Evidence map›Paper›PMID 33777054›Full record

ArticleFrontiers in immunology2021

T Cell Activation, Highly Armed Cytotoxic Cells and a Shift in Monocytes CD300 Receptors Expression Is Characteristic of Patients With Severe COVID-19.

Olatz Zenarruzabeitia, Gabirel Astarloa-Pando, Iñigo Terrén, Ane Orrantia, Raquel Pérez-Garay, Iratxe Seijas-Betolaza, Javier Nieto-Arana, Natale Imaz-Ayo, Silvia Pérez-Fernández, Eunate Arana-Arri and 1 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 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

40 citing papers in PubMed, 63 citations in OpenAlex.

  1. The effect of COVID-19 and sex differences on natural killer cell cytotoxicity.Frontiers in cellular and infection microbiology · 2025
    Article
  2. Article
  3. Polymorphisms in the ACE I/D (Tropical medicine and infectious disease · 2024
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  12. Alterations in the CD56International journal of molecular sciences · 2023
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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

11 authors at 2 institutions in 1 country.

Olatz ZenarruzabeitiaImmunopathology Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
Gabirel Astarloa-PandoImmunopathology Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
Iñigo TerrénImmunopathology Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
Ane OrrantiaImmunopathology Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
Raquel Pérez-GarayImmunopathology Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
Iratxe Seijas-BetolazaIntensive Care Medicine Service, Biocruces Bizkaia Health Research Institute, Cruces University Hospital, Barakaldo, Spain.
Javier Nieto-AranaInfectious Disease Service, Biocruces Bizkaia Health Research Institute, Cruces University Hospital, Barakaldo, Spain.
Natale Imaz-AyoScientific Coordination Facility, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
Silvia Pérez-FernándezScientific Coordination Facility, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
Eunate Arana-ArriScientific Coordination Facility, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
Francisco BorregoImmunopathology Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
BioCruces Health research Institute · ESHospital de Cruces · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 manifests with a wide diversity of clinical phenotypes characterized by dysfunctional and exaggerated host immune responses. Many results have been described on the status of the immune system of patients infected with SARS-CoV-2, but there are still aspects that have not been fully characterized or understood. In this study, we have analyzed a cohort of patients with mild, moderate and severe disease. We performed flow cytometric studies and correlated the data with the clinical characteristics and clinical laboratory values of the patients. Both conventional and unsupervised data analyses concluded that patients with severe disease are characterized, among others, by a higher state of activation in all T cell subsets (CD4, CD8, double negative and T follicular helper cells), higher expression of perforin and granzyme B in cytotoxic cells, expansion of adaptive NK cells and the accumulation of activated and immature dysfunctional monocytes which are identified by a low expression of HLA-DR and an intriguing shift in the expression pattern of CD300 receptors. More importantly, correlation analysis showed a strong association between the alterations in the immune cells and the clinical signs of severity. These results indicate that patients with severe COVID-19 have a broad perturbation of their immune system, and they will help to understand the immunopathogenesis of COVID-19.

Indexed as

Cytotoxicity, ImmunologicLymphocyte ActivationAgedCase-Control StudiesCOVID-19Cross-Sectional StudiesFemaleFlow CytometryHost-Pathogen InteractionsHumansImmunophenotypingKiller Cells, NaturalMaleMiddle AgedMonocytesPhenotypeReceptors, ImmunologicCD300aCD300cCD300eCOVID-19granzyme BmonocytesNK cellsT cells

Identifiers

PMID33777054
PMCPMC7991729
OpenAlexW3137226412

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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.