Evidence map›Paper›PMID 33617030›Full record

ArticleJournal of leukocyte biology2021

Flow cytometric evaluation of the neutrophil compartment in COVID-19 at hospital presentation: A normal response to an abnormal situation.

Roy Spijkerman, Suzanne H Bongers, Bas J J Bindels, Gerjen H Tinnevelt, Giulio Giustarini, Nikita K N Jorritsma, Wiebe Buitenwerf, Daan E J van Spengler, Eveline M Delemarre, Stefan Nierkens and 8 more

Full text readEvaluation Study
In one paragraph

Article in Journal of leukocyte biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Cytosolic proliferating cell nuclear antigen (PCNA) orchestrates neutrophil hyperactivation in COVID-19.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  2. Article
  3. Review
  4. Visualization of the inflammatory response to injury by neutrophil phenotype categories : Neutrophil phenotypes after trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  5. Article
  6. 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.

Roy SpijkermanDepartment of Respiratory Medicine, University Medical Center Utrecht, Heidelberglaan, Utrecht, The Netherlands.
Suzanne H BongersDepartment of Trauma Surgery, University Medical Center Utrecht, Heidelberglaan, Utrecht, The Netherlands.
Bas J J BindelsDepartment of Respiratory Medicine, University Medical Center Utrecht, Heidelberglaan, Utrecht, The Netherlands.
Gerjen H TinneveltInstitute for Molecules and Materials, Radboud University, Heyendaalseweg, Nijmegen, The Netherlands.
Giulio GiustariniDepartment of Respiratory Medicine, University Medical Center Utrecht, Heidelberglaan, Utrecht, The Netherlands.
Nikita K N JorritsmaDepartment of Respiratory Medicine, University Medical Center Utrecht, Heidelberglaan, Utrecht, The Netherlands.
Wiebe BuitenwerfDepartment of Respiratory Medicine, University Medical Center Utrecht, Heidelberglaan, Utrecht, The Netherlands.
Daan E J van SpenglerDepartment of Respiratory Medicine, University Medical Center Utrecht, Heidelberglaan, Utrecht, The Netherlands.
Eveline M DelemarreCenter for Translational Immunology (CTI), University Medical Center Utrecht, Heidelberglaan, Utrecht, The Netherlands.
Stefan NierkensCenter for Translational Immunology (CTI), University Medical Center Utrecht, Heidelberglaan, Utrecht, The Netherlands.
Harriët M R van GoorDepartment of Internal Medicine, University Medical Center Utrecht, Heidelberglaan, Utrecht, The Netherlands.
Jeroen J JansenInstitute for Molecules and Materials, Radboud University, Heyendaalseweg, Nijmegen, The Netherlands.
Nienke VrisekoopDepartment of Respiratory Medicine, University Medical Center Utrecht, Heidelberglaan, Utrecht, The Netherlands.
Falco HietbrinkDepartment of Trauma Surgery, University Medical Center Utrecht, Heidelberglaan, Utrecht, The Netherlands.
Luke P H LeenenDepartment of Trauma Surgery, University Medical Center Utrecht, Heidelberglaan, Utrecht, The Netherlands.
Karin A H KaasjagerDepartment of Internal Medicine, University Medical Center Utrecht, Heidelberglaan, Utrecht, The Netherlands.
Leo KoendermanDepartment of Respiratory Medicine, University Medical Center Utrecht, Heidelberglaan, Utrecht, The Netherlands.
COVPACH study groupDepartment of Respiratory Medicine, University Medical Center Utrecht, Heidelberglaan, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19) is a rapidly emerging pandemic disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Critical COVID-19 is thought to be associated with a hyper-inflammatory process that can develop into acute respiratory distress syndrome, a critical disease normally mediated by dysfunctional neutrophils. This study tested the hypothesis whether the neutrophil compartment displays characteristics of hyperinflammation in COVID-19 patients. Therefore, a prospective study was performed on all patients with suspected COVID-19 presenting at the emergency room of a large academic hospital. Blood drawn within 2 d after hospital presentation was analyzed by point-of-care automated flow cytometry and compared with blood samples collected at later time points. COVID-19 patients did not exhibit neutrophilia or eosinopenia. Unexpectedly neutrophil activation markers (CD11b, CD16, CD10, and CD62L) did not differ between COVID-19-positive patients and COVID-19-negative patients diagnosed with other bacterial/viral infections, or between COVID-19 severity groups. In all patients, a decrease was found in the neutrophil maturation markers indicating an inflammation-induced left shift of the neutrophil compartment. In COVID-19 this was associated with disease severity.

Indexed as

COVID-19Flow CytometryNeutrophil ActivationNeutrophilsSARS-CoV-2AgedAntigens, CDFemaleHospitalsHumansInflammationMaleMiddle AgedAntigens, CDactivationCD10flow cytometryneprilysinneutrophilSARS‐CoV‐2

Identifiers

PMID33617030
PMCPMC10016865

What OpenQuestion holds

Textfull text, public
LicenceCC BY
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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.