Evidence map›Paper›PMID 33790587›Full record

ReviewInfection and drug resistance2021

BCG Vaccine-Induced Trained Immunity and COVID-19: Protective or Bystander?

Gopala Koneru, Gaber El-Saber Batiha, Abdelazeem M Algammal, Mahmoud Mabrok, Sara Magdy, Shrouk Sayed, Mai E AbuElmagd, Reham Elnemr, Mahmoud M Saad, Noura H Abd Ellah and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Infection and drug resistance, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

15 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Observational
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

13 authors at 5 institutions in 4 countries.

Gopala KoneruDepartment of Medicine, Division of Gastroenterology and Hepatology, Rutger New Jersey Medical School, Rutgers University, New Brunswick, NJ, 07103, USA.
Gaber El-Saber BatihaDepartment of Pharmacology and Therapeutics, Faculty of Veterinary Medicines, Damanhour University, Damanhur, 22511, Egypt.
Abdelazeem M AlgammalDepartment of Bacteriology, Immunology, and Mycology, Faculty of Veterinary Medicine, Suez Canal University, Ismailia, 41522, Egypt.ORCID 0000-0001-5580-1559
Mahmoud MabrokDepartment of Fish Diseases and Management, Faculty of Veterinary Medicine, Suez Canal University, Ismailia, 41522, Egypt.
Sara MagdyFaculty of Medicine, Assiut University, Assiut, 71515, Egypt.
Shrouk SayedFaculty of Medicine, Assiut University, Assiut, 71515, Egypt.
Mai E AbuElmagdFaculty of Medicine, Assiut University, Assiut, 71515, Egypt.
Reham ElnemrFaculty of Medicine, Assiut University, Assiut, 71515, Egypt.
Mahmoud M SaadFaculty of Medicine, Assiut University, Assiut, 71515, Egypt.
Noura H Abd EllahDepartment of Pharmaceutics, Faculty of Pharmacy, Assiut University, Assiut, 71526, Egypt.
Amal HosniDepartment of Clinical Pathology, Faculty of Medicine, Assiut University, Assiut, Egypt.ORCID 0000-0001-7270-8655
Khalid Muhammad *Department of Biology, College of Science, United Arab Emirates University, Al Ain, United Arab Emirates.ORCID 0000-0001-6488-1722
Helal F Hetta *Department of Medical Microbiology and Immunology, Faculty of Medicine, Assiut University, Assiut, Egypt.ORCID 0000-0001-8541-7304
Assiut University · EGSuez Canal University · EGDamanhour University · EGRutgers, The State University of New Jersey · USUnited Arab Emirates University · AE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In late 2019, a new virulent coronavirus (CoV) emerged in Wuhan, China and was named as severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). This virus spread rapidly, causing the coronavirus disease-2019 (COVID-19) pandemic. Bacillus Calmette-Guérin (BCG) is a live attenuated tuberculosis (TB) vaccine, associated with induction of non-specific cross-protection against unrelated infections. This protection is a memory-like response in innate immune cells (trained immunity), which is caused by epigenetic reprogramming via histone modification in the regulatory elements of specific genes in monocytes. COVID-19 related epidemiological studies showed an inverse relationship between national BCG vaccination policies and COVID-19 incidence and death, suggesting that BCG may induce trained immunity that could confer some protection against SARS-CoV-2. As this pandemic has put most of Earth's population under quarantine, repurposing of the old, well-characterized BCG may ensure some protection against COVID-19. This review focuses on BCG-related cross-protection and acquisition of trained immunity, as well as the correlation between BCG vaccination and COVID-19 incidence and mortality.

Indexed as

BCG vaccinecoronavirusCOVID-19trained immunitytuberculosis

Identifiers

PMID33790587
PMCPMC8001200
OpenAlexW3138124286

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.