Evidence map›Paper›PMID 33718270›Full record

Observational studyFrontiers in cellular and infection microbiology2021

T-Helper Cell Subset Response Is a Determining Factor in COVID-19 Progression.

Francisco Javier Gil-Etayo, Patricia Suàrez-Fernández, Oscar Cabrera-Marante, Daniel Arroyo, Sara Garcinuño, Laura Naranjo, Daniel E Pleguezuelo, Luis M Allende, Esther Mancebo, Antonio Lalueza and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Frontiers in cellular and infection microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 117 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed, 3 pooled it
9.0field-weighted citation impact, top 2% 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

117 citing papers in PubMed, 3 syntheses or guidelines pooled it, 162 citations in OpenAlex.

  1. Mucosal immune response in biology, disease prevention and treatment.Signal transduction and targeted therapy · 2025
    Pooled it
  2. COVID-19 pandemic: the delta variant, T-cell responses, and the efficacy of developing vaccines.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2022
    Pooled it
  3. Pooled it
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  7. Cellular Immunological Memory T Cells andDiagnostics (Basel, Switzerland) · 2025
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57 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

13 authors at 2 institutions in 1 country.

Francisco Javier Gil-EtayoDepartment of Immunology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Patricia Suàrez-FernándezDepartamento de Inmunologá, Instituto de Investigación, Sanitaria Hospital 12 de Octubre (imas12), Madrid, Spain.
Oscar Cabrera-MaranteDepartment of Immunology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Daniel ArroyoDepartment of Immunology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Sara GarcinuñoDepartamento de Inmunologá, Instituto de Investigación, Sanitaria Hospital 12 de Octubre (imas12), Madrid, Spain.
Laura NaranjoDepartment of Immunology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Daniel E PleguezueloDepartment of Immunology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Luis M AllendeDepartment of Immunology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Esther ManceboDepartment of Immunology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Antonio LaluezaDepartamento de Inmunologá, Instituto de Investigación, Sanitaria Hospital 12 de Octubre (imas12), Madrid, Spain.
Raquel Díaz-SimónDepartment of Internal Medicine, Hospital Universitario 12 de Octubre, Madrid, Spain.
Estela Paz-ArtalDepartment of Immunology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Antonio SerranoDepartment of Immunology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Hospital Universitario 12 De Octubre · ESResearch Institute Hospital 12 de Octubre · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The immune response type organized against viral infection is determinant in the prognosis of some infections. This work has aimed to study Th polarization in acute COVID-19 and its possible association with the outcome through an observational prospective study. Fifty-eight COVID-19 patients were recruited in the Medicine Department of the hospital "12 de Octubre," 55 patients remaining after losses to follow-up. Four groups were established according to maximum degree of disease progression. T-helper cell percentages and phenotypes, analyzed by flow cytometer, and serum cytokines levels, analyzed by Luminex, were evaluated when the microbiological diagnosis (acute phase) of the disease was obtained. Our study found a significant reduction of %Th1 and %Th17 cells with higher activated %Th2 cells in the COVID-19 patients compared with reference population. A higher percent of senescent Th2 cells was found in the patients who died than in those who survived. Senescent Th2 cell percentage was an independent risk factor for death (OR: 13.88) accompanied by the numbers of total lymphocytes (OR: 0.15) with an AUC of 0.879. COVID-19 patients showed a profile of pro-inflammatory serum cytokines compared to controls, with higher levels of IL-2, IL-6, IL-15, and IP-10. IL-10 and IL-13 were also elevated in patients compared to controls. Patients who did not survive presented significantly higher levels of IL-15 than those who recovered. No significant differences were observed according to disease progression groups. The study has shown that increased levels of IL-15 and a high Th2 response are associated with a fatal outcome of the disease.

Indexed as

AdultAgedCOVID-19CytokinesDisease ProgressionFemaleHumansImmunityMaleMiddle AgedMultivariate AnalysisProspective StudiesSARS-CoV-2Th17 CellsTh1 CellsTh2 CellsCytokinesCOVID-19cytokinesimmunitySARS-Cov2T-helper

Identifiers

PMID33718270
PMCPMC7952877
OpenAlexW3134025055

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.