Evidence map›Paper›PMID 33609539›Full record

ReviewLife sciences2021

A double edged-sword - The Complement System during SARS-CoV-2 infection.

Lazara Elena Santiesteban-Lores, Thais Akemi Amamura, Tiago Francisco da Silva, Leonardo Moura Midon, Milena Carvalho Carneiro, Lourdes Isaac, Lorena Bavia

Open access · greenAbstract readReview
In one paragraph

Review in Life sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 7% 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Innate Immune Response to Viral Infection.Advances in experimental medicine and biology · 2025
    Review
  7. Pathological Sequelae of SARS-CoV-2: A Review for Clinicians.The Yale journal of biology and medicine · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Plant lectins as prospective antiviral biomolecules in the search for COVID-19 eradication strategies.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2022
    Review
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

7 authors at 1 institution in 1 country.

Lazara Elena Santiesteban-LoresDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo, Brazil.
Thais Akemi AmamuraDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo, Brazil.
Tiago Francisco da SilvaDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo, Brazil.
Leonardo Moura MidonDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo, Brazil.
Milena Carvalho CarneiroDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo, Brazil.
Lourdes IsaacDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo, Brazil. Electronic address: louisaac@icb.usp.br.
Lorena BaviaDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo, Brazil. Electronic address: lorena.bavia@gmail.com.
Universidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the past 20 years, infections caused by coronaviruses SARS-CoV, MERS-CoV and SARS-CoV-2 have posed a threat to public health since they may cause severe acute respiratory syndrome (SARS) in humans. The Complement System is activated during viral infection, being a central protagonist of innate and acquired immunity. Here, we report some interactions between these three coronaviruses and the Complement System, highlighting the central role of C3 with the severity of these infections. Although it can be protective, its role during coronavirus infections seems to be contradictory. For example, during SARS-CoV-2 infection, Complement System can control the viral infection in asymptomatic or mild cases; however, it can also intensify local and systemic damage in some of severe COVID-19 patients, due to its potent proinflammatory effect. In this last condition, the activation of the Complement System also amplifies the cytokine storm and the pathogenicity of coronavirus infection. Experimental treatment with Complement inhibitors has been an enthusiastic field of intense investigation in search of a promising additional therapy in severe COVID-19 patients.

Indexed as

AnimalsComplement ActivationComplement C3Complement Inactivating AgentsComplement System ProteinsCoronavirus InfectionsCOVID-19COVID-19 Drug TreatmentCytokine Release SyndromeHumansInflammationMiddle East Respiratory Syndrome CoronavirusSARS-CoV-2Severe Acute Respiratory SyndromeSevere acute respiratory syndrome-related coronavirusComplement C3Complement Inactivating AgentsComplement System ProteinsComplement inhibitorsComplement SystemCOVID-19InflammationSARS-CoV-2

Identifiers

PMID33609539
PMCPMC7889033
OpenAlexW3133113713

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.