Evidence map›Paper›PMID 33752798›Full record

ArticleeLife2021

Convalescent COVID-19 patients are susceptible to endothelial dysfunction due to persistent immune activation.

Florence Wj Chioh, Siew-Wai Fong, Barnaby E Young, Kan-Xing Wu, Anthony Siau, Shuba Krishnan, Yi-Hao Chan, Guillaume Carissimo, Louis Ly Teo, Fei Gao and 9 more

Open access · goldAbstract read
In one paragraph

Article in eLife, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed
9.5field-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

103 citing papers in PubMed, 168 citations in OpenAlex.

  1. Treatment with Sulodexide Downregulates Biomarkers for Endothelial Dysfunction in Convalescent COVID-19 Patients.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Trial
  2. Observational
  3. Review
  4. Circulating angiogenic progenitor cell apoptosis in Post-COVID-19 syndrome.International journal of cardiology. Heart & vasculature · 2026
    Article
  5. Article
  6. CD169Frontiers in cellular and infection microbiology · 2026
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Effects of Cytokines (or Activating Factors) on Arterial Endothelial Cells.International journal of molecular sciences · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review

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

19 authors at 7 institutions in 4 countries.

Florence Wj Chioh *Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Siew-Wai Fong *A*STAR ID Labs, Agency for Science, Technology and Research, Singapore, Singapore.
Barnaby E YoungLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Kan-Xing WuLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Anthony SiauLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Shuba KrishnanLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Yi-Hao ChanA*STAR ID Labs, Agency for Science, Technology and Research, Singapore, Singapore.ORCID 0000-0003-0329-238X
Guillaume CarissimoA*STAR ID Labs, Agency for Science, Technology and Research, Singapore, Singapore.
Louis Ly TeoNational Heart Centre Singapore, Singapore, Singapore.
Fei GaoNational Heart Centre Singapore, Singapore, Singapore.
Ru San TanNational Heart Centre Singapore, Singapore, Singapore.
Liang ZhongNational Heart Centre Singapore, Singapore, Singapore.
Angela S KohNational Heart Centre Singapore, Singapore, Singapore.
Seow-Yen TanDepartment of Infectious Diseases, Changi General Hospital, Singapore, Singapore.ORCID 0000-0001-7870-2879
Paul A TambyahDepartment of Medicine, National University Hospital, Singapore, Singapore.
Laurent ReniaLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.ORCID 0000-0003-0349-1557
Lisa Fp NgA*STAR ID Labs, Agency for Science, Technology and Research, Singapore, Singapore.
David C LyeLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Christine CheungLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.ORCID 0000-0001-7127-9107
Agency for Science, Technology and Research · SGNanyang Technological University · SGDuke-NUS Medical School · SGChangi General Hospital · SGKobe Pharmaceutical University · JPNational University Hospital · SGNational University of Singapore · SG

Funding

Agency for Science, Technology and Research H18/01/a0/017Biomedical Research Council, A*STAR H20/04/g1/006Ministry of Education - Singapore MOE2018-T2-1-042Nanyang Technological University Nanyang Assistant Professorship Start-Up GrantNational Medical Research Council COVID19RF-001National Medical Research Council COVID19RF-060National Medical Research Council NMRC/TA/0031/2015 MOH-000153 NMRC/OFIRG/0018/2016 NMRC/BnB/0017/2015 MOH-000358National Research Foundation Singapore NRF2017_SISFP09
6 · The paper itself

Abstract

Numerous reports of vascular events after an initial recovery from COVID-19 form our impetus to investigate the impact of COVID-19 on vascular health of recovered patients. We found elevated levels of circulating endothelial cells (CECs), a biomarker of vascular injury, in COVID-19 convalescents compared to healthy controls. In particular, those with pre-existing conditions (e.g., hypertension, diabetes) had more pronounced endothelial activation hallmarks than non-COVID-19 patients with matched cardiovascular risk. Several proinflammatory and activated T lymphocyte-associated cytokines sustained from acute infection to recovery phase, which correlated positively with CEC measures, implicating cytokine-driven endothelial dysfunction. Notably, we found higher frequency of effector T cells in our COVID-19 convalescents compared to healthy controls. The activation markers detected on CECs mapped to counter receptors found primarily on cytotoxic CD8

Indexed as

Lymphocyte ActivationAdultAgedCardiovascular DiseasesCOVID-19CytokinesEndothelial CellsEndothelium, VascularFemaleHumansMaleMiddle AgedRisk FactorsCytokinescell biologycirculating endothelial cellsCOVID-19cytokinesendothelial activationhumanimmune effector cellsimmunologyinflammation

Identifiers

PMID33752798
PMCPMC7987341
OpenAlexW3138549017

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.