Evidence map›Paper›PMID 33674591›Full record

ArticleNature communications2021

Deciphering the state of immune silence in fatal COVID-19 patients.

Pierre Bost, Francesco De Sanctis, Stefania Canè, Stefano Ugel, Katia Donadello, Monica Castellucci, David Eyal, Alessandra Fiore, Cristina Anselmi, Roza Maria Barouni and 14 more

Abstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 1 pooled it
–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

103 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Endotheliitis and cytokine storm as a mechanism of clot formation in COVID-19 ischemic stroke patients: A histopathologic study of retrieved clots.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  10. Article
  11. Article
  12. The roles of arginases and arginine in immunity.Nature reviews. Immunology · 2025
    Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Defining myeloid-derived suppressor cells.Nature reviews. Immunology · 2024
    Article
  19. Review
  20. Article

43 more citing papers are in PubMed but not listed here.

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

24 authors.

Pierre Bost *Department of Immunology, Weizmann Institute of Science, Rehovot, Israel.
Francesco De Sanctis *Immunology Section, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy.
Stefania Canè *Immunology Section, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy.
Stefano UgelImmunology Section, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy.ORCID 0000-0002-6639-7608
Katia DonadelloIntensive Care Unit, Department of Surgery, Dentistry, Maternity and Infant, University and Hospital Trust of Verona, Verona, Italy.
Monica CastellucciThe Center for Technological Platforms, University of Verona, Verona, Italy.
David EyalDepartment of Immunology, Weizmann Institute of Science, Rehovot, Israel.
Alessandra FioreImmunology Section, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy.
Cristina AnselmiImmunology Section, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy.
Roza Maria BarouniImmunology Section, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy.
Rosalinda TrovatoImmunology Section, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy.
Simone CaligolaImmunology Section, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy.ORCID 0000-0002-9829-9527
Alessia LamolinaraCAST- Center for Advanced Studies and Technology, Department of Neurosciences, Imaging and Clinical Sciences, University of G. D'Annunzio of Chieti-Pescara, Chieti, Italy.ORCID 0000-0002-7421-4509
Manuela IezziCAST- Center for Advanced Studies and Technology, Department of Neurosciences, Imaging and Clinical Sciences, University of G. D'Annunzio of Chieti-Pescara, Chieti, Italy.ORCID 0000-0002-6296-6498
Federica FacciottiDepartment of Experimental Oncology, IEO European Institute of Oncology IRCCS, Milan, Italy.ORCID 0000-0002-2541-9428
Annarita MazzariolMicrobiology Unit, Department of Diagnostics and Public Health, University and Hospital Trust of Verona, Verona, Italy.
Davide GibelliniMicrobiology Unit, Department of Diagnostics and Public Health, University and Hospital Trust of Verona, Verona, Italy.
Pasquale De NardoDivision of Infectious Diseases, Department of Diagnostics and Public Health, University and Hospital Trust of Verona, Verona, Italy.
Evelina TacconelliDivision of Infectious Diseases, Department of Diagnostics and Public Health, University and Hospital Trust of Verona, Verona, Italy.
Leonardo GottinIntensive Care Unit, Department of Surgery, Dentistry, Maternity and Infant, University and Hospital Trust of Verona, Verona, Italy.
Enrico PolatiIntensive Care Unit, Department of Surgery, Dentistry, Maternity and Infant, University and Hospital Trust of Verona, Verona, Italy.
Benno SchwikowskiSystems Biology Group, Department of Computational Biology and USR 3756, Institut Pasteur and CNRS, Paris, France.ORCID 0000-0001-5127-5619
Ido AmitDepartment of Immunology, Weizmann Institute of Science, Rehovot, Israel. ido.amit@weizmann.ac.il.ORCID 0000-0003-2968-877X
Vincenzo BronteImmunology Section, Department of Medicine, University and Hospital Trust of Verona, Verona, Italy. vincenzo.bronte@univr.it.ORCID 0000-0002-3741-5141

Funding

Howard Hughes Medical Institute
6 · The paper itself

Abstract

Since the beginning of the SARS-CoV-2 pandemic, COVID-19 appeared as a unique disease with unconventional tissue and systemic immune features. Here we show a COVID-19 immune signature associated with severity by integrating single-cell RNA-seq analysis from blood samples and broncho-alveolar lavage fluids with clinical, immunological and functional ex vivo data. This signature is characterized by lung accumulation of naïve lymphoid cells associated with a systemic expansion and activation of myeloid cells. Myeloid-driven immune suppression is a hallmark of COVID-19 evolution, highlighting arginase-1 expression with immune regulatory features of monocytes. Monocyte-dependent and neutrophil-dependent immune suppression loss is associated with fatal clinical outcome in severe patients. Additionally, our analysis shows a lung CXCR6

Indexed as

AgedAged, 80 and overCase-Control StudiesCD8-Positive T-LymphocytesCOVID-19CytokinesFemaleHumansMaleMiddle AgedMonocytesMyeloid CellsNeutrophilsSARS-CoV-2T-LymphocytesCytokines

Identifiers

PMID33674591
PMCPMC7935849

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.