Evidence map›Paper›PMID 33777012›Full record

ArticleFrontiers in immunology2021

Increased sCD163 and sCD14 Plasmatic Levels and Depletion of Peripheral Blood Pro-Inflammatory Monocytes, Myeloid and Plasmacytoid Dendritic Cells in Patients With Severe COVID-19 Pneumonia.

Maria Antonella Zingaropoli, Parni Nijhawan, Anna Carraro, Patrizia Pasculli, Paola Zuccalà, Valentina Perri, Raffaella Marocco, Blerta Kertusha, Guido Siccardi, Cosmo Del Borgo and 6 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 1 pooled it
12.9field-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

53 citing papers in PubMed, 1 synthesis or guideline pooled it, 223 citations in OpenAlex.

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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

16 authors at 3 institutions in 1 country.

Maria Antonella ZingaropoliDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Parni NijhawanDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Anna CarraroDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Patrizia PasculliDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Paola ZuccalàInfectious Diseases Unit, SM Goretti Hospital, Sapienza University of Rome, Latina, Italy.
Valentina PerriDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Raffaella MaroccoInfectious Diseases Unit, SM Goretti Hospital, Sapienza University of Rome, Latina, Italy.
Blerta KertushaDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Guido SiccardiDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Cosmo Del BorgoInfectious Diseases Unit, SM Goretti Hospital, Sapienza University of Rome, Latina, Italy.
Ambrogio CurtoloDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Camilla AjassaDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Marco IannettaDepartment of System Medicine, Tor Vergata University of Rome, Rome, Italy.
Maria Rosa CiardiDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Claudio Maria MastroianniDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Miriam LichtnerDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Sapienza University of Rome · ITOspedale Santa Maria Goretti · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Emerging evidence argues that monocytes, circulating innate immune cells, are principal players in COVID-19 pneumonia. The study aimed to investigate the role of soluble (s)CD163 and sCD14 plasmatic levels in predicting disease severity and characterize peripheral blood monocytes and dendritic cells (DCs), in patients with COVID-19 pneumonia (COVID-19 subjects). Methods: On admission, in COVID-19 subjects sCD163 and sCD14 plasmatic levels, and peripheral blood monocyte and DC subsets were compared to healthy donors (HDs). According to clinical outcome, COVID-19 subjects were divided into ARDS and non-ARDS groups. Results: Compared to HDs, COVID-19 subjects showed higher sCD163 (p<0.0001) and sCD14 (p<0.0001) plasmatic levels. We observed higher sCD163 plasmatic levels in the ARDS group compared to the non-ARDS one (p=0.002). The cut-off for sCD163 plasmatic level greater than 2032 ng/ml was predictive of disease severity (AUC: 0.6786, p=0.0022; sensitivity 56.7% [CI: 44.1-68.4] specificity 73.8% [CI: 58.9-84.7]). Positive correlation between plasmatic levels of sCD163, LDH and IL-6 and between plasmatic levels of sCD14, D-dimer and ferritin were found. Compared to HDs, COVID-19 subjects showed lower percentages of non-classical (p=0.0012) and intermediate monocytes (p=0.0447), slanDCs (p<0.0001), myeloid DCs (mDCs, p<0.0001), and plasmacytoid DCs (pDCs, p=0.0014). Compared to the non-ARDS group, the ARDS group showed lower percentages of non-classical monocytes (p=0.0006), mDCs (p=0.0346), and pDCs (p=0.0492). Conclusions: The increase in sCD163 and sCD14 plasmatic levels, observed on hospital admission in COVID-19 subjects, especially in those who developed ARDS, and the correlations of these monocyte/macrophage activation markers with typical inflammatory markers of COVID-19 pneumonia, underline their potential use to assess the risk of progression of the disease. In an early stage of the disease, the assessment of sCD163 plasmatic levels could have clinical utility in predicting the severity of COVID-19 pneumonia.

Indexed as

AgedAged, 80 and overAntigens, CDAntigens, Differentiation, MyelomonocyticBiomarkersCase-Control StudiesCD163 AntigenCOVID-19Dendritic CellsDisease ProgressionFemaleHost-Pathogen InteractionsHumansImmunity, InnateLipopolysaccharide ReceptorsMaleAntigens, CDAntigens, Differentiation, MyelomonocyticBiomarkersCD14 protein, humanCD163 AntigenLipopolysaccharide ReceptorsReceptors, Cell Surfacedendritic cellsELISAflow cytometrymDCsmonocytespDCsSARS-CoV-2

Identifiers

PMID33777012
PMCPMC7993197
OpenAlexW3134351487

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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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.