingxuan Gu, Simin Zhao, Guoguo Jin, Mengqiu Song, Yafei Zhi, Ran Zhao, Fayang Ma, Yaqiu Zheng, Keke Wang, Hui Liu and 6 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 3% 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

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. The Translational Value of Rodent Models of Sepsis.American journal of respiratory and critical care medicine · 2024
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Macrophages in immunoregulation and therapeutics.Signal transduction and targeted therapy · 2023
    Review
  19. Article
  20. Article
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 3 institutions in 2 countries.

Tingxuan GuDepartment of Pathophysiology, School of Basic Medical Sciences, Academy of Medical Science, College of Medicine, Zhengzhou University, Zhengzhou, China.
Simin ZhaoChina-US (Henan) Hormel Cancer Institute, Zhengzhou, China.
Guoguo JinChina-US (Henan) Hormel Cancer Institute, Zhengzhou, China.
Mengqiu SongDepartment of Pathophysiology, School of Basic Medical Sciences, Academy of Medical Science, College of Medicine, Zhengzhou University, Zhengzhou, China.
Yafei ZhiChina-US (Henan) Hormel Cancer Institute, Zhengzhou, China.
Ran ZhaoDepartment of Pathophysiology, School of Basic Medical Sciences, Academy of Medical Science, College of Medicine, Zhengzhou University, Zhengzhou, China.
Fayang MaDepartment of Pathophysiology, School of Basic Medical Sciences, Academy of Medical Science, College of Medicine, Zhengzhou University, Zhengzhou, China.
Yaqiu ZhengChina-US (Henan) Hormel Cancer Institute, Zhengzhou, China.
Keke WangChina-US (Henan) Hormel Cancer Institute, Zhengzhou, China.
Hui LiuDepartment of Pathophysiology, School of Basic Medical Sciences, Academy of Medical Science, College of Medicine, Zhengzhou University, Zhengzhou, China.
Mingxia XinChina-US (Henan) Hormel Cancer Institute, Zhengzhou, China.
Wei HanChina-US (Henan) Hormel Cancer Institute, Zhengzhou, China.
Xiang LiDepartment of Pathophysiology, School of Basic Medical Sciences, Academy of Medical Science, College of Medicine, Zhengzhou University, Zhengzhou, China.
Christopher D DongWartburg College, Waverly, IA, United States.
Kangdong LiuDepartment of Pathophysiology, School of Basic Medical Sciences, Academy of Medical Science, College of Medicine, Zhengzhou University, Zhengzhou, China.
Zigang DongDepartment of Pathophysiology, School of Basic Medical Sciences, Academy of Medical Science, College of Medicine, Zhengzhou University, Zhengzhou, China.
China-US (Henan) Hormel Cancer Institute · CNZhengzhou University · CNWartburg College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although COVID-19 has become a major challenge to global health, there are currently no efficacious agents for effective treatment. Cytokine storm syndrome (CSS) can lead to acute respiratory distress syndrome (ARDS), which contributes to most COVID-19 mortalities. Research points to interleukin 6 (IL-6) as a crucial signature of the cytokine storm, and the clinical use of the IL-6 inhibitor tocilizumab shows potential for treatment of COVID-19 patient. In this study, we challenged wild-type and adenovirus-5/human angiotensin-converting enzyme 2-expressing BALB/c mice with a combination of polyinosinic-polycytidylic acid and recombinant SARS-CoV-2 spike-extracellular domain protein. High levels of TNF-α and nearly 100 times increased IL-6 were detected at 6 h, but disappeared by 24 h in bronchoalveolar lavage fluid (BALF) following immunostimulant challenge. Lung injury observed by histopathologic changes and magnetic resonance imaging at 24 h indicated that increased TNF-α and IL-6 may initiate CSS in the lung, resulting in the continual production of inflammatory cytokines. We hypothesize that TNF-α and IL-6 may contribute to the occurrence of CSS in COVID-19. We also investigated multiple monoclonal antibodies (mAbs) and inhibitors for neutralizing the pro-inflammatory phenotype of COVID-19: mAbs against IL-1α, IL-6, TNF-α, and granulocyte-macrophage colony-stimulating factor (GM-CSF), and inhibitors of p38 and JAK partially relieved CSS; mAbs against IL-6, TNF-α, and GM-CSF, and inhibitors of p38, extracellular signal-regulated kinase, and myeloperoxidase somewhat reduced neutrophilic alveolitis in the lung. This novel murine model opens a biologically safe, time-saving avenue for clarifying the mechanism of CSS/ARDS in COVID-19 and developing new therapeutic drugs.

Indexed as

Disease Models, AnimalAnimalsAntibodies, NeutralizingAntibodies, ViralAnti-Inflammatory AgentsCOVID-19Cytokine Release SyndromeCytokinesMaleMiceMice, Inbred BALB CPoly I-CSARS-CoV-2Spike Glycoprotein, CoronavirusAntibodies, NeutralizingAntibodies, ViralAnti-Inflammatory AgentsCytokinesPoly I-CSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2acute respiratory distress syndromeCOVID-19cytokine storm syndromemurine modelSARS-CoV-2

Identifiers

PMID33584719
PMCPMC7876321
OpenAlexW3122097522

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.