Evidence map›Paper›PMID 33778787›Full record

ArticleCell reports. Medicine2021

Spatial mapping of SARS-CoV-2 and H1N1 lung injury identifies differential transcriptional signatures.

Camilla Margaroli, Paul Benson, Nirmal S Sharma, Matthew C Madison, Sarah W Robison, Nitin Arora, Kathy Ton, Yan Liang, Liang Zhang, Rakesh P Patel and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cell reports. Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

38 citing papers in PubMed, 57 citations in OpenAlex.

  1. Article
  2. Diffuse alveolar damage, acute respiratory distress syndrome (ARDS), and non-cardiogenic pulmonary edema. Part 1: ARDS endotypes, including systemic inflammatory response syndrome and sepsis, with dog and cat examples.Journal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc · 2026
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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 4 institutions in 1 country.

Camilla MargaroliDepartment of Medicine, Division of Pulmonary, Allergy & Critical Care Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Paul BensonDepartment of Pathology, Division of Anatomic Pathology, University of Alabama at Birmingham, Birmingham, AL, USA.
Nirmal S SharmaProgram in Protease/Matrix Biology, University of Alabama at Birmingham, Birmingham, AL, USA.
Matthew C MadisonDepartment of Medicine, Division of Pulmonary, Allergy & Critical Care Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Sarah W RobisonDepartment of Medicine, Division of Pulmonary, Allergy & Critical Care Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Nitin AroraDepartment of Pediatrics, Division of Neonatology University of Alabama at Birmingham and Children's Hospital of Alabama, Birmingham, AL, USA.
Kathy TonNanostring Technologies Inc., Seattle, WA, USA.
Yan LiangNanostring Technologies Inc., Seattle, WA, USA.
Liang ZhangNanostring Technologies Inc., Seattle, WA, USA.
Rakesh P PatelProgram in Protease/Matrix Biology, University of Alabama at Birmingham, Birmingham, AL, USA.
Amit GaggarDepartment of Medicine, Division of Pulmonary, Allergy & Critical Care Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
University of Alabama at Birmingham · USNanostring Technologies (United States) · USBirmingham VA Medical Center · USChildren's of Alabama · US

Funding

Mentored Experiences in Research, Instruction and Teaching (MERIT) Program - administrative supplementK12GM088010 · NIGMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SCHNEIDER, DAVID ALAN · 2009 to 2024
$9.2M
Training Program in Lung Biology and Translational MedicineT32HL105346 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GAGGAR, AMIT · 2010 to 2025
$5.0M
A Novel Proteolytic System of Pulmonary InflammationR01HL102371 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GAGGAR, AMIT · 2010 to 2021
$3.3M
Role of heme and PGP matrikines in lung inflammationR01HL153113 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GAGGAR, AMIT, PATEL, RAKESH P. · 2020 to 2023
$2.2M
Neutrophil Exosomes: New Pathogenic Entities in COPDI01CX001969 · VA · BIRMINGHAM VA MEDICAL CENTER · PI GAGGAR, AMIT · 2020 to 2025
–
CSRD VA I01 CX001969NHLBI NIH HHS R01 HL102371NHLBI NIH HHS R01 HL153113NHLBI NIH HHS T32 HL105346NIGMS NIH HHS K12 GM088010
6 · The paper itself

Abstract

Severe SARS-CoV-2 infection often leads to the development of acute respiratory distress syndrome (ARDS), with profound pulmonary patho-histological changes post-mortem. It is not clear whether ARDS from SARS-CoV-2 is similar to that observed in influenza H1N1, another common viral cause of lung injury. Here, we analyze specific ARDS regions of interest utilizing a spatial transcriptomic platform on autopsy-derived lung tissue from patients with SARS-CoV-2 (n = 3), H1N1 (n = 3), and a dual infected individual (n = 1). Enhanced gene signatures in alveolar epithelium, vascular tissue, and lung macrophages identify not only increased regional coagulopathy but also increased extracellular remodeling, alternative macrophage activation, and squamous metaplasia of type II pneumocytes in SARS-CoV-2. Both the H1N1 and dual-infected transcriptome demonstrated an enhanced antiviral response compared to SARS-CoV-2. Our results uncover regional transcriptional changes related to tissue damage/remodeling, altered cellular phenotype, and vascular injury active in SARS-CoV-2 and present therapeutic targets for COVID-19-related ARDS.

Indexed as

TranscriptomeAlveolar Epithelial CellsAutopsyCOVID-19HumansInfluenza A Virus, H1N1 SubtypeInfluenza, HumanLungLymphocyte ActivationMacrophages, AlveolarMetaplasiaPhenotypeRespiratory Distress SyndromeSARS-CoV-2Spatial AnalysisARDSCOVID-19H1N1 influenzaSARS-CoV-2spatial transcriptomics

Identifiers

PMID33778787
PMCPMC7985929
OpenAlexW3136070537

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.