Evidence map›Paper›PMID 33593209›Full record

ArticleJournal of the Royal Society, Interface2021

Infection, inflammation and intervention: mechanistic modelling of epithelial cells in COVID-19.

Nabil T Fadai, Rahil Sachak-Patwa, Helen M Byrne, Philip K Maini, Mona Bafadhel, Dan V Nicolau

Abstract read
In one paragraph

Article in Journal of the Royal Society, Interface, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Drug Cocktail Formulation via Circuit Design.IEEE transactions on molecular, biological, and multi-scale communications · 2023
    Article
  4. Article
  5. Inhaled corticosteroids for the treatment of COVID-19.European respiratory review : an official journal of the European Respiratory Society · 2022
    Review
  6. Article
  7. Stem cell therapy for COVID-19 pneumonia.Molecular biomedicine · 2022
    Review
  8. Article
  9. 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

6 authors.

Nabil T FadaiSchool of Mathematical Sciences, University of Nottingham, Nottingham NG7 2RD, UK.
Rahil Sachak-PatwaMathematical Institute, University of Oxford, Oxford OX2 6GG, UK.
Helen M ByrneMathematical Institute, University of Oxford, Oxford OX2 6GG, UK.
Philip K MainiMathematical Institute, University of Oxford, Oxford OX2 6GG, UK.
Mona BafadhelRespiratory Medicine Unit, Nuffield Department of Medicine, University of Oxford, Old Road Campus, Oxford OX3 7LF, UK.
Dan V NicolauRespiratory Medicine Unit, Nuffield Department of Medicine, University of Oxford, Old Road Campus, Oxford OX3 7LF, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While the pathological mechanisms in COVID-19 illness are still poorly understood, it is increasingly clear that high levels of pro-inflammatory mediators play a major role in clinical deterioration in patients with severe disease. Current evidence points to a hyperinflammatory state as the driver of respiratory compromise in severe COVID-19 disease, with a clinical trajectory resembling acute respiratory distress syndrome, but how this 'runaway train' inflammatory response emerges and is maintained is not known. Here, we present the first mathematical model of lung hyperinflammation due to SARS-CoV-2 infection. This model is based on a network of purported mechanistic and physiological pathways linking together five distinct biochemical species involved in the inflammatory response. Simulations of our model give rise to distinct qualitative classes of COVID-19 patients: (i) individuals who naturally clear the virus, (ii) asymptomatic carriers and (iii-v) individuals who develop a case of mild, moderate, or severe illness. These findings, supported by a comprehensive sensitivity analysis, point to potential therapeutic interventions to prevent the emergence of hyperinflammation. Specifically, we suggest that early intervention with a locally acting anti-inflammatory agent (such as inhaled corticosteroids) may effectively blockade the pathological hyperinflammatory reaction as it emerges.

Indexed as

Adrenal Cortex HormonesCOVID-19CytokinesEpithelial CellsEpitheliumHumansInflammationLungModels, ImmunologicalRespiratory Distress SyndromeSARS-CoV-2Adrenal Cortex HormonesCytokinesCOVID-19cytokine stormhyperinflammationinhaled corticosteroids

Identifiers

PMID33593209
PMCPMC8086847

What OpenQuestion holds

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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.