Evidence map›Paper›PMID 33727631›Full record

ReviewInternational journal of obesity (2005)2021

Metabolic dysfunction and immunometabolism in COVID-19 pathophysiology and therapeutics.

Rachael Batabyal, Nathaniel Freishtat, Elaise Hill, Muhammad Rehman, Robert Freishtat, Ioannis Koutroulis

Open access · bronzeAbstract readReview
In one paragraph

Review in International journal of obesity (2005), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 6% 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

47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Measuring Mitochondrial Function of Naïve and Effector CD8 T Cells.Journal of visualized experiments : JoVE · 2025
    Article
  10. Review
  11. Article
  12. Article
  13. Upregulation of inflammatory genes and pathways links obesity to severe COVID-19.Biochimica et biophysica acta. Molecular basis of disease · 2024
    Article
  14. Review
  15. Article
  16. Article
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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

6 authors at 2 institutions in 1 country.

Rachael Batabyal *Division of Emergency Medicine, Children's National Hospital, Washington, DC, USA.
Nathaniel Freishtat *Division of Emergency Medicine, Children's National Hospital, Washington, DC, USA.
Elaise HillDivision of Emergency Medicine, Children's National Hospital, Washington, DC, USA.
Muhammad RehmanThe George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Robert FreishtatDivision of Emergency Medicine, Children's National Hospital, Washington, DC, USA.
Ioannis KoutroulisDivision of Emergency Medicine, Children's National Hospital, Washington, DC, USA. ikoutrouli@childrensnational.org.ORCID http://orcid.org/0000-0002-8396-9022
Children's National · USGeorge Washington University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic has emerged as a public health crisis and has placed a significant burden on healthcare systems. Patients with underlying metabolic dysfunction, such as type 2 diabetes mellitus and obesity, are at a higher risk for COVID-19 complications, including multi-organ dysfunction, secondary to a deranged immune response, and cellular energy deprivation. These patients are at a baseline state of chronic inflammation associated with increased susceptibility to the severe immune manifestations of COVID-19, which are triggered by the cellular hypoxic environment and cytokine storm. The altered metabolic profile and energy generation of immune cells affect their activation, exacerbating the imbalanced immune response. Key immunometabolic interactions may inform the development of an efficacious treatment for COVID-19. Novel therapeutic approaches with repurposed drugs, such as PPAR agonists, or newly developed molecules such as the antagomirs, which block microRNA function, have shown promising results. Those treatments, alone or in combination, target both immune and metabolic pathways and are ideal for septic COVID-19 patients with an underlying metabolic condition.

Indexed as

COVID-19COVID-19 Drug TreatmentDiabetes Mellitus, Type 2ObesityAntiviral AgentsCytokine Release SyndromeHumansHypoglycemic AgentsSARS-CoV-2Antiviral AgentsHypoglycemic Agents

Identifiers

PMID33727631
PMCPMC7961323
OpenAlexW3139176789

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.