Evidence map›Paper›PMID 33712622›Full record

ArticleNature communications2021

Integrated cytokine and metabolite analysis reveals immunometabolic reprogramming in COVID-19 patients with therapeutic implications.

Nan Xiao, Meng Nie, Huanhuan Pang, Bohong Wang, Jieli Hu, Xiangjun Meng, Ke Li, Xiaorong Ran, Quanxin Long, Haijun Deng and 5 more

Open access · goldAbstract 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 183 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
183citing papers in PubMed, 4 pooled it
16.9field-weighted citation impact, top 1% 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

183 citing papers in PubMed, 4 syntheses or guidelines pooled it, 316 citations in OpenAlex.

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  13. Host metabolic responses to SARS-CoV-2 and influenza viruses: parallels and contrasts.Metabolomics : Official journal of the Metabolomic Society · 2026
    Review
  14. NADThe Journal of general virology · 2026
    Review
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123 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

15 authors at 5 institutions in 2 countries.

Nan Xiao *School of Pharmaceutical Sciences, Tsinghua University, Beijing, 100084, China.ORCID 0000-0002-6966-6631
Meng Nie *School of Pharmaceutical Sciences, Tsinghua University, Beijing, 100084, China.ORCID 0000-0003-2267-5810
Huanhuan Pang *School of Pharmaceutical Sciences, Tsinghua University, Beijing, 100084, China.
Bohong Wang *School of Pharmaceutical Sciences, Tsinghua University, Beijing, 100084, China.
Jieli Hu *Key Laboratory of Molecular Biology for Infectious Diseases (Ministry of Education), Chongqing Medical University, Chongqing, China.
Xiangjun MengSchool of Pharmaceutical Sciences, Tsinghua University, Beijing, 100084, China.
Ke LiNHC Key Laboratory of Biotechnology of Antibiotics, Institute of Medicinal Biotechnology, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100050, China.
Xiaorong RanAgilent Technologies (China), Chaoyang District, Beijing, 100102, China.
Quanxin LongKey Laboratory of Molecular Biology for Infectious Diseases (Ministry of Education), Chongqing Medical University, Chongqing, China.ORCID 0000-0003-1857-2798
Haijun DengKey Laboratory of Molecular Biology for Infectious Diseases (Ministry of Education), Chongqing Medical University, Chongqing, China.ORCID 0000-0002-4890-192X
Na ChenSchool of Pharmaceutical Sciences, Tsinghua University, Beijing, 100084, China.ORCID 0000-0001-8460-6875
Shao LiInstitute for TCM-X, MOE Key Laboratory of Bioinformatics, Bioinformatics Division, BNRIST, Department of Automation, Tsinghua University, Beijing, 100084, China.
Ni TangKey Laboratory of Molecular Biology for Infectious Diseases (Ministry of Education), Chongqing Medical University, Chongqing, China. nitang@cqmu.edu.cn.ORCID 0000-0001-5830-8786
Ailong HuangKey Laboratory of Molecular Biology for Infectious Diseases (Ministry of Education), Chongqing Medical University, Chongqing, China. ahuang@cqmu.edu.cn.ORCID 0000-0003-0148-7423
Zeping HuSchool of Pharmaceutical Sciences, Tsinghua University, Beijing, 100084, China. zeping_hu@tsinghua.edu.cn.ORCID 0000-0003-4146-7750
Chongqing Medical University · CNTsinghua University · CNCenter for Life Sciences · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNKing Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cytokine release syndrome (CRS) is a major cause of the multi-organ injury and fatal outcome induced by SARS-CoV-2 infection in severe COVID-19 patients. Metabolism can modulate the immune responses against infectious diseases, yet our understanding remains limited on how host metabolism correlates with inflammatory responses and affects cytokine release in COVID-19 patients. Here we perform both metabolomics and cytokine/chemokine profiling on serum samples from healthy controls, mild and severe COVID-19 patients, and delineate their global metabolic and immune response landscape. Correlation analyses show tight associations between metabolites and proinflammatory cytokines/chemokines, such as IL-6, M-CSF, IL-1α, IL-1β, and imply a potential regulatory crosstalk between arginine, tryptophan, purine metabolism and hyperinflammation. Importantly, we also demonstrate that targeting metabolism markedly modulates the proinflammatory cytokines release by peripheral blood mononuclear cells isolated from SARS-CoV-2-infected rhesus macaques ex vivo, hinting that exploiting metabolic alterations may be a potential strategy for treating fatal CRS in COVID-19.

Indexed as

MetabolomeSARS-CoV-2AnimalsCase-Control StudiesCohort StudiesCOVID-19Cytokine Release SyndromeCytokinesFemaleFollow-Up StudiesHumansInflammation MediatorsIn Vitro TechniquesLeukocytes, MononuclearLongitudinal StudiesMacaca mulattaCytokinesInflammation Mediators

Identifiers

PMID33712622
PMCPMC7955129
OpenAlexW3133596089

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.